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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2016.1
- 수록면
- 268 - 273 (6page)
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초록· 키워드
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Purpose: The traditional prone positioning of percutaneous nephrolithotomy (PCNL) is associated with various anesthetic and logistic difficulties. We aimed to compare the surgical outcomes of PCNLs performed using our modified supine position with those performed in the standard prone position. Materials and Methods: A prospective group of 236 renal units (224 patients) undergoing PCNL were included in this 2 site study: 160 were performed in the modified supine position were compared with 76 undergoing PCNL in the prone position. The outcomes of radiation dose, radiation time, stone free rate, body mass index (BMI), stone size, operative time, length of stay (LOS), in hospital and complications were compared. Chi-square and t-tests were used. Results: There were no significant differences in mean radiation time, radiation dose or stone size between the modified supine and prone groups. The supine group had a higher mean BMI (31 kg/m2 vs. 28 kg/m2, p=0.03), shorter mean surgical time (93 minutes vs. 123 minutes, p<0.001), shorter mean LOS (2 days vs. 3 days, p=0.005) and higher stone free rate (70% vs. 50%, p=0.005). There were no differences in septic or bleeding complications but the prone group had a higher rate of overall complications. Conclusions: Modified supine PCNL has significantly lower operative time, shorter LOS and higher stone-free rate compared with prone in our series, while remaining a safe procedure.
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등록된 정보가 없습니다.
참고문헌 (21)
참고문헌 신청
Turk C / Guidelines on urolithiasis
Valdivia JG / 2011 / Supine versus prone position during percutaneous nephrolithotomy: a report from the clinical research office of the endourological society percutaneous nephrolithotomy global study / J Endourol 25:1619~1625
Miano R / 2010 / Position: prone or supine is the issue of percutaneous nephrolithotomy / J Endourol 24:931~938
Grasso M / 1993 / Prone split leg and flank roll positioning: simultaneous antegrade and retrograde access to the upper urinary tract / J Endourol 7:307~310
Gofrit ON / 2002 / Lateral decubitus position for percutaneous nephrolithotripsy in the morbidly obese or kyphotic patient / J Endourol 16:383~386
Valdivia JG / 2011 / Supine versus prone position during percutaneous nephrolithotomy: a report from the clinical research office of the endourological society percutaneous nephrolithotomy global study / J Endourol 25:1619~1625
Miano R / 2010 / Position: prone or supine is the issue of percutaneous nephrolithotomy / J Endourol 24:931~938
Grasso M / 1993 / Prone split leg and flank roll positioning: simultaneous antegrade and retrograde access to the upper urinary tract / J Endourol 7:307~310
Gofrit ON / 2002 / Lateral decubitus position for percutaneous nephrolithotripsy in the morbidly obese or kyphotic patient / J Endourol 16:383~386
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