Abstract:
:The purpose of this study was to evaluate the success and morbidity of percutaneous nephrolithotomy (PCNL) performed through the 11th and 10th intercostal space. Between March 2005 and February 2012, 612 patients underwent PCNL, 243 of whom had a supracostal access. The interspace between the 11th and 12th rib was used in 204 cases (group 1) and between the 10th and 11th interspaces in 39 cases (group 2). PCNL was performed using standard supracostal technique in all patients. The operative time, success rate, hospital stay, and complications according to the modified Clavien classification were compared between group 1 and group 2. The stone-free rate was 86.8% in group 1 and 84.6% in group 2 after one session of PCNL. Auxiliary procedures consisting of ureterorenoscopy (URS) and shock wave lithotripsy (SWL) were required in 5 and 7 patients, respectively, in group 1; and in 1 patient each in group 2 . After the auxiliary procedures, stone-free rates increased to 92.6% in group 1 and 89.7% in group 2. A total of 74 (30.4%) complications were documented in the 2 groups according to modified Clavien classification. Grade-I complications were recorded in 20 (8.2%), grade-II in 38 (15.6%), grade-IIIa in 13 (5.3%), and grade-IIIb in 2 (0.8%) patients; grade-IVa was recorded in 1 (0.4%) patient. There were no grade-IVb or grade-V complications. Overall complication rate was 30.9% in group 1 and 28.2% in group 2. Supracostal PCNL in selected cases is effective and safe with acceptable complications. The modified Clavien system provides a standardized grading system for complications of PCNL.
journal_name
Int Surgjournal_title
International surgeryauthors
Kara C,Değirmenci T,Kozacioglu Z,Gunlusoy B,Koras O,Minareci Sdoi
10.9738/INTSURG-D-13-00167.1subject
Has Abstractpub_date
2014-11-01 00:00:00pages
857-62issue
6eissn
0020-8868issn
2520-2456journal_volume
99pub_type
杂志文章abstract::Small liver metastasis of rectal carcinoma is mostly solid and rarely accompanied by necrosis. Microscopic invasion of the hepatic vein is rare in colorectal metastasis. A 53-year-old man, 2 years after rectal carcinoma resection, was noted to have a 15-mm liver tumor. On imaging, it was difficult to determine if the ...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:
更新日期:2005-11-01 00:00:00
abstract::We studied all the 70 cases of liver cancer referred to us in 1988. Sixty (85.71%) were primary hepatocellular carcinoma (HCC), the other 10 (14.29%) were metastatic liver cancer. Of the 60 HCC, 48 were males and 12 females. Peak age incidence was between 20-40 years. Forty-five (75%) had tumours in both lobes. Of the...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1992-10-01 00:00:00
abstract::The authors describe the present surgical procedure for duodenal ulcer; this consists of vagotomy in association with resection of the antral mucosa, and sliding the fundus mucosa to cover the naked surface. The gastroduodenal junction is sewn as an enlarged Weimberg pyloroplasty. A series of 20 patients were operated...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1982-01-01 00:00:00
abstract:PURPOSE:This study aimed to assess the effect of intraoperative PEEP intervention on the healing of colonic anastomoses in rabbits. MATERIALS AND METHODS:Thirty-two New Zealand type male rabbits were divided into two groups of sixteen animals each. Following ventilation with tracheostomy, colonic resection and anastom...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-15-00160.1
更新日期:2015-07-27 00:00:00
abstract::Pathological and clinical characteristics of thyroid carcinoma are reported. In 379 routine consecutive autopsies in which carcinoma was not suspected, serial sections of thyroid gland were histologically examined. Latent thyroid carcinoma was detected in 15.7% of the glands. Papillary adenocarcinoma comprised 76.3%, ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1976-10-01 00:00:00
abstract::Obstructive jaundice in patients with chronic pancreatitis still constitutes a surgical problem deserving the attention of many specialized centers throughout the world. Out of a series of 149 patients operated upon for chronic pancreatitis, 45 (30.2%) with common duct stricture secondary to pancreatic disease have be...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract::The spleen in newborns, infants, and children is rarely involved in a variety of pathological processes. These processes may involve an isolated splenic disease or may be a part of a systemic illness. Renal vein thrombosis in infants of diabetic mothers has been reported. We report a case of a newborn with intestinal ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2002-07-01 00:00:00
abstract::We report the case of a 57-year-old woman with Budd-Chiari syndrome, hepatocellular carcinoma (HCC), and intrahepatic cholangiocarcinoma (ICC). She underwent partial hepatectomy for HCC in April 2000. After surgery, alpha-fetoprotein (AFP) and protein induced by vitamin K absence II (PIVKA-II) returned to normal level...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2005-04-01 00:00:00
abstract::Pancreaticoduodenectomy is considered the standard operation for periampullary tumors. Despite major advances in pancreatic surgery, pancreatic fistula is still an important cause of morbidity and mortality after pancreaticoduodenectomy. Meticulous surgical technique and proper reconstruction of the pancreas are essen...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00095.1
更新日期:2015-02-01 00:00:00
abstract::A retrospective analysis of 1,856 patients treated by esophageal achalasia in 23 different surgical departments from seven countries is reported. The predominant symptom was dysphagia (100%), pain, vomiting and weight loss (76.1%). The most useful diagnostic methods were: barium meal (85%), manometry (100%), endoscopy...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1988-04-01 00:00:00
abstract::Seventy-six patients with tricuspid insufficiency associated with other valvular lesions underwent De Vega annuloplasty. There were mitral lesions in 74 patients, aortic valve lesions in eight and atrial septal defects (ASD) in four. The radiographic and electrocardiographic findings and hemodynamic data are reported ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1983-07-01 00:00:00
abstract::A total of 52 patients with different grades of liver injuries were treated in a 1 year period: 32 patients had penetrating injuries and in 20 patients injuries resulted from blunt trauma. Blunt trauma victims were frequently associated with chest and head injuries and with skeletal fractures. A 4-fold incidence of as...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1999-07-01 00:00:00
abstract::From 1969 through 1984, 304 case of early gastric cancer (EGC) were resected. Nodal status was studied in 272 cases in which lymph node dissection was performed. The lymph nodes were negative for metastasis in 90% of the cases. In 7%, metastasis was noted in the Group 1 lymph nodes alone and in 3%, as far as the Group...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1986-10-01 00:00:00
abstract::Endoscopic retrograde pancreatogram (ERP) has been recommended in patients with suspected pancreatic fistula to visualize the fistula tract and the ductal anatomy. Recently we have treated five men with chronic alcoholic pancreatitis complicated by pancreaticopleural or pancreaticoperitoneal fistula. The limited value...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1996-04-01 00:00:00
abstract::We have reported one case of a rare combination of multiple primary malignancies in the stomach, a leiomyosarcoma and an adenocarcinoma in a 72-year-old male. He also had a leiomyoma of the stomach and a cavernous hemangioma of the spleen. Since he has had two malignant and two benign tumors, it would appear that this...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1979-03-01 00:00:00
abstract::We retrospectively evaluated rectal cancer surgery cases in which resection had been performed for invasion of other organs in terms of pathologic findings from the viewpoint of sex differences. We enrolled 61 consecutive patients with rectal cancer who had undergone curative surgery with resection of invaded adjacent...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-13-00027.1
更新日期:2013-07-01 00:00:00
abstract::Ninety-seven patients operated on for cancer of the stomach with locoregional spread, i.e. invasion of adjacent tissue and/or lymph node metastases, have been studied in order to evaluate whether the surgeon's intraoperative assessment of "curative resection" was of any significance with respect to postoperative survi...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1984-04-01 00:00:00
abstract::A 68-year-old man underwent pancreaticoduodenectomy with lymph nodes dissection for carcinoma of the ampulla of Vater. The patient had anxiety neurosis and had been treated with a selective serotonin reuptake inhibitor (SSRI). Postoperatively, SSRI was resumed on postoperative day 2. His serum sodium concentration gra...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-13-00032.1
更新日期:2013-10-01 00:00:00
abstract::We made clinical trials of en bloc extended radical mastectomy (EXT) of a new type in 118 patients from 1980 through 1985. A variety of conventional radical mastectomies (RDL) were also performed in 105 patients from 1973 through 1985. A multivariate analysis was performed of the results to compare EXT and RDL. The re...
journal_title:International surgery
pub_type: 临床试验,杂志文章
doi:
更新日期:1992-01-01 00:00:00
abstract::Over a one year period (June 1992-June 1993), 260 patients (208 females and 52 males) with mean age of 37 years (range 13-80), underwent laparoscopic cholecystectomy (LC) for symptomatic gallstones. Thirty patients were admitted as emergency (20 acute cholecystitis, 10 acute pancreatitis). The procedure was performed ...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1995-04-01 00:00:00
abstract::Multiple primary malignant neoplasm is the occurrence of a second primary malignancy in the same patient within 6 months of the detection of first primary (synchronous), or 6 months or more after primary detection (metachronous). Multiple primary malignant neoplasms are not very frequently encountered in clinical prac...
journal_title:International surgery
pub_type: 杂志文章,评审
doi:10.9738/INTSURG-D-13-00056.1
更新日期:2014-01-01 00:00:00
abstract::The diagnostic and therapeutic problems involved in 29 cases of isolated hepatic tumors have been presented. In nine cases the hepatoma was discovered during emergency treatment for complications. Selective arteriography was the most accurate method of establishing the etiologic diagnosis. Suprahepatic phlebography in...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1976-08-01 00:00:00
abstract::Hydatid disease, which is caused by the parasite Echinococcus granulosis, is endemic in certain parts of the world in which humans and sheep live in proximity. Hydatid cysts occur most often in the liver, and affliction with multiple cysts is rare. We present the case of a 48-year-old woman with 55 hydatid cysts (47 i...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2008-03-01 00:00:00
abstract::The purpose of this study is to introduce and evaluate a new technique of repairing bile ducts by the tubular gastric wall with a vascularized pedicle. Both the end-to-end bile duct repair and Roux-en-Y hepatoenterostomy have limitations in the treatment of benign bile duct strictures after cholecystectomy. There are ...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00260.1
更新日期:2015-06-01 00:00:00
abstract::Regarding the complications of peptic ulcer, a perforation remains the most important fatal complication. The aim of our retrospective study was to determine relations between postoperative morbidity and comorbid disease or perioperative risk factors in perforated peptic ulcer. In total, 239 patients who underwent eme...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-14-00187.1
更新日期:2015-05-01 00:00:00
abstract::Video-thoracoscopy was used to evaluate and manage patients after thoracic trauma. It was used in 29 patients. Indications included retained hemothorax in 16 patients, empyema in 11, evaluation for the source of thoracic bleeding in 1, and an airleak in 1. The mechanism of injury was blunt trauma in 8 cases, 10 with s...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:1998-07-01 00:00:00
abstract::Paragangliomas or chemodectomas are neoplasms that arise from neural crest cells and histologically resemble their adrenal counterpart, the pheochromocytoma. Seventy-one percent of the extra-adrenal paragangliomas are located in the superior or inferior para-aortic area. This tumor usually presents as an abdominal mas...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2006-01-01 00:00:00
abstract::This report describes an alternative technique for Petit hernia repair. The treatment of lumbar hernias should follow the concept of tension-free surgery, and the preperitoneal space can be the best place for prosthesis placement. An obese patient had a bulge in the right lumbar region, which gradually grew and became...
journal_title:International surgery
pub_type: 杂志文章
doi:10.9738/INTSURG-D-13-00135.1
更新日期:2014-09-01 00:00:00
abstract::For a variety of reasons, mainly anatomical, the skin and soft tissue defects in the lower leg and foot remain a challenging problem for reconstructive surgeons. Simple skin grafts, local random flaps, cross leg flaps, microvascular flaps, etc., have been used to tackle this difficult problem. Although to date, probab...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2001-07-01 00:00:00
abstract::Congenital defects presenting at an adult age are subject to diagnostic errors because of their relative rarity and often odd clinical presentation. We illustrate a 63-year-old male patient with multiple ileal carcinoid tumors along with a carcinoid tumor in Meckel's diverticulum. The Meckel's diverticulum is a congen...
journal_title:International surgery
pub_type: 杂志文章
doi:
更新日期:2003-01-01 00:00:00