Abstract:
PURPOSE:To assess the efficacy, safety, and morbidity of tubeless percutaneous nephrolithotomy (PCNL) and compare it with standard PCNL. PATIENTS AND METHODS:A total of 135 patients (140 renal units) undergoing tubeless PCNL (group 1) from June 2000 to September 2007 were compared with a similar group of 185 (194 renal units) patients undergoing standard PCNL (group 2) in the same period. Patients who needed more than two percutaneous tracts; who had significant intraoperative bleeding, intraoperative perforation of the pelvicaliceal system, excessive manipulation at the ureteropelvic junction, or a residual stone after the procedure; and who had a solitary kidney or azotemia were excluded from the study. The chi-square test was performed for statistical analysis of qualitative variables and the student's t test for quantitative variables. A P value < 0.05 was considered significant. RESULTS:The mean age in group 1 was 34.4 years (range 9-66 yrs) and in group 2 was 32.6 years (range 6-74 yrs). Male/female ratio was 1.7 and 1.6 respectively. The average stone size in group 1 was 3.2 cm (range 2-5.5 cm) v 3.6 cm (range 2.2-6.0 cm). Sixteen patients in group 1 and 24 patients in group 2 were in the pediatric age group. Simultaneous bilateral PCNL was performed in 6 patients in group 1 and 10 patients in group 2. Both the groups were comparable in age, sex ratio, side ratio, stone size, location, preoperative incidence of urinary tract infection, method of tract dilatation, and mean operative time. The incidence of single tract (95 v 98 in group 1 and group 2) for complete stone clearance was significantly more in the tubeless group. Mean hospital stay (1.8 v 2.9 days) and the analgesic requirement (68 mg v 210.5 mg of pethidine) was also significantly less in the tubeless group. Blood loss and mean operative time were also less in the tubeless group but were not statistically significant. CONCLUSION:Tubeless PCNL is safe and effective. It has significantly less morbidity, a shorter hospital stay, and less postoperative analgesic requirement in comparison with standard PCNL.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Gupta NP,Mishra S,Suryawanshi M,Seth A,Kumar Rdoi
10.1089/end.2007.0338subject
Has Abstractpub_date
2008-07-01 00:00:00pages
1441-6issue
7eissn
0892-7790issn
1557-900Xjournal_volume
22pub_type
杂志文章abstract::In this review, a simplified straightforward algorithmic approach to the metabolic evaluation and treatment of the at-risk or recurrent urolithiasis patient is provided. Eight diagnoses and eight therapies are provided, which cover over 95% of renal stone disease. ...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2017.0541
更新日期:2018-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Protease inhibitors, specifically indinavir, have historically been implicated as a cause of nephrolithiasis in the human immunodeficiency virus (HIV) infected patients. There is a paucity of data, however, on stone disease with nonindinavir etiologies since the introduction of highly active anti...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0639
更新日期:2012-08-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVES:To examine the association of glycemic control, including strict glycemic control, with 24-hour urine risk factors for uric acid and calcium calculi. MATERIALS AND METHODS:With institutional review board (IRB) approval, we identified 183 stone formers (SFs) with 459 twenty-four-hour urine c...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0376
更新日期:2018-08-01 00:00:00
abstract:PURPOSE:To enable all personnel involved with laparoscopy to obtain cheap and ready practice in a variety of situations. MATERIALS AND METHODS:A number of components are required to practice laparoscopic techniques: a cavity, lighting, video imaging, instruments, operating sutures, etc. and operative tissue. Alternati...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.748
更新日期:2005-07-01 00:00:00
abstract:PURPOSE:To investigate a new method and its effect on the procedure of dilating the ejaculatory duct and flushing the seminal vesicle with an F9 seminal vesicle scope in patients with chronic and recurrent seminal vesiculitis. PATIENTS AND METHODS:Twenty-six patients with a diagnosis based to signs, laboratory detecti...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2010.0456
更新日期:2011-11-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Bacterial colonization of indwelling ureteral stents may serve as a nidus for bacteriuria in operations where stents are manipulated. The predictive value of urine cultures in the assessment of stent colonization was examined in 65 patients with indwelling ureteral stents. PATIENTS AND METHODS:P...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1999.13.735
更新日期:1999-12-01 00:00:00
abstract:PURPOSE:To compare blind access and totally tubeless percutaneous antegrade removal and pneumatic transurethral ureterolithotripsy for the management of impacted upper-ureteral calculi >1 cm. PATIENTS AND METHODS:Seventy patients (41 male, 29 female) with impacted upper-ureteral calculi >1 cm were selected in randomiz...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.20.616
更新日期:2006-09-01 00:00:00
abstract::The Clinical Research Office of the Endourological Society (CROES) conducts large-scale, international, multicenter clinical trials in the field of endourology. One of the major challenges that these trials pose is to ensure that data collected remotely and online within a very short time frame are valid and reliable....
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0402
更新日期:2011-11-01 00:00:00
abstract::Laparoscopic pyeloplasty represents one of the more advanced reconstructive procedures for the urologist. While early reports were replete with long operative times, there have been several changes that have added to the efficiency of the procedure. In our practice, we have found three changes to be of greatest value:...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/089277904773582750
更新日期:2004-04-01 00:00:00
abstract:INTRODUCTION:Prestenting of the ureter is commonly performed to allow for passive dilation and better access to the urinary system during subsequent procedures. There is no level 1 evidence on the duration of prestenting and EAU guidelines suggest a 1-2 weeks duration. MATERIALS AND METHODS:Our primary aim is to inves...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2018.0872
更新日期:2019-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Patients with spinal neuropathy are at an increased risk for urolithiasis. Data on percutaneous nephrolithotomy (PCNL) in this population are limited. Our objective is to review our experience in managing stones with PCNL in patients with spinal neuropathy. PATIENTS AND METHODS:Twenty-one patien...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0344
更新日期:2012-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Adequate urine production and excretion may be important for clearance of stone fragments after extracorporeal shockwave lithotripsy (SWL). This study evaluated the impact of renal function, measured by preoperative serum creatinine concentration, on the efficacy of SWL. PATIENTS AND METHODS:Fro...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0319
更新日期:2007-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:At present, open retroperitoneal lymph node dissection (RPLND) remains the preferred approach at many high-volume centers for the surgical treatment of patients with low-stage testis cancer. Despite the potential advantages of a minimally invasive approach, including improved cosmesis and shorter...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0596
更新日期:2011-11-01 00:00:00
abstract:PURPOSE:To evaluate the effect of increasing age of urology patients on the outcome of laparoscopic procedures. PATIENTS AND METHODS:We performed a retrospective review of patients undergoing laparoscopic urologic procedures from 1998 to 2005, comparing patients 75 or older with all other patients undergoing the same ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.9997
更新日期:2007-01-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Extended ureteral stricture is a rare complication of renal transplantation. Its management remains challenging. The aim of our study was to report our 15 years of experience with subcutaneous pyelovesical bypass graft (SPBG) in selected renal transplant patients who presented with extended urete...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0085
更新日期:2011-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Kidney stone disease is rare in the South African black (B) population and more prevalent in the white (W) population. Genetic studies have not previously examined this anomaly. The AGT Pro11Leu polymorphism in the alanine:glyoxylate aminotransferase (AGT) enzyme has been suggested as possibly pl...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0617
更新日期:2014-05-01 00:00:00
abstract::Liver injury during percutaneous nephrolithotomy (PCNL) is very rare and is usually overlooked. In this report, we present a case of inadvertent liver injury during right supracostal PCNL and describe diagnostic tools, conservative management measures, and outcome. A literature review of potential risk factors and sug...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0147
更新日期:2008-08-01 00:00:00
abstract::We report the ureteroscopic unroofing of a symptomatic peripelvic cyst with a holmium laser in a 37-year-old woman. At 1-year follow-up, the patient remains symptom free. Endoscopic management of peripelvic cysts is durable and can be performed safely. ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0469
更新日期:2007-12-01 00:00:00
abstract:BACKGROUND AND PURPOSE:As many as 96% of patients report some kind of discomfort/pain during transrectal ultrasonography (TRUS)-guided prostate biopsy, and when pain is severe, it may be necessary to decrease the planned number of biopsies or interrupt the procedure. Various modalities have been recommended to alleviat...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2006.20.525
更新日期:2006-07-01 00:00:00
abstract:PURPOSE:To assess factors that affect prostate biopsy results following salvage whole gland cryoablation. PATIENTS AND METHODS:One hundred seventy-four patients underwent prostate biopsy following salvage whole gland cryoablation of the prostate in the Cryo-OnLine Database registry. Wilcoxon rank-sum and χ2 tests and ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2016.0715
更新日期:2017-05-01 00:00:00
abstract:INTRODUCTION AND OBJECTIVES:We evaluated patients who underwent treatment for prostate cancer and then subsequent robotic radical cystectomy (RARC). Our objective was to understand clinical, pathologic, and survival outcomes in these patients. MATERIALS AND METHODS:A total of 333 male patients underwent RARC with stan...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0627
更新日期:2020-12-02 00:00:00
abstract:PURPOSE:Robot-assisted laparoscopic prostatectomy (RALP) is an increasingly popular treatment choice among men with clinically localized prostate cancer and has resulted in the need to adequately train urologists to perform the procedure. We reviewed the City of Hope experience to determine if the extent of fellow invo...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0378
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:During robot-assisted radical prostatectomy (RARP), patients remain in a steep Trendelenburg position. This can cause positioning injuries as well as rhabdomyolysis. The primary diagnostic indicator of rhabdomyolysis is elevated serum creatine kinase (CK). We investigate whether RARP with extende...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2012.0169
更新日期:2013-01-01 00:00:00
abstract:: Purpose: To examine gas bubbles generated by two laser lithotripsy devices, a pulsed thulium solid-state laser and a holmium:yttrium-aluminum-garnet (Ho:YAG) device, and their possible effects in lithotripsy. Materials and Methods: ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0526
更新日期:2020-12-22 00:00:00
abstract::Abstract Laparoscopic retroperitoneal lymph node dissection (RPLND) has been shown to be safe and effective in appropriately selected pediatric and adolescent patients with paratesticular rhabdomyosarcoma (RMS) and testicular germ-cell tumors (T-GCT). While the use of robot-assisted laparoscopy has expanded rapidly ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0214
更新日期:2012-06-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Hemodynamic changes during abdominal laparoscopic procedures have been described as multifactorial phenomena. We report the possible occurrence of bradycardia and asystolic cardiac arrest during insufflation of the balloon trocar as a rare and serious but reversible complication during endoscopic...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0139
更新日期:2009-02-01 00:00:00
abstract:BACKGROUND AND PURPOSE:The use of bipolar electrocautery has proven advantages over monopolar energy during transurethral surgery by limiting hyponatremia and its clinical sequelae. Percutaneous ablation of caliceal diverticula and parapelvic renal cysts has been shown to be an effective surgical approach for the manag...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2010.0525
更新日期:2011-05-01 00:00:00
abstract:OBJECTIVE:Preoperative percutaneous nephrostomy (PCN) has been commonly performed for patients with urinary stones complicated with pyelonephritis or obstructive uropathy; in fact, a considerable number of patients undergo ureteroscopic removal of stone (URS) in the presence of a PCN. We assessed the effectiveness of P...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0347
更新日期:2013-10-01 00:00:00
abstract:INTRODUCTION:The learning curve for robotic surgery is not completely defined, and ideal training components have not yet been identified. We attempted to determine whether skill development would be accelerated with formal, organized instruction in robotic surgical techniques versus informal practice alone. MATERIALS...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2009.0511
更新日期:2010-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Current guidelines recommend routine second transurethral resection (TUR) for accurate diagnosis and to prevent understaging of muscle-invasive bladder cancer. We evaluated the diagnostic accuracy of immediate second resection of the tumor bed during initial TUR and its prognostic significance. ...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2011.0576
更新日期:2012-08-01 00:00:00