Abstract:
PURPOSE:Our aim was to evaluate the safety and efficacy of percutaneous nephrolithotomy (PCNL) with ultrasonography (US)-guided renal access in the lateral decubitus flank position. PATIENTS AND METHODS:From July 2006 to March 2008, 40 patients with renal stones > 2 cm underwent PCNL with US-guided renal access in the lateral decubitus flank position by a single surgeon. We report our technique and the outcomes in detail. RESULTS:Successful access was achieved in 40 patients (100%). Complete stone clearance rate was 85% (34 patients). After surgery, six (15%) patients had stones (6-11 mm) detected by plain abdominal radiography or sonography and were referred for shockwave lithotripsy. The mean stone size was 29 mm (range 22-43 mm). The mean operative time was 45 minutes (range 32-75 min), and the mean hospital stay was 2.8 days (range 2-4 d). Postoperative US did not reveal considerable fluid collection. There were no visceral injuries. Also, there was no significant bleeding that led to transfusion intraoperatively and postoperatively. CONCLUSION:PCNL with US-guided renal access in the lateral decubitus flank position is safe and convenient, and prevents harmful effects of radiation for the surgeon, the surgical team, and the patient.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Karami H,Arbab AH,Rezaei A,Mohammadhoseini M,Rezaei Idoi
10.1089/end.2008.0433subject
Has Abstractpub_date
2009-01-01 00:00:00pages
33-5issue
1eissn
0892-7790issn
1557-900Xpii
10.1089/end.2008.0433journal_volume
23pub_type
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journal_title:Journal of endourology
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journal_title:Journal of endourology
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journal_title:Journal of endourology
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pub_type: 临床试验,杂志文章,多中心研究
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pub_type: 临床试验,杂志文章
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journal_title:Journal of endourology
pub_type: 杂志文章
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journal_title:Journal of endourology
pub_type: 杂志文章,评审
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pub_type: 杂志文章,meta分析,评审
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pub_type: 杂志文章,随机对照试验
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pub_type: 临床试验,杂志文章
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abstract:BACKGROUND:Tubercular cold abscess of the seminal vesicle is very rare, and only a few cases are reported in literature. Preoperative diagnosis is difficult and to the best of our knowledge has not been reported. CASE REPORT:A 35-year-old man presented with a 7-year history of blood in the semen and a reddish brownish...
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pub_type: 杂志文章
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pub_type: 杂志文章,随机对照试验
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pub_type: 杂志文章,评审
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更新日期:2010-10-01 00:00:00