Abstract:
PURPOSE:We analyzed the results of patients who underwent percutaneous nephrolithotomy (PCNL) for management of kidney stone disease under combined spinal-epidural anesthesia and compared surgical parameters and outcomes with a matched control group who underwent PCNL under general anesthesia. PATIENTS AND METHODS:A total of 82 patients were studied in two groups. Group 1 (n = 45) consisted of the patients who underwent general anesthesia, and group 2 (n = 37) comprised those who received combined spinal-epidural anesthesia. RESULTS:The mean ages of patients in groups 1 and 2 were 45 +/- 15 and 44 +/- 15 years, respectively. The mean areas of the stones in groups 1 and 2 were 734 +/- 386 mm(2) and 731 +/- 394 mm(2), respectively. There were no significant differences between groups 1 and 2 among surgical parameters, including age, stone area, operative time, irrigation fluids, fluoroscopy time, delta hemoglobin, and hospitalization time (P = 0.439). At the end of the surgery, stone-free rates were 76% in group 1 and 81% in group 2; clinically insignificant residue fragments rates were 24% in group 1 and 19% in group 2. The difference was statistically insignificant between the groups (P = 0.543). CONCLUSIONS:We consider that combined spinal-regional anesthesia is a feasible technique in PCNL operations because the efficacy and safety were not affected. Further investigations with larger series are needed.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Kuzgunbay B,Turunc T,Akin S,Ergenoglu P,Aribogan A,Ozkardes Hdoi
10.1089/end.2009.0261subject
Has Abstractpub_date
2009-11-01 00:00:00pages
1835-8issue
11eissn
0892-7790issn
1557-900Xjournal_volume
23pub_type
临床试验,杂志文章abstract:BACKGROUND AND PURPOSE:Nephroureterectomy (NU) with bladder cuff excision is the gold standard treatment for patients with upper urinary tract urothelial cancer. We report our initial experience with laparoendoscopic single-site plus one port (LESS POP) technique for NU and bladder cuff excision. PATIENTS AND METHODS:...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0735
更新日期:2014-06-01 00:00:00
abstract:: Purpose: The conventional flexible ureteroscope has limited access into the lower calix and often causes biomechanical stress to surgeons. Recently, a novel flexible ureteroscope with an omnidirectional bending tip with a joystick-type control unit (URF-Y0016; Olympus, Jap...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0895
更新日期:2020-06-01 00:00:00
abstract:: Introduction: Double-J ureteral stents are subject to encrustation. Studies have shown that the encrustation onset is linked with indwelling time. In prevention, it is admitted that the Double-J stent indwelt for medium or long term should be replaced periodically. However...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0254
更新日期:2021-01-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy of transvesical obturator nerve block (ONB) in the prevention of obturator nerve reflex and leg jerking during transurethral resection of bladder tumors (TURBT). PATIENTS AND METHODS:A total of 60 patients were studied, in whom the transurethral resection of tumors on the posterolatera...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2009.0659
更新日期:2010-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Radiation exposure during medical procedures continues to be an increasing concern for physicians and patients. We determined organ-specific dose rates and calculated effective dose rates during right and left percutaneous nephrolithotomy (PCNL) using a validated phantom model. MATERIALS AND MET...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0178
更新日期:2012-05-01 00:00:00
abstract:PURPOSE:Burst wave lithotripsy (BWL) is a transcutaneous technique with potential to safely and effectively fragment renal stones. Preclinical investigations of BWL require the assessment of potential renal injury. This study evaluates the capabilities of real-time ultrasound and MRI to detect and evaluate BWL injury t...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0202
更新日期:2017-08-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Urinary-tract fistulas present unique clinical challenges that often necessitate open surgical excision with interposition of healthy tissue. Advances in retrograde instrumentation have enabled endourologists to employ more minimally invasive approaches to urologic disease, including fistulas. We...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.419
更新日期:2005-04-01 00:00:00
abstract:PURPOSE:Telemedicine has become a common method for the transmission of images and patient data across long distances. Our goal was to assess the efficiency and accuracy of Photomailer MD software, a store-and-forward telemedicine system, in the urologic setting. METHODS:Photomailer MD software was loaded on two compu...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1089/end.1999.13.141
更新日期:1999-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Several kinds of flexible ureteroscopes are in use for the removal of kidney stones. This study evaluated and compared the characteristics of four new-generation flexible ureteroscopes. MATERIALS AND METHODS:The flexible ureteroscopes studied were: the ACMI Dur-8 Elite, the Storz Flex-X2 the Oly...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2008.0371
更新日期:2008-10-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Several experienced practitioners of open surgery with limited or no laparoscopic background have adopted robot-assisted laparoscopic radical prostatectomy (RLRP) as an alternative to open radical prostatectomy (RRP), demonstrating outcomes comparable to those in large RRP and laparoscopic prosta...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0239
更新日期:2007-04-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Functional losses near 20% are seen in the operated kidney during partial nephrectomy. Resected healthy margins are small and ischemia time limited in the modern era. We hypothesize that reconstruction following tumor resection is modifiable and a significant cause of renal function injury. MATE...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2016.0055
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Helical CT has become the preferred method for imaging urinary calculi, and so it would be useful if data from helical CT could also be used to predict the number of shockwaves (SWs) needed to break a given stone. METHODS AND MATERIALS:We measured the number of SWs required to comminute calcium ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2000.14.471
更新日期:2000-08-01 00:00:00
abstract:: Objective: To evaluate whether reducing the dose of fluoroscopy to ¼ of standard dose during unilateral ureteroscopy for ureteral stone treatment would impact in a reduction of total radiation emitted and whether this strategy would impact operation time, stone-free rate, ...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2018.0722
更新日期:2019-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Surgery continues to be the main form of treatment for patients with renal tumors. We create a more practical and intuitive score for renal tumor classification. PATIENTS AND METHODS:Eighty patients underwent surgery for renal tumors and were prospectively enrolled. The tumors were classified us...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0148
更新日期:2014-04-01 00:00:00
abstract:: Objectives: To assess the effect of irrigation settings and the size of ureteral access sheath (UAS) on the maximal intra-pelvic pressure (IPPmax) during ureteroscopy (URS) in pigs. Materials and Methods: In supine position, th...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0317
更新日期:2019-09-01 00:00:00
abstract:PURPOSE:To evaluate the efficacy and safety of retroperitoneal laparoscopic pyelolithotomy (RLP) versus percutaneous nephrolithotomy (PCNL) for large renal pelvic calculi using a randomized controlled trial. MATERIALS AND METHODS:Patients with large renal pelvic calculi were prospectively randomized using matched-pair...
journal_title:Journal of endourology
pub_type: 杂志文章,随机对照试验
doi:10.1089/end.2014.0064
更新日期:2014-08-01 00:00:00
abstract:INTRODUCTION:Patients with ileal conduit urinary diversions are at an increased risk of long-term upper urinary tract (UUT) complications, including anastomotic strictures, infections, and urolithiasis. The reconstructed urinary system poses challenges for endoscopic manipulation. We present and describe our dual-cente...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2017.0271
更新日期:2017-09-01 00:00:00
abstract::Raman spectroscopic and microscopic techniques have been used for nondestructive characterization of tissues and to differentiate benign and malignant tissues. The discovery of the principles of spectroscopy is credited to Sir C.V. Raman of India, who in 1930 brought the Nobel Prize in Physics to the East side of Suez...
journal_title:Journal of endourology
pub_type: 传,历史文章,杂志文章
doi:10.1089/end.2006.9998
更新日期:2007-01-01 00:00:00
abstract:OBJECTIVES:To evaluate the ex vivo accuracy of an MRI-TRUS fusion device for guiding targeted prostate biopsies, to identify the origin of errors, and to evaluate the likelihood that lesions can be accurately targeted. MATERIALS AND METHODS:Three prostate phantoms were used to perform 27 biopsies using transperineal M...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2015.0864
更新日期:2016-06-01 00:00:00
abstract:: Purpose: To examine the dusting performance of a novel solid state Thulium laser device compared to a standard holmium:yttrium-aluminum-garnet (Ho:YAG) device. Methods: This study compares a Dornier Medilas H Solvo 35 with an e...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0525
更新日期:2020-09-09 00:00:00
abstract:BACKGROUND AND PURPOSE:As life expectancy continues to increase, we will be faced with the need to counsel older patients on the risks and benefits of undergoing surgery. It is clear that laparoscopic renal surgery has significant benefits over open renal surgery. However, contemporary data on whether these benefits ca...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.9885
更新日期:2007-11-01 00:00:00
abstract:INTRODUCTION/OBJECTIVE:We sought to examine the contemporary relationship between case volume and outcome for percutaneous nephrolithotomy (PCNL) using a publically available administrative database. METHODS:A weighted sample of 7785 patients was obtained from the 2010 Healthcare Cost and Utilization Project (HCUP) Na...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2013.0172
更新日期:2013-09-01 00:00:00
abstract::The results of 10 years' experience of treating pelviureteric junction (PUJ) obstruction by balloon dilatation are reviewed, and recommendations about the suitability of the technique for individual patients are made based on the patient's history and a preoperative DTPA renogram. Of 76 patients, 32 (42%) had no furth...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1997.11.239
更新日期:1997-08-01 00:00:00
abstract:: Introduction and Objective: Current available lithotrites have clinical stone clearance rates averaging 24 to 32 mm2/minute. The objective of this study was to critically evaluate the initial experience with the Swiss LithoClast ® ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0561
更新日期:2020-02-01 00:00:00
abstract::Percutaneous renal access is an integral step in percutaneous renal drainage and percutaneous nephrolithotomy. Urologists are increasingly obtaining access themselves, as this eliminates reliance on a second "surgeon" and increases flexibility with respect to procedure timing and the location of the access tract. Surp...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2007.9981
更新日期:2007-03-01 00:00:00
abstract:PURPOSE:We present our experience in the design and development of a training program in laparoscopic radical prostatectomy (LRP), and the validation of the first steps of the program by objective measurement of the attendants' skills improvement and subjective evaluation of its contents. MATERIALS AND METHODS:Our tra...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2014.0050
更新日期:2014-07-01 00:00:00
abstract:BACKGROUND AND PURPOSE:Robot-assisted partial nephrectomy has emerged as a viable surgical treatment for patients with certain renal tumors. We hypothesized that extirpation of more complex tumors, as graded with the nephrometry score, would result in worse operative and postoperative outcomes when compared with tumors...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0003
更新日期:2011-10-01 00:00:00
abstract:PURPOSE:To review the success rate and complications of radiologically guided percutaneous nephrostomies (PCNs) performed by urologists and compare the complication rates with the standards recommended by the Society of Interventional Radiology (SIR) and the American College of Radiology (ACR). PATIENTS AND METHODS:Fr...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2006.0281
更新日期:2007-07-01 00:00:00
abstract:: Introduction and Objectives: After transurethral prostatectomy, erectile dysfunction and ejaculatory dysfunction are significant concerns for patients. We compared ejaculatory hood-sparing technique in patients who underwent photoselective vaporization of the prostate usin...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2019.0558
更新日期:2020-03-01 00:00:00
abstract:: Objective: To determine if radiologically diagnosed nonalcoholic fatty liver disease (NAFLD) is an independent risk factor for nephrolithiasis using data from National Health and Nutrition Examination Survey III (NHANES III). Patients and Methods: ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2020.0486
更新日期:2020-12-01 00:00:00