Abstract:
BACKGROUND AND PURPOSE:Nephrostomy tract dilation is one of the important steps in percutaneous renal surgery. We present our experiences with using Amplatz and metal telescopic dilators (Alken) to create a percutaneous tract and compare the advantages and risk factors of both procedures. PATIENTS AND METHODS:We retrospectively reviewed the medical records of 173 patients who had undergone 188 percutaneous nephrolithotomy procedures between April 2007 and December 2010. The nephrostomy tracts had been created by using Amplatz (67 cases) or Alken dilators (121 cases). Total operative time, scope time, tract formation time, decrease in hemoglobin concentrations, blood transfusion rates, tract dilation failures, and the cost of both systems were compared between the groups. RESULTS:There were no statistically significant differences in total operative time (103.3 ± 46.5 vs 99.1 ± 44.4 min, P=0.583), scope time (5.23 ± 3.06 vs 5.28 ± 2.52 min, P=0.732), decrease in hemoglobin concentration (-1.5 ± 1.2 vs-1.3 ± 1.1 mg/dL, P=0.230), blood transfusion rates (13.4% vs 11.6%, P=0.709), and tract dilation failure rates (6.0% vs 1.7%, P=0.107) for Amplatz and Alken dilation groups, respectively. A shorter tract formation time (6.56 ± 3.04 vs 5.42 ± 3.07 min, P<0.001) was observed in the Alken dilation group. The approximate costs per each case were $220 and $7.25 for Amplatz and Alken dilation groups, respectively. CONCLUSIONS:The Alken dilation technique produces similar results to the Amplatz dilators in terms of efficiency, safety, and total operative time. Notwithstanding, it is more cost-effective in comparison.
journal_name
J Endouroljournal_title
Journal of endourologyauthors
Ozok HU,Sagnak L,Senturk AB,Karakoyunlu N,Topaloglu H,Ersoy Hdoi
10.1089/end.2011.0291subject
Has Abstractpub_date
2012-06-01 00:00:00pages
630-4issue
6eissn
0892-7790issn
1557-900Xjournal_volume
26pub_type
杂志文章abstract:BACKGROUND AND PURPOSE:Laparoscopic radical prostatectomy (LRP) is an established treatment for patients with prostate cancer in selected centers with appropriate expertise. We studied our single-center experience of developing a LRP service and subsequent training of two additional surgeons by the initial surgeon. We ...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2011.0635
更新日期:2012-07-01 00:00:00
abstract:PURPOSE:We assessed whether high shock number is associated with higher rates of acute complication development after extracorporeal shockwave lithotripsy (SWL). PATIENTS AND METHODS:A retrospective chart review of 372 patients who underwent 436 SWL procedures at 24 kV using a Medstone STS-T lithotripter (Medstone Int...
journal_title:Journal of endourology
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abstract::The literature on standard laparoscopic radical prostatectomy (LRP) and robot-assisted radical prostatectomy (RARP) is replete with technical descriptions of the primary surgeon's responsibility, but deficient with regard to the detailed role of the assistant surgeon. This video paper describes the critical role of th...
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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. ...
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abstract:: Introduction: There has been a surge in robotic surgery research publications over the past 20 years. However, to date, there has been no characterization of urology's contribution to the robotic field, and there is a lack of bibliometric literature to guide future investi...
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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,多中心研究
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更新日期:2014-02-01 00:00:00
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更新日期:2008-08-01 00:00:00
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更新日期:2015-10-01 00:00:00
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更新日期:2020-10-01 00:00:00
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pub_type: 杂志文章
doi:10.1089/end.2009.0438
更新日期:2010-05-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
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更新日期:2020-11-16 00:00:00
abstract::Ureteral stents and nephrostomy tubes have been used extensively in urology. Attendant to their use are their associated morbidities, such as pain, infection, and encrustation. We review the literature on the subject of the encrusted stents and drainage catheters, discuss the risk factors for encrustation, and describ...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
doi:10.1089/end.2006.0382
更新日期:2008-05-01 00:00:00
abstract::One of the most significant developments in imaging technology has been the process of digitalization. By incorporating currently available digital imaging equipment into surgical practice, urologists can be assured of obtaining real-time video images with optimal clarity and detail. In addition, one can efficiently c...
journal_title:Journal of endourology
pub_type: 杂志文章,评审
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更新日期:2010-12-01 00:00:00
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doi:10.1089/end.1994.8.131
更新日期:1994-04-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0338
更新日期:2008-07-01 00:00:00
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更新日期:2017-07-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2005.19.1180
更新日期:2005-12-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1994.8.345
更新日期:1994-10-01 00:00:00
abstract::Seventy-four consecutive cases of ureteral stones listed for ureteroscopic lithotripsy were studied prospectively. In all cases, the Wolf 7.5F or 9F ureteroscope was used in conjunction with the Swiss Lithoclast system. Dormia baskets were employed on four occasions to prevent forward propulsion of fragments. Ureteros...
journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.1998.12.341
更新日期:1998-08-01 00:00:00
abstract:PURPOSE:To assess the necessity of placing a ureteral stent after transperitoneal laparoscopic ureterolithotomy (TPLU). PATIENTS AND METHODS:In the period from May 2006 to November 2010, 46 patients underwent TPLU. There were 13 females and 33 males. All patients had an impacted stone larger than 1.5 cm in the upper a...
journal_title:Journal of endourology
pub_type: 临床试验,杂志文章
doi:10.1089/end.2012.0082
更新日期:2012-09-01 00:00:00
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journal_title:Journal of endourology
pub_type: 杂志文章
doi:10.1089/end.2007.0260
更新日期:2008-03-01 00:00:00