Two Different Renal Dilatation Techniques in Percutaneous Nephrolithotomy: One-Shot Dilation vs. Sequential Dilation

Objective: In this study, we aimed to compare the results in patients undergoing the oneshot dilatation (OD) technique and the conventional serial dilatation (SD) technique with amplatz dilators in percutaneous nephrolithotomy (PNL) operations. Methods: We retrospectively evaluated the data of 213 patients who had undergone PNL between January 2016 and June 2018. The patients who had undergone SD were classified as Group 1 and the patients undergoing OD as Group 2. All of the patients had undergone contrast-free computed tomography (CT) before the operation. The PNL procedure was performed by experienced endo-urologists. Follow-up CT was performed in the 3rd postoperative month. The PNL procedure was considered unsuccessful in patients who had a stone larger than 4 mm on the CT scan. The patients were accepted as 'stone free' when there was no residual stone or there was a stone less than 4 mm in diameter on the CT scan. The groups were compared concerning demographic characteristics, operation duration, fluoroscopy duration, amount of hemoglobin change, complication rate (according to the modified Clavien classification), length of hospital stay and the operation success rate. Results: There was no statistically significant difference between the groups concerning operation data, rate of stone-free patients and complication rates. The mean length of hospital stay was shorter in the OD group (p

Perkütan Nefrolitotomi De İki Farklı Renal Dilatasyon Tekniği: One-Shot Dilatasyon ve Ardışık Dilatasyon

Amaç: Perkütan nefrolitotomi operasyonlarında, amplatz dilatatörlerle yapılan one shot dilatasyon tekniği ile konvansiyonel ardışık dilatasyon tekniği uygulanan hastaların sonuçlarını karşılaştırmayı amaçladık. Gereç ve Yöntem: Ocak 2016 ile Haziran 2018 tarihleri arasında perkütan nefrolitotomi operasyonu yapılan 213 hastanın verileri retrospektif olarak değerlendirildi. Ardışık dilatasyon yapılan olgular Grup 1, one shot dilatasyon yapılan olgular ise Grup 2 olarak ayrıldı. Tüm hastalar operasyondan önce kontrastsız bilgisayarlı tomografi ile değerlendirildi. Perkütan nefrolitotomi işlemi deneyimli endourologlar tarafından gerçekleştirildi. Hastalara postoperatif 3. ayda bilgisayarlı tomografi ile kontrol yapıldı. Bilgisayarlı tomografide 4 mm’den büyük taş kalan hastaların perkütan nefrolitotomi işlemi başarısız kabul edildi. Bilgisayarlı tomografi de hiç rezidü olmaması veya 4 mm’den küçük taş varlığı taşsızlık olarak kabul edildi. Gruplar demografik özellikleri, operasyon süresi, skopi süresi hemoglobin değişim miktarı, komplikasyonları (modifiye clavien sınıflaması ile), hastanede kalma süresi ve operasyon başarısı yönünden karşılaştırıldı. Bulgular: Gruplar arasında operasyon verileri, taşsızlık oranları ve komplikasyonlar açısından istatistiksel olarak anlamlı farklılık yoktu. One shot dilatasyon grubunda ortalama hastanede kalış süresi daha kısa olarak tespit edildi (p

Kaynakça

1. Assimos D, Krambeck A, Miller NL, Monga M, Murad MH, Nelson CP, et al. Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I. J Urol 2016;196:1153–60.

2. Türk C, Petřík A, Sarica K, Seitz C, Skolarikos A, Straub M, et al. EAU Guidelines on Interventional Treatment for Urolithiasis. Eur Urol 2016;69:475–82.

3. Ganpule AP, Shah DH, Desai MR. Postpercutaneous nephrolithotomy bleeding aetiology and management. Curr Opin Urol 2014;24:189–94.

4. Hosseini MM, Hassanpour A, Farzan R, Yousefi A, Afrasiabi MA. Ultrasonography-guided percutaneous nephrolithotomy. J Endourol 2009;23:603–7.

5. Matlaga BR, Shah OD, Zagoria RJ, Dyer RB, Streem SB, Assimos DG. Computerized tomography guided access for percutaneous nephrostolithotomy. J Urol 2003;170:45–7.

6. Miller N, Matlaga BR, Lingeman JE. Techniques for fluoroscopic percutaneous renal access. J Urol 2007;178:15–23.

7. Amirhassani S, Mousavi-Bahar SH, Iloon Kashkouli A, Torabian S. Comparison of the safety and efficacy of one shot and telescopic metal dilatation in percutaneous nephrolithotomy: a randomized controlled trial. Urolithiasis 2014;42:269–73.

8. Girisha TD, Dev P, Vijaykumar R, Dharwadkar S, Madappa KM. Single-step dilatation in percutaneous nephrolithotomy, its safety and efficacy: A prospective, single-center study. Urol Ann 2019;11:171–4.

9. Gönen M, Istanbulluoglu OM, Cicek T, Ozturk B, Ozkardes H. Balloon dilatation versus Amplatz dilatation for nephrostomy tract dilatation. J Endourol 2008;22:901–4.

10. Pakmanesh H, Daneshpajooh A, Mirzaei M, Shahesmaeili A, Hashemian M, Alinejad M, et al. Amplatz versus Balloon for Tract Dilation in Ultrasonographically Guided Percutaneous Nephrolithotomy: A Randomized Clinical Trial. Biomed Res Int 2019;2019:3428123.

11. Davidoff R, Bellman GC. Influence of technique of percutaneous tract creation on incidence of renal hemorrhage. J Urol 1997;157:1229– 31.

12. Kukreja R, Desai M, Patel S, Bapat S, Desai M. Factors affecting blood loss during percutaneous nephrolithotomy: Prospective study. J Endourol 2004;18:715–22.

13. Travis DG, Tan HL, Webb DR. Single increment dilation for percutaneous renal surgery: an experimental study. Br J Urol 1991;68:144– 7.

14. Frattini A, Barbieri A, Salsi P, Sebastio N, Ferretti S, Bergamaschi E, et al. One shot: A novel method to dilate the nephrostomy access for percutaneous lithotripsy. J Endourol 2001;15:919–23.

15. Li Y, Yang L, Xu P, Shen P, Qian S, Wei W, et al. One-shot versus gradual dilation technique for tract creation in percutaneous nephrolithotomy: a systematic review and meta-analysis. Urolithiasis 2013;41:443–8.

16. Dehong C, Liangren L, Huawei L, Qiang W. A comparison among four tract dilation methods of percutaneous nephrolithotomy: a systematic review and meta-analysis. Urolithiasis 2013;41:523–30.

17. Nour HH, Kamal AM, Zayed AS, Refaat H, Badawy MH, El-Leithy TR. Single-step renal dilatation in percutaneous nephrolithotomy: A prospective randomised study. Arab J Urol 2014;12:219–22.

18. de la Rosette J, Assimos D, Desai M, Gutierrez J, Lingeman J, Scarpa R, et al. CROES PCNL Study Group. The Clinical Research Office of the Endourological Society Percutaneous Nephrolithotomy Global Study: indications,complications, and outcomes in 5803 patients. J Endourol 2011;25:11–7.

19. Seitz C, Desai M, Häcker A, Hakenberg OW, Liatsikos E, Nagele U, et al. Incidence, prevention, and management of complications following percutaneous nephrolitholapaxy. Eur Urol 2012;61:146–58.

20. Mousavi-Bahar SH, Mehrabi S, Moslemi MK. Percutaneous nephrolithotomy complications in 671 consecutive patients: a singlecenter experience. Urol J 2011;8:271–6.

21. Ozgor F, Kucuktopcu O, Sarılar O, Toptas M, Simsek A, Gurbuz ZG, et al. Does previous open renal surgery or percutaneous nephrolithotomy affect the outcomes and complications of percutaneous nephrolithotomy. Urolithiasis 2015;43:541–7.

22. Aminsharifi A, Alavi M, Sadeghi G, Shakeri S, Afsar F. Renal parenchymal damage after percutaneous nephrolithotomy with onestage tract dilation technique: a randomized clinical trial. J Endourol 2011;25:927–31.

23. Süelözgen T, Isoglu CS, Turk H, Yoldas M, Karabicak M, Ergani B, et al. Percutaneous nephrolithotomy with one-shot dilation method: Is it safe in patients who had open surgery before? Can Urol Assoc J 2016;10:E132–5.

Kaynak Göster

Southern Clinics of Istanbul Eurasia
  • ISSN: 2587-0998
  • Yayın Aralığı: Yılda 4 Sayı
  • Başlangıç: 2017

645117

Sayıdaki Diğer Makaleler

Determination of the Difficult Intubation Incidence and its Affecting Factors in Patients Undergoing Septal Deviation Surgery – Prospective Controlled Trial

Demet ALTUN, ACHMET ALİ, Levent AYDEMİR, Nil KIRŞAN, Mukadder ORHAN SUNGUR, Emre ÇAMÇI

Two Different Renal Dilatation Techniques in Percutaneous Nephrolithotomy: One-Shot Dilation vs. Sequential Dilation

Hüseyin AYDEMİR, Fikret HALİS

Uterine Sarcomas: 10 Years of Experience at a Single Institution

Gazi YILDIZ, Elif Cansu GÜNDOĞDU, Gülfem BAŞOL, Emre MAT, Ahmet KALE

Cortisol as a Predictor of Early Mortality in Heart Failure

Mehmet YAMAK, Hatice TÜKENMEZ, Meltem SERTBAŞ, Mehmet Akif TÜKENMEZ, Süleyman AHBAB, Hayriye Esra ATAOĞLU

Management of Femoral Fractures in Aging Adult Polio Population: A Retrospective Review of 13 Cases

Hüseyin Bilgehan ÇEVİK, Engin ECEVİZ, Selim ERGÜN, Seyit Ali GÜMÜŞTAŞ

Reporting Complications in Radical Cystoprostatectomy and Orthotopic Neobladder in Male Patients Using a Standard Reporting Methodology

Orkunt ÖZKAPTAN, Alkan ÇUBUK, Muhsin BALABAN, Cüneyd SEVİNÇ, Osman Murat İPEK, Tahir KARADENİZ

Macular Electrophysiology After Intravitreal Dexamethasone Implant in Patients with Branch Retinal Vein Occlusion

Muhammed Nurullah BULUT, Ümit ÇALLI, Ulviye KIVRAK, Kezban BULUT, Güzide AKÇAY

Ecthyma due to Streptococcus Pyogenes Mimicking Cutaneous Anthrax

Ayşe KARAASLAN, Ceren Nilgün ÇETİN, Yasemin AKIN, Ayşe ADAK, Gülhan Turan ZITOUNI, Özge KARATAŞ

Does Abnormal Uterine Bleeding in Menstrual Cycles Predispose Postpartum Bleeding? A Prospective Study

Ali DOĞUKAN ANĞIN, Kazibe KOYUNCU, İsmet GÜN, Lokman Tekin ERTEKİN, Önder SAKİN, Emine Eda AKALIN, Muzaffer Seyhan ÇIKMAN, Ahmet KALE, Engin Ersin ŞİMŞEK

Evaluation of the Patients’ Attitudes and Behaviors Concerning Patient Safety

Tunçay PALTEKİ, Haydar SUR, Gülay YAZICI, Engin Ersin ŞİMŞEK, Yusuf BAKTIR