Differences between types of tract dilatation techniques during percutaneous nephrolithotomy (PCNL)
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Tarih
2018
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Aim: Dilation of the distance from the skin to the kidney stone is one of the important steps of percutaneousnephrolithotomy (PCNL). However, due to cost and exposure to radiation, there is a debate about the proper dilatationmethod. For this purpose, a controlled clinical trial was planned to evaluate the effectiveness of the use of 12 F Amplatzdilator + balloon dilator in terms of shorter duration of tract dilation and scopy time during PCNL.Material and Methods: 60 patients with kidney stones and performed PCNL were included in the study and dividedinto 3 groups. While balloon dilation was maintained after using 12F Amplatz dilator -only- in Group 1, balloon dilationwas performed after using 8/10 dilator/sheat set, dual-lumen ureteral catheter and ZebraTM angled type guidewire asdescribed in the teachings in Group 2. Dilation in patients in Group 3 was performed with just Amplatz dilators ranging from10F to 30F without using balloon dilation. The access time, dilation time, operation time, scopy time, cost, nephrostomytube removal time, hospital stay period parameters were recorded.Results: Dilation, operation and scopy times were significantly lower in Group 1 compared to the two other groups(p<0.05). The costs were higher in Group 2.Conclusion: Due to the shorter dilation, scopy and operation time and cost benefits, using 12F Amplatz dilator before andthen balloon dilator seems advantageous.
Açıklama
Anahtar Kelimeler
Patoloji, Cerrahi
Kaynak
Turkish Journal of Clinics and Laboratory
WoS Q Değeri
Scopus Q Değeri
Cilt
9
Sayı
2
