Differences between types of tract dilatation techniques during percutaneous nephrolithotomy (PCNL)

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dc.contributor.authorYuvanç, Ercan
dc.contributor.authorErdal, Yılmaz Selim
dc.date.accessioned2025-01-21T16:18:43Z
dc.date.available2025-01-21T16:18:43Z
dc.date.issued2018
dc.departmentKırıkkale Üniversitesi
dc.description.abstractAim: 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.
dc.identifier.doi10.18663/tjcl.413765
dc.identifier.endpage102
dc.identifier.issn2149-8296
dc.identifier.issue2
dc.identifier.startpage97
dc.identifier.trdizinid414752
dc.identifier.urihttps://doi.org/10.18663/tjcl.413765
dc.identifier.urihttps://search.trdizin.gov.tr/tr/yayin/detay/414752
dc.identifier.urihttps://hdl.handle.net/20.500.12587/22928
dc.identifier.volume9
dc.indekslendigikaynakTR-Dizin
dc.language.isoen
dc.relation.ispartofTurkish Journal of Clinics and Laboratory
dc.relation.publicationcategoryMakale - Ulusal Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.snmzKA_20241229
dc.subjectPatoloji
dc.subjectCerrahi
dc.titleDifferences between types of tract dilatation techniques during percutaneous nephrolithotomy (PCNL)
dc.typeArticle

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