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Application of a novel computer-assisted surgery system in percutaneous nephrolithotomy: A controlled study.
Qin, Fei; Sun, Ye-Feng; Wang, Xin-Ning; Li, Bin; Zhang, Zhi-Lei; Zhang, Ming-Xin; Xie, Fei; Liu, Shuai-Hong; Wang, Zi-Jie; Cao, Yuan-Chao; Jiao, Wei.
Afiliación
  • Qin F; Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.
  • Sun YF; Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.
  • Wang XN; Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.
  • Li B; Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.
  • Zhang ZL; Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.
  • Zhang MX; Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.
  • Xie F; Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.
  • Liu SH; Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.
  • Wang ZJ; Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.
  • Cao YC; Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China.
  • Jiao W; Department of Urology, The Affiliated Hospital of Qingdao University, Qingdao 266000, Shandong Province, China. jiaowei3929@163.com.
World J Clin Cases ; 10(18): 6039-6049, 2022 Jun 26.
Article en En | MEDLINE | ID: mdl-35949849
BACKGROUND: Most complex renal stones are managed primarily with percutaneous nephrolithotomy (PCNL). However, PCNL is still a great challenge for surgeons because of poor comprehension on complex adjacent structures. Novel techniques are required to assist in planning and navigation. AIM: To apply and evaluate the Hisense computer-assisted surgery (CAS) system in PCNL. METHODS: A total of 60 patients with complex renal stones were included. Thirty patients in the CAS group had three-dimensional (3D) virtual models constructed with the CAS system. The model assisted in planning and navigating in the CAS system. Thirty patients in the control group planned and navigated as standard PCNL, without the application of the CAS system. Success rate of one attempt, operation time, initial stone-free rate, decrease in hemoglobin, and complications were collected and analyzed. RESULTS: There were no statistically significant differences in the baseline characteristics or planning characteristics. The success rate of one puncturing attempt (90% vs 67%, P = 0.028) and the initial stone-free rate (87% vs 63%, P = 0.037) were significantly higher in the CAS group. However, there were no statistically significant differences in the operation time (89.20 ± 29.60 min vs 92.33 ± 33.08 min, P = 0.859) or in the decrease in hemoglobin (11.07 ± 8.32 g/L vs 9.03 ± 11.72 g/L, P = 0.300) between the CAS group and the control group. No statistically significant differences in the incidence of complications (Clavien-Dindo grade ≥ 2) were found. CONCLUSION: Compared with standard PCNL, CAS-assisted PCNL had advantages in terms of the puncturing success rate and stone-free rate. The Hisense CAS System was recommended to assist in preoperative planning and intraoperative navigation for an intuitive, precise and convenient PCNL.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: World J Clin Cases Año: 2022 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Tipo de estudio: Prognostic_studies Idioma: En Revista: World J Clin Cases Año: 2022 Tipo del documento: Article País de afiliación: China Pais de publicación: Estados Unidos