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Complete supine PCNL: ultrasound vs. fluoroscopic guided: a randomized clinical trial
Falahatkar, Siavash; Allahkhah, Aliakbar; Kazemzadeh, Majid; Enshaei, Ahmad; Shakiba, Maryam; Moghaddas, Fahimeh.
Afiliação
  • Falahatkar, Siavash; Guilan University of Medical Sciences. Urology Research Center. IR
  • Allahkhah, Aliakbar; Guilan University of Medical Sciences. Urology Research Center. IR
  • Kazemzadeh, Majid; Guilan University of Medical Sciences. Urology Research Center. IR
  • Enshaei, Ahmad; Guilan University of Medical Sciences. Urology Research Center. IR
  • Shakiba, Maryam; Guilan University of Medical Sciences. Urology Research Center. IR
  • Moghaddas, Fahimeh; Guilan University of Medical Sciences. Urology Research Center. IR
Int. braz. j. urol ; 42(4): 710-716, July-Aug. 2016. tab
Article em En | LILACS | ID: lil-794692
Biblioteca responsável: BR1.1
ABSTRACT
ABSTRACT Introduction and

Hypothesis:

To compare complications and outcomes of complete supine percutaneous nephrolithotomy (csPCNL) with ultrasound guided and fluoroscopically guided procedure. Materials and

Methods:

In this randomized clinical trial study from January 2009 to September 2010, 26 of 51 patients with renal stones underwent csPCNL with ultrasonographic guidance in all steps of the procedure (group A), and the other 25 patients underwent standard fluoroscopically guided csPCNL (group B). All of the patients underwent PCNL in the complete supine position. Statistical analysis was performed with SPSS16 software.

Results:

Mean BMI was 28.14 in group A and 26.31 in group B (p=0.30). The mean stone burden was 26.48 and 30.44 in groups A and B, respectively (p=0.20). The stone free rate was 88.5% in group A and 75.5% in group B, that was no significant (p=0.16). Overall 2 patients (7.7%) in group A and 6 patients (24%) in group B had complications (p=0.11). Mean operative time in group A was 88.46 minutes, and in group B it was 79.58 minutes (p=0.39). Mean hospital stay was 69.70 and 61.79 hours in group A and B, respectively (p=0.22). There was no visceral injury in groups.

Conclusions:

This randomized study showed that totally ultrasonic had the same outcomes of fluoroscopically csPCNL. Ultrasonography can be an alternative rather than fluoroscopy in PCNL. We believe that more randomized studies are needed to allow endourologists to use sonography rather than fluoroscopy in order to avoid exposition to radiation.
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Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Nefrostomia Percutânea / Fluoroscopia / Cálculos Renais / Ultrassonografia de Intervenção / Posicionamento do Paciente Tipo de estudo: Clinical_trials / Guideline Limite: Female / Humans / Male Idioma: En Revista: Int. braz. j. urol Assunto da revista: UROLOGIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Irã País de publicação: Brasil
Texto completo
Adicionar na Minha BVS
Imprimir
XML
Buscar no Google

Texto completo: 1 Coleções: 01-internacional Base de dados: LILACS Assunto principal: Nefrostomia Percutânea / Fluoroscopia / Cálculos Renais / Ultrassonografia de Intervenção / Posicionamento do Paciente Tipo de estudo: Clinical_trials / Guideline Limite: Female / Humans / Male Idioma: En Revista: Int. braz. j. urol Assunto da revista: UROLOGIA Ano de publicação: 2016 Tipo de documento: Article País de afiliação: Irã País de publicação: Brasil