Ultrasound Guidance for Renal Tract Access and Dilation Reduces Radiation Exposure during Percutaneous Nephrolithotomy
Purposes. To present our series of 38 prone percutaneous nephrolithotomy procedures performed with renal access and tract dilation purely under ultrasound guidance and describe the benefits and challenges accompanying this approach. Methods. Thirty-eight consecutive patients presenting for percutane...
Saved in:
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2016-01-01
|
| Series: | Advances in Urology |
| Online Access: | http://dx.doi.org/10.1155/2016/3840697 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832558461507862528 |
|---|---|
| author | Thomas Chi Selma Masic Jianxing Li Manint Usawachintachit |
| author_facet | Thomas Chi Selma Masic Jianxing Li Manint Usawachintachit |
| author_sort | Thomas Chi |
| collection | DOAJ |
| description | Purposes. To present our series of 38 prone percutaneous nephrolithotomy procedures performed with renal access and tract dilation purely under ultrasound guidance and describe the benefits and challenges accompanying this approach. Methods. Thirty-eight consecutive patients presenting for percutaneous nephrolithotomy for renal stone removal were included in this prospective cohort study. Ultrasonographic imaging in the prone position was used to obtain percutaneous renal access and guide tract dilation. Fluoroscopic screening was used only for nephrostomy tube placement. Preoperative, intraoperative, and postoperative procedural and patient data were collected for analysis. Results. Mean age of patients was 52.7±17.2 years. Forty-five percent of patients were male with mean BMI of 26.1±7.3 and mean stone size of 27.2±17.6 millimeters. Renal puncture was performed successfully with ultrasonographic guidance in all cases with mean puncture time of 135.4±132.5 seconds. Mean dilation time was 11.5±3.8 min and mean stone fragmentation time was 37.5±29.0 min. Mean total operative time was 129.3±41.1. No patients experienced any significant immediate postoperative complication. All patients were rendered stone-free and no additional secondary procedures were required. Conclusions. Ultrasound guidance for renal access and tract dilation in prone percutaneous nephrolithotomy is a feasible and effective technique. It can be performed safely with significantly reduced fluoroscopic radiation exposure to the patient, surgeon, and intraoperative personnel. |
| format | Article |
| id | doaj-art-8409e3639fd34d92b1ad65c2270f8cfb |
| institution | Kabale University |
| issn | 1687-6369 1687-6377 |
| language | English |
| publishDate | 2016-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Advances in Urology |
| spelling | doaj-art-8409e3639fd34d92b1ad65c2270f8cfb2025-02-03T01:32:16ZengWileyAdvances in Urology1687-63691687-63772016-01-01201610.1155/2016/38406973840697Ultrasound Guidance for Renal Tract Access and Dilation Reduces Radiation Exposure during Percutaneous NephrolithotomyThomas Chi0Selma Masic1Jianxing Li2Manint Usawachintachit3Department of Urology, University of California, San Francisco, 400 Parnassus Avenue, Suite A610, P.O. Box 0330, San Francisco, CA 94143, USADepartment of Urology, University of California, San Francisco, 400 Parnassus Avenue, Suite A610, P.O. Box 0330, San Francisco, CA 94143, USADepartment of Urology, Tsinghua Changgung Hospital, Beijing 100034, ChinaDepartment of Urology, University of California, San Francisco, 400 Parnassus Avenue, Suite A610, P.O. Box 0330, San Francisco, CA 94143, USAPurposes. To present our series of 38 prone percutaneous nephrolithotomy procedures performed with renal access and tract dilation purely under ultrasound guidance and describe the benefits and challenges accompanying this approach. Methods. Thirty-eight consecutive patients presenting for percutaneous nephrolithotomy for renal stone removal were included in this prospective cohort study. Ultrasonographic imaging in the prone position was used to obtain percutaneous renal access and guide tract dilation. Fluoroscopic screening was used only for nephrostomy tube placement. Preoperative, intraoperative, and postoperative procedural and patient data were collected for analysis. Results. Mean age of patients was 52.7±17.2 years. Forty-five percent of patients were male with mean BMI of 26.1±7.3 and mean stone size of 27.2±17.6 millimeters. Renal puncture was performed successfully with ultrasonographic guidance in all cases with mean puncture time of 135.4±132.5 seconds. Mean dilation time was 11.5±3.8 min and mean stone fragmentation time was 37.5±29.0 min. Mean total operative time was 129.3±41.1. No patients experienced any significant immediate postoperative complication. All patients were rendered stone-free and no additional secondary procedures were required. Conclusions. Ultrasound guidance for renal access and tract dilation in prone percutaneous nephrolithotomy is a feasible and effective technique. It can be performed safely with significantly reduced fluoroscopic radiation exposure to the patient, surgeon, and intraoperative personnel.http://dx.doi.org/10.1155/2016/3840697 |
| spellingShingle | Thomas Chi Selma Masic Jianxing Li Manint Usawachintachit Ultrasound Guidance for Renal Tract Access and Dilation Reduces Radiation Exposure during Percutaneous Nephrolithotomy Advances in Urology |
| title | Ultrasound Guidance for Renal Tract Access and Dilation Reduces Radiation Exposure during Percutaneous Nephrolithotomy |
| title_full | Ultrasound Guidance for Renal Tract Access and Dilation Reduces Radiation Exposure during Percutaneous Nephrolithotomy |
| title_fullStr | Ultrasound Guidance for Renal Tract Access and Dilation Reduces Radiation Exposure during Percutaneous Nephrolithotomy |
| title_full_unstemmed | Ultrasound Guidance for Renal Tract Access and Dilation Reduces Radiation Exposure during Percutaneous Nephrolithotomy |
| title_short | Ultrasound Guidance for Renal Tract Access and Dilation Reduces Radiation Exposure during Percutaneous Nephrolithotomy |
| title_sort | ultrasound guidance for renal tract access and dilation reduces radiation exposure during percutaneous nephrolithotomy |
| url | http://dx.doi.org/10.1155/2016/3840697 |
| work_keys_str_mv | AT thomaschi ultrasoundguidanceforrenaltractaccessanddilationreducesradiationexposureduringpercutaneousnephrolithotomy AT selmamasic ultrasoundguidanceforrenaltractaccessanddilationreducesradiationexposureduringpercutaneousnephrolithotomy AT jianxingli ultrasoundguidanceforrenaltractaccessanddilationreducesradiationexposureduringpercutaneousnephrolithotomy AT manintusawachintachit ultrasoundguidanceforrenaltractaccessanddilationreducesradiationexposureduringpercutaneousnephrolithotomy |