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• W2292970870 abstract "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<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M1><mml:mn fontstyle=italic>52.7</mml:mn><mml:mo>±</mml:mo><mml:mn fontstyle=italic>17.2</mml:mn></mml:math>years. Forty-five percent of patients were male with mean BMI of<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M2><mml:mn fontstyle=italic>26.1</mml:mn><mml:mo>±</mml:mo><mml:mn fontstyle=italic>7.3</mml:mn></mml:math>and mean stone size of<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M3><mml:mn fontstyle=italic>27.2</mml:mn><mml:mo>±</mml:mo><mml:mn fontstyle=italic>17.6</mml:mn></mml:math>millimeters. Renal puncture was performed successfully with ultrasonographic guidance in all cases with mean puncture time of<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M4><mml:mn fontstyle=italic>135.4</mml:mn><mml:mo>±</mml:mo><mml:mn fontstyle=italic>132.5</mml:mn></mml:math>seconds. Mean dilation time was<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M5><mml:mn fontstyle=italic>11.5</mml:mn><mml:mo>±</mml:mo><mml:mn fontstyle=italic>3.8</mml:mn></mml:math> min and mean stone fragmentation time was<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M6><mml:mn fontstyle=italic>37.5</mml:mn><mml:mo>±</mml:mo><mml:mn fontstyle=italic>29.0</mml:mn></mml:math> min. Mean total operative time was<mml:math xmlns:mml=http://www.w3.org/1998/Math/MathML id=M7><mml:mn fontstyle=italic>129.3</mml:mn><mml:mo>±</mml:mo><mml:mn fontstyle=italic>41.1</mml:mn></mml:math>. 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." @default.
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• W2292970870 date "2016-01-01" @default.
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• W2292970870 title "Ultrasound Guidance for Renal Tract Access and Dilation Reduces Radiation Exposure during Percutaneous Nephrolithotomy" @default.
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• W2292970870 doi "https://doi.org/10.1155/2016/3840697" @default.
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