経皮的腎結石砕石術, PNL
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English Journal
- Comparison of shock wave lithotripsy, flexible ureterorenoscopy and percutaneous nephrolithotripsy on moderate size renal pelvis stones.
- Bas O1, Bakirtas H, Sener NC, Ozturk U, Tuygun C, Goktug HN, Imamoglu MA.Author information 1Department of Urology, Abdurrahman Yurtaslan Oncology Training and Research Hospital, Ankara, Turkey, drokanbas@hotmail.com.AbstractTo compare success and complication rates of shock wave lithotripsy (SWL), flexible ureterorenoscopy (F-URS) and percutaneous nephrolithotripsy (PNL) according to modified clavien grading system of renal pelvis stones between 1 and 2 cm. The results of 149 patients were evaluated retrospectively. Patients were divided into three groups as 52 for SWL, 47 for F-URS and 50 for PNL. Complications were evaluated by modified Clavien grading system. In the first group, stone-free rates after a mean of 2, 6 sessions was 86 % (45/52). In Group 2, this ratio was 91.4 % (43/47), and in Group 3, it was 98 % (49/50). The success rate in Group 3 was significantly higher than other groups. Complication rates for Group 1, 2 and 3 were 7.6 % (4/52), 6.3 % (3/47) and 12 % (6/50), respectively. Although PNL was the most successful technique compared with other techniques, complications were also higher in this group. Even though PNL is the most successful, it should be performed for selected patient groups and indications should be carefully evaluated.
- Urolithiasis.Urolithiasis.2014 Apr;42(2):115-20. doi: 10.1007/s00240-013-0615-2. Epub 2013 Oct 27.
- To compare success and complication rates of shock wave lithotripsy (SWL), flexible ureterorenoscopy (F-URS) and percutaneous nephrolithotripsy (PNL) according to modified clavien grading system of renal pelvis stones between 1 and 2 cm. The results of 149 patients were evaluated retrospectively. P
- PMID 24162954
- Is MICROPERC° really the new frontier of percutaneous nephrolithotripsy?
- Campobasso D1, Ferretti S.
- Urolithiasis.Urolithiasis.2014 Mar 26. [Epub ahead of print]
- PMID 24668206
- Three-dimensional computed tomography planning improves percutaneous stone surgery.
- Brehmer M1, Beckman MO, Magnusson A.Author information 11 Institution of Oncology and Pathology.AbstractAbstract Objective. Percutaneous nephrolithotripsy (PCNL) has become the gold standard for treatment of renal stones larger than 2 cm. To optimize the surgical procedure a method for meticulous preoperative three-dimensional computed tomography (3D-CT) planning was developed and analysed. The aim of this study was to evaluate how 3D-CT influenced the choice of access route and treatment outcome. Material and methods. Patients planned for PCNL were included in a prospective study. Decision algorithms were studied and recorded before and after 3D-CT planning in a total of 35 patients. Results. Thirty-one of the patients (88%) had a complex stone situation. The CT examinations resulted in change of access plan in 15 out of 28 patients, in addition to seven patients where access could not be planned without 3D-CT, totalling 22 out of 35 (63%). This resulted in 24 patients (69%) being stone free after a single PCNL session. Of these 24 patients, 22 (22/35 = 63%) were stone free with one dilated access track only. In 16 of the 24 patients (76%) who were stone free after one PCNL procedure, evaluation of the 3D-CT images had changed the initial preoperative planning (10 cases) or made planning possible (six cases). A few patients had thoracic complications but there were no cases with bleeding. Conclusions. Preoperative planning of complex stone situations with 3D-CT had a significant impact on operative procedure, resulting in a low number of access punctures.
- Scandinavian journal of urology.Scand J Urol.2014 Feb 12. [Epub ahead of print]
- Abstract Objective. Percutaneous nephrolithotripsy (PCNL) has become the gold standard for treatment of renal stones larger than 2 cm. To optimize the surgical procedure a method for meticulous preoperative three-dimensional computed tomography (3D-CT) planning was developed and analysed. The aim of
- PMID 24521181
Japanese Journal
- 田岡 利宜也,水野 桂,松岡 崇志 [他],北 悠希,仲西 昌太郎,宗田 武,井上 幸治,武縄 淳,寺井 章人
- 泌尿器科紀要 57(2), 77-79, 2011-02-00
- … Obstruction of ureteropelvic junction was suspected on computed tomography-urography and therefore the patient underwent percutaneous nephrolithotripsy (PNL). …
- NAID 120002906265
- シーストラッピングテクニック : 珊瑚状結石に対する経皮的腎結石破砕術(PNL)で生じた破砕片の新しい効果的なドレナージ法
- 深津 顕俊,上平 修,山口 朝臣,平林 裕樹,守屋 嘉恵,木村 恭祐,吉川 羊子,松浦 治
- Japanese journal of endourology and ESWL 23(2), 239-243, 2010-09-01
- NAID 10027643224
- 経皮的腎砕石術後に敗血症性ショックと急性呼吸促迫症候群をきたした1例
- 柏木 静,三上 敦子,土屋 智徳,西沢 英雄
- 日本集中治療医学会雑誌 = Journal of the Japanese Society of Intensive Care Medicine 16(3), 295-298, 2009-07-01
- NAID 10025572984
Related Links
- What are percutaneous nephrolithotomy and percutaneous nephrolithotripsy? These procedures are treatments for kidney stones that are used in patients with large or irregularly shaped kidney stones, people with infectionsSWL ...
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- 英
- percutaneous nephrolithotripsy, PNL
- 同
- 経皮的腎結石摘出術？
- 関
- 腎盂尿管鏡、経皮的腎切石術、経皮的尿管砕石術
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- 関
- dermal、dermally、percutaneously、transcutaneous、transcutaneously、transdermal、transdermally、transepidermal