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Feasibility and Efficacy of Internmediate-Supine Percutaneous Nephrolithotomy: Initial Experience
DC Field | Value | Language |
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dc.contributor.author | 이주용 | - |
dc.contributor.author | 조강수 | - |
dc.date.accessioned | 2015-01-06T17:05:45Z | - |
dc.date.available | 2015-01-06T17:05:45Z | - |
dc.date.issued | 2014 | - |
dc.identifier.issn | 0366-6999 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/99339 | - |
dc.description.abstract | We evaluated the feasibility and efficacy of intermediate-supine percutaneous nephrolithotomy (PCNL) in patients with renal calculi. Fifteen patients were included in this study. The intermediate-supine operative position was modified by using a 1-L saline bag below the ipsilateral upper flank. A nephrostomy and stone extraction were performed as usual. After completion of the stone removal, a nephrostomy tube was used when necessary according to the surgeon's decision. If there was no significant bleeding or renal pelvic injury, tubeless PCNL was performed. The mean stone size was 5.48±5.69 cm2, the mean operative time was 78.93±38.72 minutes, and the mean hospital stay was 2.60±1.29 days. Tubeless PCNL was performed in 13 cases (86.7%), and retrograde procedures were simultaneously performed without a change of position in 2 patients (ureteroscopic ureterolithotomy in one patient and transurethral placement of an occlusion catheter in one patient). There were two complications according to the Clavien-Dindo classification (Grade I in one patient and Grade II in one patient). The success rate was 80.0% and the complete stone-free rate was 73.3%. Three patients with a significant remnant stone were also successfully managed with additional procedures (one patient underwent a second-look operation, and the remaining two patients were treated with shock wave lithotripsy). In the treatment of renal calculi, intermediate-supine PCNL may be a safe and effective choice that offers several advantages with excellent outcomes. Thus, a prospective study with a larger population is needed to verify our outcomes. | - |
dc.description.statementOfResponsibility | open | - |
dc.format.extent | 52~57 | - |
dc.relation.isPartOf | CHINESE MEDICAL JOURNAL | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.rights.uri | https://creativecommons.org/licenses/by-nc-nd/2.0/kr/ | - |
dc.title | Feasibility and Efficacy of Internmediate-Supine Percutaneous Nephrolithotomy: Initial Experience | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Urology (비뇨기과학) | - |
dc.contributor.googleauthor | Doo Yong Chung | - |
dc.contributor.googleauthor | Joo Yong Lee | - |
dc.contributor.googleauthor | Kyu Hyun Kim | - |
dc.contributor.googleauthor | Jae Hyeok Choi | - |
dc.contributor.googleauthor | Kang Su Cho | - |
dc.identifier.doi | 10.4068/cmj.2014.50.2.52 | - |
dc.admin.author | false | - |
dc.admin.mapping | false | - |
dc.contributor.localId | A03161 | - |
dc.contributor.localId | A03801 | - |
dc.relation.journalcode | J00527 | - |
dc.identifier.pmid | 25229016 | - |
dc.subject.keyword | Kidney calculi | - |
dc.subject.keyword | Nephrostomy | - |
dc.subject.keyword | Supine position | - |
dc.contributor.alternativeName | Lee, Joo Yong | - |
dc.contributor.alternativeName | Cho, Kang Su | - |
dc.contributor.affiliatedAuthor | Lee, Joo Yong | - |
dc.contributor.affiliatedAuthor | Cho, Kang Su | - |
dc.citation.volume | 50 | - |
dc.citation.startPage | 52 | - |
dc.citation.endPage | 57 | - |
dc.identifier.bibliographicCitation | CHINESE MEDICAL JOURNAL, Vol.50 : 52-57, 2014 | - |
dc.identifier.rimsid | 56015 | - |
dc.type.rims | ART | - |
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