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مقالات فارسیISIکنفرانسهاژورنالها

Evaluation of "UNDER VISION TOTAL TUBELESS PCNL" as a Novel Technique in Comparison to TOTAL TUBELESS PCNL

محل انتشار: فصلنامه تحقیقات بین رشته ای در اورولوژی، دوره: 4، شماره: 4
سال انتشار: 1401
نوع سند: مقاله ژورنالی
زبان: انگلیسی
مشاهده: 147

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لینک ثابت به این مقاله:
https://civilica.com/doc/1583678

شناسه ملی سند علمی:

JR_TUMS-4-4_005

تاریخ نمایه سازی: 20 دی 1401

چکیده مقاله:

Introduction: This study aims to evaluate Under Vision Total Tubeless PCNL (TT-PCNL) as a novel technique in reducing surgeon exposure to X-rays compared to the standard Total Tubeless PCNL. Percutaneous nephrolithotomy (PCNL) has been widely welcomed as a less-invasive medication for kidney stones. However, because it is usually performed using fluoroscopy, the endourologist is at risk of chronic X-ray exposure.Methods: The number of ۷۶ consecutive patients who were candidates for PCNL surgery was randomized into two groups: ۳۸ patients experienced TT-PCNL, and ۳۸ patients underwent Under Vision TT-PCNL. The results were compared with fluoroscopy time and surgeon satisfaction.Results: The fluoroscopy time in the Under Vision TT-PCNL group was lower than in the Total Tubeless PCNL group (۰.۰۲). Surgeon satisfaction was higher in the Under Vision Total Tubeless PCNL group than in the TT-PCNL group (P-value=۰.۰۰۱). The mean total duration of surgery in the TT-PCNL under the Vision group was lower than the Total Tubeless PCNL group (P-value=۰.۰۴). There was no significant difference between the two groups' complications.Conclusion: The Under Vision TT-PCNL is compared to the normal PCNL in safety and effectiveness, but also it can significantly reduce the use of a fluoroscope. Moreover, surgeon satisfaction is better compared to the standard technique.

کلیدواژه ها:

Renal stone ، PCNL ، Fluoroscopy ، Under Vision ، Stone Free Rate ، Kidney Stones

نویسندگان

Mohammad Mehdi Rakebi

Urology Department, Ilam University of Medical Sciences, Ilam, Iran

Abdolreza Mohammadi

Ebnesina Hospital, Iran University of Medical Sciences, Tehran, Iran

Alimohammad Fakhr Yasseri

Shariati Hospital, Alborz University of Medical Sciences, Alborz, Iran

Mahin Ahmadi Pishkuhi

Pars Advanced and Minimally Invasive Medical Manners Research Center, Pars Hospital, Iran University of Medical Sciences, Tehran, Iran

Seyed Farzad Maroufi

Skull Base Research Center, Loghman Hakim Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran

Fateme Guitynavard

Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran

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