Solo Sonographically Guided PCNL under Spinal Anesthesia: Defining Predictors of Success
Joint Authors
Nouralizadeh, Akbar
Pakmanesh, Hamid
Basiri, Abbas
Aayanifard, Mohammad
Soltani, Mohammad Hossein
Tabibi, Ali
Sharifiaghdas, Farzaneh
Ziaee, Seyed Amir Mohsen
Valipour, Reza
Narouie, Behzad
Radfar, Mohammad H.
Shakhssalim, Nasser
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-05-03
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Aim.
Sonography has been brought in percutaneous nephrolithotripsy (PCNL) as an adjunct to or substitute for X-ray to restrict radiation exposure.
This study was designed to investigate the possible predictors for the success of the solo sonographically guided PCNL.
Methods.
148 consecutive cases were prospectively enrolled.
All steps of PCNL were performed solely with sonography guidance under spinal anesthesia.
Residual stones were evaluated the day after surgery using sonography and plain radiography.
Results.
The mean age was 46±15 years; 40% of kidneys had hydronephrosis.
The mean stone burden was 504±350 mm2.
The mean duration of surgery was 43±21 minutes.
The early stone-free rate was 92% in inferior or middle calyceal stones, 89.5% in single pelvic stones, 81.5% in partial staghorn stones, and 61.9% in staghorn stones.
The mean residual stone size was 13±8 mm.
Logistic regression showed that a lower age and a larger stone burden significantly predicted positive residual stones.
Fifteen percent of patients presented with grade I or II and six percent showed grade III complication based on Clavien classification.
There was no cases of organ injury or death.
Conclusion.
Solo ultrasonographically guided PCNL under spinal anesthesia is feasible with an acceptable stone-free rate and complication rate.
American Psychological Association (APA)
Nouralizadeh, Akbar& Pakmanesh, Hamid& Basiri, Abbas& Aayanifard, Mohammad& Soltani, Mohammad Hossein& Tabibi, Ali…[et al.]. 2016. Solo Sonographically Guided PCNL under Spinal Anesthesia: Defining Predictors of Success. Scientifica،Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1117798
Modern Language Association (MLA)
Nouralizadeh, Akbar…[et al.]. Solo Sonographically Guided PCNL under Spinal Anesthesia: Defining Predictors of Success. Scientifica No. 2016 (2016), pp.1-7.
https://search.emarefa.net/detail/BIM-1117798
American Medical Association (AMA)
Nouralizadeh, Akbar& Pakmanesh, Hamid& Basiri, Abbas& Aayanifard, Mohammad& Soltani, Mohammad Hossein& Tabibi, Ali…[et al.]. Solo Sonographically Guided PCNL under Spinal Anesthesia: Defining Predictors of Success. Scientifica. 2016. Vol. 2016, no. 2016, pp.1-7.
https://search.emarefa.net/detail/BIM-1117798
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1117798