Comparison of Dilation Methods in Percutaneous Nephrolithotomy: Which One Is More Successful?
Creation of the access tract is an important step in percutaneous nephrolithotomy (PNL). In this study, we compared the efficiency and safety of Amplatz, Alken, and balloon dilation methods in the creation of the access tract. Data from 487 PNL patients admitted to 517 renal units in 3 centers were...
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| Veröffentlicht in: | Journal of laparoendoscopic & advanced surgical techniques. Part A 2016-06, Vol.26 (6), p.478-482 |
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| container_title | Journal of laparoendoscopic & advanced surgical techniques. Part A |
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| creator | Nalbant, Ismail Karakoyunlu, Ahmet Nihat Yesil, Suleyman Ekici, Musa Zengin, Kursad Ozturk, Ufuk Imamoğlu, Muhammed Abdurrahim |
| description | Creation of the access tract is an important step in percutaneous nephrolithotomy (PNL). In this study, we compared the efficiency and safety of Amplatz, Alken, and balloon dilation methods in the creation of the access tract.
Data from 487 PNL patients admitted to 517 renal units in 3 centers were analyzed. The Amplatz (280 patients), Alken (142 patients), and balloon (95 patients) dilation methods were compared for their success, duration of the dilation, injury to the collecting system, durations of fluoroscopy and surgery, stone-free and complication rates, pre- and postoperative hematocrit levels, and need for blood transfusion.
The dilation methods did not significantly differ with respect to patient demographic data, mean stone area, decrease in hematocrit, need for blood transfusion, unsuccessful tract dilation, injury to the collecting system, stone-free rate, and rate of postoperative complications. The mean fluoroscopy times during Amplatz, Alken, and balloon dilation were 288.52 ± 164.67, 287.34 ± 164.99, and 169.23 ± 21 seconds, respectively. The mean duration of surgery was 96.48 ± 46.07, 94.72 ± 42.25, and 78 ± 25.96 minutes, respectively. The duration of tract creation was 328.67 ± 172.99, 325.14 ± 175.70, and 203.50 ± 32.76 seconds, respectively. The durations of surgery and tract creation were significantly shorter in the balloon dilation group.
None of the dilation methods was significantly superior in terms of surgical success, efficiency, or safety. Although balloon dilation was advantageous with respect to time parameters, the role of surgical experience should not be ignored. |
| doi_str_mv | 10.1089/lap.2015.0618 |
| format | Article |
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Data from 487 PNL patients admitted to 517 renal units in 3 centers were analyzed. The Amplatz (280 patients), Alken (142 patients), and balloon (95 patients) dilation methods were compared for their success, duration of the dilation, injury to the collecting system, durations of fluoroscopy and surgery, stone-free and complication rates, pre- and postoperative hematocrit levels, and need for blood transfusion.
The dilation methods did not significantly differ with respect to patient demographic data, mean stone area, decrease in hematocrit, need for blood transfusion, unsuccessful tract dilation, injury to the collecting system, stone-free rate, and rate of postoperative complications. The mean fluoroscopy times during Amplatz, Alken, and balloon dilation were 288.52 ± 164.67, 287.34 ± 164.99, and 169.23 ± 21 seconds, respectively. The mean duration of surgery was 96.48 ± 46.07, 94.72 ± 42.25, and 78 ± 25.96 minutes, respectively. The duration of tract creation was 328.67 ± 172.99, 325.14 ± 175.70, and 203.50 ± 32.76 seconds, respectively. The durations of surgery and tract creation were significantly shorter in the balloon dilation group.
None of the dilation methods was significantly superior in terms of surgical success, efficiency, or safety. Although balloon dilation was advantageous with respect to time parameters, the role of surgical experience should not be ignored.</description><identifier>ISSN: 1092-6429</identifier><identifier>EISSN: 1557-9034</identifier><identifier>DOI: 10.1089/lap.2015.0618</identifier><identifier>PMID: 27027932</identifier><language>eng</language><publisher>United States</publisher><subject>Adolescent ; Adult ; Aged ; Child ; Child, Preschool ; Dilatation - instrumentation ; Dilatation - methods ; Female ; Follow-Up Studies ; Humans ; Kidney Calculi - surgery ; Male ; Middle Aged ; Nephrostomy, Percutaneous - instrumentation ; Nephrostomy, Percutaneous - methods ; Retrospective Studies ; Treatment Outcome ; Young Adult</subject><ispartof>Journal of laparoendoscopic & advanced surgical techniques. Part A, 2016-06, Vol.26 (6), p.478-482</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c293t-9cf7bbf98ce0a82c792497b86a092d0ea098a69f9a04b287f9e298c67995f6503</citedby><cites>FETCH-LOGICAL-c293t-9cf7bbf98ce0a82c792497b86a092d0ea098a69f9a04b287f9e298c67995f6503</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27027932$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Nalbant, Ismail</creatorcontrib><creatorcontrib>Karakoyunlu, Ahmet Nihat</creatorcontrib><creatorcontrib>Yesil, Suleyman</creatorcontrib><creatorcontrib>Ekici, Musa</creatorcontrib><creatorcontrib>Zengin, Kursad</creatorcontrib><creatorcontrib>Ozturk, Ufuk</creatorcontrib><creatorcontrib>Imamoğlu, Muhammed Abdurrahim</creatorcontrib><title>Comparison of Dilation Methods in Percutaneous Nephrolithotomy: Which One Is More Successful?</title><title>Journal of laparoendoscopic & advanced surgical techniques. Part A</title><addtitle>J Laparoendosc Adv Surg Tech A</addtitle><description>Creation of the access tract is an important step in percutaneous nephrolithotomy (PNL). In this study, we compared the efficiency and safety of Amplatz, Alken, and balloon dilation methods in the creation of the access tract.
Data from 487 PNL patients admitted to 517 renal units in 3 centers were analyzed. The Amplatz (280 patients), Alken (142 patients), and balloon (95 patients) dilation methods were compared for their success, duration of the dilation, injury to the collecting system, durations of fluoroscopy and surgery, stone-free and complication rates, pre- and postoperative hematocrit levels, and need for blood transfusion.
The dilation methods did not significantly differ with respect to patient demographic data, mean stone area, decrease in hematocrit, need for blood transfusion, unsuccessful tract dilation, injury to the collecting system, stone-free rate, and rate of postoperative complications. The mean fluoroscopy times during Amplatz, Alken, and balloon dilation were 288.52 ± 164.67, 287.34 ± 164.99, and 169.23 ± 21 seconds, respectively. The mean duration of surgery was 96.48 ± 46.07, 94.72 ± 42.25, and 78 ± 25.96 minutes, respectively. The duration of tract creation was 328.67 ± 172.99, 325.14 ± 175.70, and 203.50 ± 32.76 seconds, respectively. The durations of surgery and tract creation were significantly shorter in the balloon dilation group.
None of the dilation methods was significantly superior in terms of surgical success, efficiency, or safety. Although balloon dilation was advantageous with respect to time parameters, the role of surgical experience should not be ignored.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Dilatation - instrumentation</subject><subject>Dilatation - methods</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Kidney Calculi - surgery</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nephrostomy, Percutaneous - instrumentation</subject><subject>Nephrostomy, Percutaneous - methods</subject><subject>Retrospective Studies</subject><subject>Treatment Outcome</subject><subject>Young Adult</subject><issn>1092-6429</issn><issn>1557-9034</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LAzEQhoMotlaPXiVHL1uz2Y9kvIjUr0JrBRVPErJpwkZ2mzXZPfTfm1J1LjMwD8O8D0LnKZmmhMNVI7spJWkxJWXKD9A4LQqWAMnywzgToEmZUxihkxC-SCzI8mM0ooxQBhkdo8-ZazvpbXAb7Ay-s43sbZyXuq_dOmC7wS_aq6GXG-2GgJ91V3vX2LjtXbu9xh-1VTVebTSeB7x0XuPXQSkdghmam1N0ZGQT9Nlvn6D3h_u32VOyWD3OZ7eLRFHI-gSUYVVlgCtNJKeKAc2BVbyUMcCa6Ni4LMGAJHlFOTOgaYRLBlCYsiDZBF3u73befQ869KK1Qemm2X8t0hgWCOOMRTTZo8q7ELw2ovO2lX4rUiJ2RkU0KnZGxc5o5C9-Tw9Vq9f_9J_C7AdrU3G3</recordid><startdate>201606</startdate><enddate>201606</enddate><creator>Nalbant, Ismail</creator><creator>Karakoyunlu, Ahmet Nihat</creator><creator>Yesil, Suleyman</creator><creator>Ekici, Musa</creator><creator>Zengin, Kursad</creator><creator>Ozturk, Ufuk</creator><creator>Imamoğlu, Muhammed Abdurrahim</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201606</creationdate><title>Comparison of Dilation Methods in Percutaneous Nephrolithotomy: Which One Is More Successful?</title><author>Nalbant, Ismail ; Karakoyunlu, Ahmet Nihat ; Yesil, Suleyman ; Ekici, Musa ; Zengin, Kursad ; Ozturk, Ufuk ; Imamoğlu, Muhammed Abdurrahim</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c293t-9cf7bbf98ce0a82c792497b86a092d0ea098a69f9a04b287f9e298c67995f6503</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Dilatation - instrumentation</topic><topic>Dilatation - methods</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Kidney Calculi - surgery</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nephrostomy, Percutaneous - instrumentation</topic><topic>Nephrostomy, Percutaneous - methods</topic><topic>Retrospective Studies</topic><topic>Treatment Outcome</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Nalbant, Ismail</creatorcontrib><creatorcontrib>Karakoyunlu, Ahmet Nihat</creatorcontrib><creatorcontrib>Yesil, Suleyman</creatorcontrib><creatorcontrib>Ekici, Musa</creatorcontrib><creatorcontrib>Zengin, Kursad</creatorcontrib><creatorcontrib>Ozturk, Ufuk</creatorcontrib><creatorcontrib>Imamoğlu, Muhammed Abdurrahim</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laparoendoscopic & advanced surgical techniques. Part A</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Nalbant, Ismail</au><au>Karakoyunlu, Ahmet Nihat</au><au>Yesil, Suleyman</au><au>Ekici, Musa</au><au>Zengin, Kursad</au><au>Ozturk, Ufuk</au><au>Imamoğlu, Muhammed Abdurrahim</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of Dilation Methods in Percutaneous Nephrolithotomy: Which One Is More Successful?</atitle><jtitle>Journal of laparoendoscopic & advanced surgical techniques. Part A</jtitle><addtitle>J Laparoendosc Adv Surg Tech A</addtitle><date>2016-06</date><risdate>2016</risdate><volume>26</volume><issue>6</issue><spage>478</spage><epage>482</epage><pages>478-482</pages><issn>1092-6429</issn><eissn>1557-9034</eissn><abstract>Creation of the access tract is an important step in percutaneous nephrolithotomy (PNL). In this study, we compared the efficiency and safety of Amplatz, Alken, and balloon dilation methods in the creation of the access tract.
Data from 487 PNL patients admitted to 517 renal units in 3 centers were analyzed. The Amplatz (280 patients), Alken (142 patients), and balloon (95 patients) dilation methods were compared for their success, duration of the dilation, injury to the collecting system, durations of fluoroscopy and surgery, stone-free and complication rates, pre- and postoperative hematocrit levels, and need for blood transfusion.
The dilation methods did not significantly differ with respect to patient demographic data, mean stone area, decrease in hematocrit, need for blood transfusion, unsuccessful tract dilation, injury to the collecting system, stone-free rate, and rate of postoperative complications. The mean fluoroscopy times during Amplatz, Alken, and balloon dilation were 288.52 ± 164.67, 287.34 ± 164.99, and 169.23 ± 21 seconds, respectively. The mean duration of surgery was 96.48 ± 46.07, 94.72 ± 42.25, and 78 ± 25.96 minutes, respectively. The duration of tract creation was 328.67 ± 172.99, 325.14 ± 175.70, and 203.50 ± 32.76 seconds, respectively. The durations of surgery and tract creation were significantly shorter in the balloon dilation group.
None of the dilation methods was significantly superior in terms of surgical success, efficiency, or safety. Although balloon dilation was advantageous with respect to time parameters, the role of surgical experience should not be ignored.</abstract><cop>United States</cop><pmid>27027932</pmid><doi>10.1089/lap.2015.0618</doi><tpages>5</tpages></addata></record> |
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| subjects | Adolescent Adult Aged Child Child, Preschool Dilatation - instrumentation Dilatation - methods Female Follow-Up Studies Humans Kidney Calculi - surgery Male Middle Aged Nephrostomy, Percutaneous - instrumentation Nephrostomy, Percutaneous - methods Retrospective Studies Treatment Outcome Young Adult |
| title | Comparison of Dilation Methods in Percutaneous Nephrolithotomy: Which One Is More Successful? |
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