Comparison of standard percutaneous nephrolithotomy and total tubeless percutaneous nephrolithotomy in the supine position
Purpose To compare the efficacy, safety and advantages of the total tubeless (TT) percutaneous nephrolithotomy (PCNL) and standard PCNL in the supine position. Methods This study was carried out at İzmir Tepecik Health Application and Research Center. A total of 87 patients were examined. Forty-thre...
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| Veröffentlicht in: | Urolithiasis 2024-06, Vol.52 (1), p.82-82 |
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| creator | Bildirici, Çağdaş Çetin, Taha Yalçın, Mehmet Yiğit Özbilen, Mert Hamza Karaca, Erkin Karabacak, Mahmut Can Çakıcı, Mehmet Çağlar Süelözgen, Tufan Koç, Gökhan |
| description | Purpose
To compare the efficacy, safety and advantages of the total tubeless (TT) percutaneous nephrolithotomy (PCNL) and standard PCNL in the supine position.
Methods
This study was carried out at İzmir Tepecik Health Application and Research Center. A total of 87 patients were examined. Forty-three patients who underwent TT procedure were defined as Group 1, and 44 patients who underwent standard procedure with a nephrostomy tube were defined as Group 2. Two techniques were evaluated with demographic data and outcome parameters. Univariate regression analyses were performed in these data sets for the parameters that predicted the TT procedure.
Results
The demographic data of the groups and all characteristics of the stones were similar. When the results were examined, the stone-free rates detected by non-contrast computed tomography (CT) in the postoperative 1st month were similar between the groups. Complication rates and secondary intervention rates were similar. Operation and fluoroscopy times were shorter in group 1, which were not statistically significant. Postoperative hemoglobin decreased, and creatinine values were similar. In Group 1, mean postoperative visual analog scale (VAS) scores and the percentage of VAS reporting > 5 points for pain level measurement were lower and statistically significant. In the univariate analysis of the factors predicting the TT procedure, no significant results were found in any parameter.
Conclusion
Performing TT PCNL in the supine position in selected patients reduces postoperative pain without affecting the complication rates as in prone PCNL. Our study is the first to compare TT and standard PCNL in supine position. |
| doi_str_mv | 10.1007/s00240-024-01580-5 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_3064582334</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>3064375951</sourcerecordid><originalsourceid>FETCH-LOGICAL-p213t-b55f458805d484ca78f31f1ad34b00350db151e2a74cc7141b47063647371b793</originalsourceid><addsrcrecordid>eNp9kT1PwzAQhi0EolXpH2BAllhYAuecXScjqviSKrHAbDmJQ1MlcbCdofx6TFtAYuCG-9A9enW6l5BzBtcMQN54gJRDElMCTGSQiCMyTVnOE5ni4vinT7MJmXu_gRh5nnMGp2SCWYYIEqbkY2m7QbvG257amvqg-0q7ig7GlWMcjB097c2wdrZtwtoG221pZGiwQbc0jIVpjff_801Pw9pQPw5Nb-hgfRMa25-Rk1q33swPdUZe7-9elo_J6vnhaXm7SoaUYUgKIWousgxExTNeapnVyGqmK-QFAAqoCiaYSbXkZSkZZwWXsMAFlyhZIXOckau97uDs-2h8UF3jS9O2-2sVwiLqp4g8opd_0I0dXR-v21EoRS5YpC4O1Fh0plKDazrttur7qxHAPeDjqn8z7leGgfqyT-3tUzGpnX1K4Cd5DIwl</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>3064375951</pqid></control><display><type>article</type><title>Comparison of standard percutaneous nephrolithotomy and total tubeless percutaneous nephrolithotomy in the supine position</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Bildirici, Çağdaş ; Çetin, Taha ; Yalçın, Mehmet Yiğit ; Özbilen, Mert Hamza ; Karaca, Erkin ; Karabacak, Mahmut Can ; Çakıcı, Mehmet Çağlar ; Süelözgen, Tufan ; Koç, Gökhan</creator><creatorcontrib>Bildirici, Çağdaş ; Çetin, Taha ; Yalçın, Mehmet Yiğit ; Özbilen, Mert Hamza ; Karaca, Erkin ; Karabacak, Mahmut Can ; Çakıcı, Mehmet Çağlar ; Süelözgen, Tufan ; Koç, Gökhan</creatorcontrib><description>Purpose
To compare the efficacy, safety and advantages of the total tubeless (TT) percutaneous nephrolithotomy (PCNL) and standard PCNL in the supine position.
Methods
This study was carried out at İzmir Tepecik Health Application and Research Center. A total of 87 patients were examined. Forty-three patients who underwent TT procedure were defined as Group 1, and 44 patients who underwent standard procedure with a nephrostomy tube were defined as Group 2. Two techniques were evaluated with demographic data and outcome parameters. Univariate regression analyses were performed in these data sets for the parameters that predicted the TT procedure.
Results
The demographic data of the groups and all characteristics of the stones were similar. When the results were examined, the stone-free rates detected by non-contrast computed tomography (CT) in the postoperative 1st month were similar between the groups. Complication rates and secondary intervention rates were similar. Operation and fluoroscopy times were shorter in group 1, which were not statistically significant. Postoperative hemoglobin decreased, and creatinine values were similar. In Group 1, mean postoperative visual analog scale (VAS) scores and the percentage of VAS reporting > 5 points for pain level measurement were lower and statistically significant. In the univariate analysis of the factors predicting the TT procedure, no significant results were found in any parameter.
Conclusion
Performing TT PCNL in the supine position in selected patients reduces postoperative pain without affecting the complication rates as in prone PCNL. Our study is the first to compare TT and standard PCNL in supine position.</description><identifier>ISSN: 2194-7228</identifier><identifier>EISSN: 2194-7236</identifier><identifier>DOI: 10.1007/s00240-024-01580-5</identifier><identifier>PMID: 38833070</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Adult ; Aged ; Female ; Humans ; Kidney Calculi - surgery ; Male ; Medical Biochemistry ; Medicine ; Medicine & Public Health ; Middle Aged ; Nephrolithotomy, Percutaneous - adverse effects ; Nephrolithotomy, Percutaneous - methods ; Nephrology ; Patient Positioning - methods ; Supine Position ; Treatment Outcome ; Urological surgery ; Urology</subject><ispartof>Urolithiasis, 2024-06, Vol.52 (1), p.82-82</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2024. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2024. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-p213t-b55f458805d484ca78f31f1ad34b00350db151e2a74cc7141b47063647371b793</cites><orcidid>0000-0001-9943-7453 ; 0000-0002-9123-4069 ; 0000-0003-2049-0302 ; 0000-0003-0330-4854 ; 0000-0003-0790-3926 ; 0000-0002-0176-5887 ; 0000-0002-4220-8147 ; 0000-0001-9933-9378 ; 0000-0002-5733-6790</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00240-024-01580-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00240-024-01580-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,782,786,27931,27932,41495,42564,51326</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/38833070$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Bildirici, Çağdaş</creatorcontrib><creatorcontrib>Çetin, Taha</creatorcontrib><creatorcontrib>Yalçın, Mehmet Yiğit</creatorcontrib><creatorcontrib>Özbilen, Mert Hamza</creatorcontrib><creatorcontrib>Karaca, Erkin</creatorcontrib><creatorcontrib>Karabacak, Mahmut Can</creatorcontrib><creatorcontrib>Çakıcı, Mehmet Çağlar</creatorcontrib><creatorcontrib>Süelözgen, Tufan</creatorcontrib><creatorcontrib>Koç, Gökhan</creatorcontrib><title>Comparison of standard percutaneous nephrolithotomy and total tubeless percutaneous nephrolithotomy in the supine position</title><title>Urolithiasis</title><addtitle>Urolithiasis</addtitle><addtitle>Urolithiasis</addtitle><description>Purpose
To compare the efficacy, safety and advantages of the total tubeless (TT) percutaneous nephrolithotomy (PCNL) and standard PCNL in the supine position.
Methods
This study was carried out at İzmir Tepecik Health Application and Research Center. A total of 87 patients were examined. Forty-three patients who underwent TT procedure were defined as Group 1, and 44 patients who underwent standard procedure with a nephrostomy tube were defined as Group 2. Two techniques were evaluated with demographic data and outcome parameters. Univariate regression analyses were performed in these data sets for the parameters that predicted the TT procedure.
Results
The demographic data of the groups and all characteristics of the stones were similar. When the results were examined, the stone-free rates detected by non-contrast computed tomography (CT) in the postoperative 1st month were similar between the groups. Complication rates and secondary intervention rates were similar. Operation and fluoroscopy times were shorter in group 1, which were not statistically significant. Postoperative hemoglobin decreased, and creatinine values were similar. In Group 1, mean postoperative visual analog scale (VAS) scores and the percentage of VAS reporting > 5 points for pain level measurement were lower and statistically significant. In the univariate analysis of the factors predicting the TT procedure, no significant results were found in any parameter.
Conclusion
Performing TT PCNL in the supine position in selected patients reduces postoperative pain without affecting the complication rates as in prone PCNL. Our study is the first to compare TT and standard PCNL in supine position.</description><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney Calculi - surgery</subject><subject>Male</subject><subject>Medical Biochemistry</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Nephrolithotomy, Percutaneous - adverse effects</subject><subject>Nephrolithotomy, Percutaneous - methods</subject><subject>Nephrology</subject><subject>Patient Positioning - methods</subject><subject>Supine Position</subject><subject>Treatment Outcome</subject><subject>Urological surgery</subject><subject>Urology</subject><issn>2194-7228</issn><issn>2194-7236</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kT1PwzAQhi0EolXpH2BAllhYAuecXScjqviSKrHAbDmJQ1MlcbCdofx6TFtAYuCG-9A9enW6l5BzBtcMQN54gJRDElMCTGSQiCMyTVnOE5ni4vinT7MJmXu_gRh5nnMGp2SCWYYIEqbkY2m7QbvG257amvqg-0q7ig7GlWMcjB097c2wdrZtwtoG221pZGiwQbc0jIVpjff_801Pw9pQPw5Nb-hgfRMa25-Rk1q33swPdUZe7-9elo_J6vnhaXm7SoaUYUgKIWousgxExTNeapnVyGqmK-QFAAqoCiaYSbXkZSkZZwWXsMAFlyhZIXOckau97uDs-2h8UF3jS9O2-2sVwiLqp4g8opd_0I0dXR-v21EoRS5YpC4O1Fh0plKDazrttur7qxHAPeDjqn8z7leGgfqyT-3tUzGpnX1K4Cd5DIwl</recordid><startdate>20240604</startdate><enddate>20240604</enddate><creator>Bildirici, Çağdaş</creator><creator>Çetin, Taha</creator><creator>Yalçın, Mehmet Yiğit</creator><creator>Özbilen, Mert Hamza</creator><creator>Karaca, Erkin</creator><creator>Karabacak, Mahmut Can</creator><creator>Çakıcı, Mehmet Çağlar</creator><creator>Süelözgen, Tufan</creator><creator>Koç, Gökhan</creator><general>Springer Berlin Heidelberg</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>K9.</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-9943-7453</orcidid><orcidid>https://orcid.org/0000-0002-9123-4069</orcidid><orcidid>https://orcid.org/0000-0003-2049-0302</orcidid><orcidid>https://orcid.org/0000-0003-0330-4854</orcidid><orcidid>https://orcid.org/0000-0003-0790-3926</orcidid><orcidid>https://orcid.org/0000-0002-0176-5887</orcidid><orcidid>https://orcid.org/0000-0002-4220-8147</orcidid><orcidid>https://orcid.org/0000-0001-9933-9378</orcidid><orcidid>https://orcid.org/0000-0002-5733-6790</orcidid></search><sort><creationdate>20240604</creationdate><title>Comparison of standard percutaneous nephrolithotomy and total tubeless percutaneous nephrolithotomy in the supine position</title><author>Bildirici, Çağdaş ; Çetin, Taha ; Yalçın, Mehmet Yiğit ; Özbilen, Mert Hamza ; Karaca, Erkin ; Karabacak, Mahmut Can ; Çakıcı, Mehmet Çağlar ; Süelözgen, Tufan ; Koç, Gökhan</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p213t-b55f458805d484ca78f31f1ad34b00350db151e2a74cc7141b47063647371b793</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>Humans</topic><topic>Kidney Calculi - surgery</topic><topic>Male</topic><topic>Medical Biochemistry</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Nephrolithotomy, Percutaneous - adverse effects</topic><topic>Nephrolithotomy, Percutaneous - methods</topic><topic>Nephrology</topic><topic>Patient Positioning - methods</topic><topic>Supine Position</topic><topic>Treatment Outcome</topic><topic>Urological surgery</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Bildirici, Çağdaş</creatorcontrib><creatorcontrib>Çetin, Taha</creatorcontrib><creatorcontrib>Yalçın, Mehmet Yiğit</creatorcontrib><creatorcontrib>Özbilen, Mert Hamza</creatorcontrib><creatorcontrib>Karaca, Erkin</creatorcontrib><creatorcontrib>Karabacak, Mahmut Can</creatorcontrib><creatorcontrib>Çakıcı, Mehmet Çağlar</creatorcontrib><creatorcontrib>Süelözgen, Tufan</creatorcontrib><creatorcontrib>Koç, Gökhan</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>MEDLINE - Academic</collection><jtitle>Urolithiasis</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Bildirici, Çağdaş</au><au>Çetin, Taha</au><au>Yalçın, Mehmet Yiğit</au><au>Özbilen, Mert Hamza</au><au>Karaca, Erkin</au><au>Karabacak, Mahmut Can</au><au>Çakıcı, Mehmet Çağlar</au><au>Süelözgen, Tufan</au><au>Koç, Gökhan</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Comparison of standard percutaneous nephrolithotomy and total tubeless percutaneous nephrolithotomy in the supine position</atitle><jtitle>Urolithiasis</jtitle><stitle>Urolithiasis</stitle><addtitle>Urolithiasis</addtitle><date>2024-06-04</date><risdate>2024</risdate><volume>52</volume><issue>1</issue><spage>82</spage><epage>82</epage><pages>82-82</pages><issn>2194-7228</issn><eissn>2194-7236</eissn><abstract>Purpose
To compare the efficacy, safety and advantages of the total tubeless (TT) percutaneous nephrolithotomy (PCNL) and standard PCNL in the supine position.
Methods
This study was carried out at İzmir Tepecik Health Application and Research Center. A total of 87 patients were examined. Forty-three patients who underwent TT procedure were defined as Group 1, and 44 patients who underwent standard procedure with a nephrostomy tube were defined as Group 2. Two techniques were evaluated with demographic data and outcome parameters. Univariate regression analyses were performed in these data sets for the parameters that predicted the TT procedure.
Results
The demographic data of the groups and all characteristics of the stones were similar. When the results were examined, the stone-free rates detected by non-contrast computed tomography (CT) in the postoperative 1st month were similar between the groups. Complication rates and secondary intervention rates were similar. Operation and fluoroscopy times were shorter in group 1, which were not statistically significant. Postoperative hemoglobin decreased, and creatinine values were similar. In Group 1, mean postoperative visual analog scale (VAS) scores and the percentage of VAS reporting > 5 points for pain level measurement were lower and statistically significant. In the univariate analysis of the factors predicting the TT procedure, no significant results were found in any parameter.
Conclusion
Performing TT PCNL in the supine position in selected patients reduces postoperative pain without affecting the complication rates as in prone PCNL. Our study is the first to compare TT and standard PCNL in supine position.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>38833070</pmid><doi>10.1007/s00240-024-01580-5</doi><tpages>1</tpages><orcidid>https://orcid.org/0000-0001-9943-7453</orcidid><orcidid>https://orcid.org/0000-0002-9123-4069</orcidid><orcidid>https://orcid.org/0000-0003-2049-0302</orcidid><orcidid>https://orcid.org/0000-0003-0330-4854</orcidid><orcidid>https://orcid.org/0000-0003-0790-3926</orcidid><orcidid>https://orcid.org/0000-0002-0176-5887</orcidid><orcidid>https://orcid.org/0000-0002-4220-8147</orcidid><orcidid>https://orcid.org/0000-0001-9933-9378</orcidid><orcidid>https://orcid.org/0000-0002-5733-6790</orcidid></addata></record> |
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| subjects | Adult Aged Female Humans Kidney Calculi - surgery Male Medical Biochemistry Medicine Medicine & Public Health Middle Aged Nephrolithotomy, Percutaneous - adverse effects Nephrolithotomy, Percutaneous - methods Nephrology Patient Positioning - methods Supine Position Treatment Outcome Urological surgery Urology |
| title | Comparison of standard percutaneous nephrolithotomy and total tubeless percutaneous nephrolithotomy in the supine position |
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