Full metadata record
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 심봉석 | * |
dc.contributor.author | 정우식 | * |
dc.contributor.author | 이동현 | * |
dc.contributor.author | 윤하나 | * |
dc.contributor.author | 김광현 | * |
dc.contributor.author | 송완 | * |
dc.contributor.author | 윤현석 | * |
dc.date.accessioned | 2020-05-25T16:30:12Z | - |
dc.date.available | 2020-05-25T16:30:12Z | - |
dc.date.issued | 2020 | * |
dc.identifier.issn | 1677-5538 | * |
dc.identifier.other | OAK-26946 | * |
dc.identifier.uri | https://dspace.ewha.ac.kr/handle/2015.oak/253929 | - |
dc.description.abstract | Introduction and Objectives: Percutaneous nephrolithotomy (PCNL) is the standard technique for managing large renal calculi. Second-look PCNL is typically performed under intravenous (IV) sedation or spinal/general anesthesia when removing remnant stones. This requires additional pre-anesthesia assessment and close monitoring. To simplify this procedure, we investigated the feasibility and safety of second-look PCNL without anesthesia and sheath after maturation of the nephrostomy tract. Material and Methods: This study included 14 eligible patients with remnant stones >5mm in diameter, as determined by simple CT scan after supine PCNL through a single nephrostomy tract under general anesthesia. A 24Fr nephrostomy tube was inserted after surgery. Second-look PCNL was performed after seven days of maturation of the nephrostomy tract. Prior to second-look surgery, 25mg pethidine was injected intravenously. Second-look supine PCNL was performed using a rigid or flexible renoscope without anesthesia or sheath. Results: The mean patient age was 57.4±8.5 years. The mean stone diameter was 5.4 x 3.3cm, while the mean number of stone branches was 4.1±1.4. The mean operation time during the first PCNL was 131.1±24.8 min, and the mean residual stone rate was 24.3%±10.2%. The mean operation time during second-look PCNL was 97.4±36.0 min; after the second procedure, the mean pain score on the numeric rating scale was 2.8±1.0. All patients were stone-free without complications. Conclusion: Second-look PCNL without anesthesia and sheath after maturation of the nephrostomy tract may be an effective procedure for removing remnant stones in select patients without excessive levels of pain. © 2019, Brazilian Society of Urology. | * |
dc.language | English | * |
dc.publisher | Brazilian Society of Urology | * |
dc.title | Ambulatory second look percutaneous nephrolithotripsy with maturated nephrostomy tract | * |
dc.type | Article | * |
dc.relation.issue | 4 | * |
dc.relation.volume | 46 | * |
dc.relation.index | SCIE | * |
dc.relation.index | SCOPUS | * |
dc.relation.startpage | 676 | * |
dc.relation.lastpage | 676 | * |
dc.relation.journaltitle | International Braz J Urol | * |
dc.identifier.doi | 10.1590/S1677-5538.IBJU.2019.0003 | * |
dc.identifier.scopusid | 2-s2.0-85084379618 | * |
dc.author.google | Yoon H.S. | * |
dc.author.google | Song W. | * |
dc.author.google | Kim K.H. | * |
dc.author.google | Yoon H. | * |
dc.author.google | Lee D.H. | * |
dc.author.google | Chung W.S. | * |
dc.author.google | Shim B.S. | * |
dc.author.google | Son J.H. | * |
dc.contributor.scopusid | 심봉석(16029359600;57189642773) | * |
dc.contributor.scopusid | 정우식(56012331800;35914993800) | * |
dc.contributor.scopusid | 이동현(24341048900;57202299352) | * |
dc.contributor.scopusid | 윤하나(8723844200) | * |
dc.contributor.scopusid | 김광현(57191527009) | * |
dc.contributor.scopusid | 송완(56079751200) | * |
dc.contributor.scopusid | 윤현석(57203467432;57201292894) | * |
dc.date.modifydate | 20240222163024 | * |