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Reduced radiation fluoroscopy protocol during retrograde intrarenal surgery for the treatment of kidney stones.

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اقرأ على الانترنت اقرأ أكثر حفظ في قائمتي
  • معلومة اضافية
    • المصدر:
      Publisher: Urology and Nephrology Research Center Country of Publication: Iran NLM ID: 101286676 Publication Model: Electronic Cited Medium: Internet ISSN: 1735-546X (Electronic) Linking ISSN: 17351308 NLM ISO Abbreviation: Urol J Subsets: MEDLINE
    • بيانات النشر:
      Original Publication: Tehran : Urology and Nephrology Research Center
    • الموضوع:
      Radiation Dosage*; Fluoroscopy/*methods ; Hysteroscopy/*methods ; Kidney Calculi/*surgery; Adult ; Aged ; Female ; Humans ; Hysteroscopy/adverse effects ; Kidney Calculi/diagnostic imaging ; Length of Stay ; Male ; Middle Aged ; Operative Time ; Time Factors ; Young Adult
    • نبذة مختصرة :
      Purpose: To discuss whether fluoroscopic imaging is essential during the ureteroscopic treatment of kidney stones in an effort to diminish radiation exposure.
      Materials and Methods: Seventy-six patients with kidney stones were treated with retrograde intrarenal surgery (RIRS). In the operation room, a mobile C-arm fluoroscopy system was ready to use in case fluoroscopic imaging was needed. The manipulations were performed with tactile and visual cues. The perioperative and postoperative parameters were retrospectively evaluated.
      Results: The mean age of the patients was 39.9 ± 13.8 years. The mean stone size was 14.1 ± 4.1 mm. The insertion of the access sheath was performed over the guidewire under single shoot fluoroscopic imaging in all patients. Additional fluoroscopic imaging was required to localize the stone (n = 2) and to determine the collecting system anatomy (n = 2) for 4 (5.2%) patients with previous renal surgery and severe hydronephrosis. Stone-free status was accomplished in 63 (82.9%) patients.
      Conclusion: The RIRS with low-dose fluoroscopy protocol for kidney stones can be safely and effectively performed in patients with no special circumstances such as anatomical abnormalities or calyceal diverticular stones.
    • الموضوع:
      Date Created: 20140713 Date Completed: 20150417 Latest Revision: 20201005
    • الموضوع:
      20221213
    • الرقم المعرف:
      25015603