Solo Sonographically Guided PCNL under Spinal Anesthesia: Defining Predictors of Success
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 w...
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Hindawi Publishing Corporation
2016
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| Online Access: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4868899/ |
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pubmed-4868899 |
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pubmed-48688992016-05-30 Solo Sonographically Guided PCNL under Spinal Anesthesia: Defining Predictors of Success Nouralizadeh, Akbar Pakmanesh, Hamid Basiri, Abbas Aayanifard, Mohammad Soltani, Mohammad Hossein Tabibi, Ali Sharifiaghdas, Farzaneh Ziaee, Seyed Amir Mohsen Shakhssalim, Naser Valipour, Reza Narouie, Behzad Radfar, Mohammad Hadi Research Article 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. Hindawi Publishing Corporation 2016 2016-05-03 /pmc/articles/PMC4868899/ /pubmed/27242949 http://dx.doi.org/10.1155/2016/5938514 Text en Copyright © 2016 Akbar Nouralizadeh et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
| repository_type |
Open Access Journal |
| institution_category |
Foreign Institution |
| institution |
US National Center for Biotechnology Information |
| building |
NCBI PubMed |
| collection |
Online Access |
| language |
English |
| format |
Online |
| author |
Nouralizadeh, Akbar Pakmanesh, Hamid Basiri, Abbas Aayanifard, Mohammad Soltani, Mohammad Hossein Tabibi, Ali Sharifiaghdas, Farzaneh Ziaee, Seyed Amir Mohsen Shakhssalim, Naser Valipour, Reza Narouie, Behzad Radfar, Mohammad Hadi |
| spellingShingle |
Nouralizadeh, Akbar Pakmanesh, Hamid Basiri, Abbas Aayanifard, Mohammad Soltani, Mohammad Hossein Tabibi, Ali Sharifiaghdas, Farzaneh Ziaee, Seyed Amir Mohsen Shakhssalim, Naser Valipour, Reza Narouie, Behzad Radfar, Mohammad Hadi Solo Sonographically Guided PCNL under Spinal Anesthesia: Defining Predictors of Success |
| author_facet |
Nouralizadeh, Akbar Pakmanesh, Hamid Basiri, Abbas Aayanifard, Mohammad Soltani, Mohammad Hossein Tabibi, Ali Sharifiaghdas, Farzaneh Ziaee, Seyed Amir Mohsen Shakhssalim, Naser Valipour, Reza Narouie, Behzad Radfar, Mohammad Hadi |
| author_sort |
Nouralizadeh, Akbar |
| title |
Solo Sonographically Guided PCNL under Spinal Anesthesia: Defining Predictors of Success |
| title_short |
Solo Sonographically Guided PCNL under Spinal Anesthesia: Defining Predictors of Success |
| title_full |
Solo Sonographically Guided PCNL under Spinal Anesthesia: Defining Predictors of Success |
| title_fullStr |
Solo Sonographically Guided PCNL under Spinal Anesthesia: Defining Predictors of Success |
| title_full_unstemmed |
Solo Sonographically Guided PCNL under Spinal Anesthesia: Defining Predictors of Success |
| title_sort |
solo sonographically guided pcnl under spinal anesthesia: defining predictors of success |
| description |
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. |
| publisher |
Hindawi Publishing Corporation |
| publishDate |
2016 |
| url |
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4868899/ |
| _version_ |
1613579958434660352 |