Penbegul Necmettin, Dede Onur, Daggulli Mansur, Hatipoglu Namik Kemal, Bozkurt Yasar
Department of Urology, Memorial Diyarbakır Hospital, Diyarbakir, Turkey.
Department of Urology, Dicle University School of Medicine, Diyarbakir, Turkey.
Arab J Urol. 2017 Jun 26;15(3):199-203. doi: 10.1016/j.aju.2017.05.003. eCollection 2017 Sep.
To suggest a novel disposable percutaneous nephrolithotomy (PCNL) set that we named the 'onomical ne-shot PCNL ' (Ecoset), which consists of a single 30-F dilator, 30-F sheath, and 8-F polyurethane dilator, as use of a 'one-shot' dilatation technique during PCNL is becoming widespread.
The medical records of 42 patients with kidney stones who had undergone 'one-shot' PCNL from February 2014 to June 2016 were retrospectively reviewed and analysed. Demographic data, as well as the stone size, radiation exposure time, operation time, hospitalisation duration, rate of treatment success and complications, were recorded.
The mean (SD, range) age of the patients was 44.43 (16.54, 11-72) years. The mean (SD) stone size was 35.12 (17.53) mm. The mean (SD) operation time was 54.58 (22.24) min. The mean (SD) fluoroscopic screening time was limited to 154.72 (117.48) s. Treatment success was achieved in 32 (76%) patients. The mean (SD) hospital stay was 3.09 (0.75) days. None of the patients had any major complications. Bleeding requiring blood transfusion was required in three patients. The cost of a disposable dilatation set for a single PCNL operation with a balloon set, a standard Amplatz set, or an Ecoset is ∼$137, $120, or $27 (American dollars), respectively.
The one-shot dilatation technique using the Ecoset for PCNL can be feasibly, safely, and effectively performed in almost every adult patient. The Amplatz dilator set and balloon dilator set have the disadvantage of relatively high cost, whereas the Ecoset is the cheapest 'disposable set' that can be used during PCNL surgery.
推荐一种新型一次性经皮肾镜取石术（PCNL）套装，我们将其命名为“经济型单次使用PCNL套装”（Ecoset），它由一根30F扩张器、30F鞘管和8F聚氨酯扩张器组成，因为在PCNL期间使用“单次”扩张技术正变得越来越普遍。
回顾性分析2014年2月至2016年6月期间42例行“单次”PCNL的肾结石患者的病历。记录人口统计学数据以及结石大小、辐射暴露时间、手术时间、住院时间、治疗成功率和并发症情况。
患者的平均（标准差，范围）年龄为44.43（16.54，11 - 72）岁。平均（标准差）结石大小为35.12（17.53）mm。平均（标准差）手术时间为54.58（22.24）分钟。平均（标准差）透视筛查时间限制在154.72（117.48）秒。32例（76%）患者治疗成功。平均（标准差）住院时间为3.09（0.75）天。所有患者均无任何严重并发症。3例患者需要输血治疗出血。使用球囊套装、标准安普拉斯套装或Ecoset进行单次PCNL手术的一次性扩张套装成本分别约为137美元、120美元或27美元（美元）。
使用Ecoset进行PCNL的单次扩张技术几乎可以在每一位成年患者身上安全、有效地实施。安普拉斯扩张器套装和球囊扩张器套装有成本相对较高的缺点，而Ecoset是PCNL手术中可使用的最便宜的“一次性套装”。
