Neeman Binyamin B, Raisin Galia, Chertin Boris, Qadan Saeed, Kafka Ilan
Department of Urology, Shaare Zedek Medical Center, Faculty of Medical Science, Hebrew University, Jerusalem, Israel.
Operating Room-Urology, Shaare Zedek Medical Center, Faculty of Medical Science, Hebrew University, Jerusalem, Israel.
Urologia. 2024 May;91(2):337-341. doi: 10.1177/03915603231198554. Epub 2023 Oct 17.
This study aimed to evaluate the learning curve associated with the adoption of US guided PCNL and demonstrate that it can be carried out safely with results comparable to those obtained using standard PCNL.
Prospective study with 65 patients who underwent PCNL between 2019 and 2020. all procedures were performed in supine position and an initial attempt to gain access to the kidney using US was made.
Mean procedure duration was 69.5 ± 27.8 min. Fluoroscopy was used with a mean dose of 276.68 ± 560.71 (cGycm) and mean fluoroscopy time 40.25 ± 77.69 (s). Throughout the study there was a steady decrease in the use of fluoroscopy and amount of radiation to gain access to the kidney to only 25% at the study end. 76.5% of the patients were stone free at follow-up. Complication rate was 9.2%.
Fluoroless US guided PCNL is safe, feasible and reproducible procedure.
本研究旨在评估采用超声引导下经皮肾镜取石术（PCNL）的学习曲线，并证明其可以安全实施，结果与标准PCNL相当。
对2019年至2020年间接受PCNL的65例患者进行前瞻性研究。所有手术均在仰卧位进行，并首次尝试使用超声进入肾脏。
平均手术时间为69.5±27.8分钟。使用荧光透视，平均剂量为276.68±560.71（cGycm），平均荧光透视时间为40.25±77.69（秒）。在整个研究过程中，为进入肾脏而使用荧光透视和辐射量稳步下降，到研究结束时仅为25%。76.5%的患者在随访时结石清除。并发症发生率为9.2%。
无荧光超声引导下PCNL是一种安全、可行且可重复的手术。
