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B‐mode ultrasound is effective in guiding percutaneous nephrolithotomy
Author(s) -
Duan Bo,
Chen Bin,
Liu Rongfu,
Wang Huiqiang,
Xing Jinchun
Publication year - 2015
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/1744-1633.12105
Subject(s) - medicine , percutaneous nephrolithotomy , hydrothorax , pneumothorax , percutaneous , ultrasound , surgery , nephrostomy , blood transfusion , pleural effusion , percutaneous nephrostomy , radiology , ascites
Aim The aim of the present study was to assess the application value of B ‐mode ultrasound in percutaneous nephrolithotomy ( PCNL ). Methods and Patients PCNL was performed in 218 consecutive patients with upper urinary calculi using B ‐mode ultrasound. The percutaneous renal access was established, and residual stone was detected by nephroscope through B ‐mode ultrasound. Results Phase I percutaneous renal access was successfully established in all 218 patients. Operation time ranged from 40 min to 132 min. The nephrostomy tube was retained 2–7 days. After PCNL treatment, 12 patients received blood transfusion because of obvious bleeding, 19 had severe fever and three had reactive hydrothorax. No serious complications, such as pleural injury, pneumothorax, abdominal visceral injury or renal penetrating injury, occurred. The phase I stone‐free rate was 81.19 per cent (177/218), and the total stone‐free rate was 92.66 per cent (202/218), as revealed by postoperative computed tomography. Conclusions B ‐mode ultrasound is a safe, simple, clear, real‐time and helpful method to improve the accuracy and safety of the establishment of percutaneous renal access during PCNL .