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dc.contributor.authorSahan, A.
dc.contributor.authorÇubuk, Alkan
dc.contributor.authorÖzkaptan, O.
dc.contributor.authorErtaş, K.
dc.contributor.authorToprak, T.
dc.contributor.authorEryıldırım, B.
dc.contributor.authorSarıca, K.
dc.date.accessioned2021-12-12T17:01:54Z
dc.date.available2021-12-12T17:01:54Z
dc.date.issued2021
dc.identifier.issn0210-4806
dc.identifier.issn1699-7980
dc.identifier.urihttps://hdl.handle.net/20.500.11857/3327
dc.description.abstractIntroduction and objectives: To evaluate the possible effects of two different renal puncture techniques (ultrasound-assisted [US-assisted], fluoroscopic-guided [FG]) on the intraoperative hemorrhage risk during percutaneous nephrolithotomy (PCNL). Material and methods: A total of 130 patients with Guy stone scores of 1-2 were prospectively allocated to US-assisted and FG puncture groups by simple randomization. Patients with intraoperative pelvicalyceal rupture and the ones requiring multiple accesses were excluded from the study. Apart from the puncture steps, all other steps of the PCNL procedure were performed with similar techniques by a single surgeon. Patient characteristics, operative data, and postoperative outcomes were compared. Results: A total of 10 patients were excluded from the study due to intraoperative complications after puncture. Patient demographics and stone characteristics were similar between the two groups (p > 0.05). Mean hemoglobin drop was meaningfully greater in the FG group (1.7 g/dL) when compared with US-assisted group (1.3 g/dL) (p < 0.01). The mean duration of radiation exposure was significantly higher for the FG (p < 0.001). Total operative time, number of attempts for a successful puncture, length of hospital stay, and stone free rates were similar between the groups (p > 0.05). In addition, the remaining complications classified according to the modified Clavien-Dindo grading system were similar between groups (p > 0.05). Conclusion: US-assisted puncture provides significantly decreased level of hemoglobin drop and radiation exposure time when compared with FG. (c) 2021 AEU. Published by Elsevier Espana, S.L.U. All rights reserved.en_US
dc.language.isoengen_US
dc.publisherElsevier Espanaen_US
dc.relation.ispartofActas Urologicas Espanolasen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectPercutaneous nephrolithotomyen_US
dc.subjectRenal punctureen_US
dc.subjectUltrasounden_US
dc.subjectFluoroscopyen_US
dc.subjectHemorrhageen_US
dc.subjectComplicationen_US
dc.subjectUrolithiasisen_US
dc.titleHow does puncture modality affect the risk of intraoperative bleeding during percutaneous nephrolithotomy? A prospective randomized trialen_US
dc.typearticle
dc.departmentFakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri, Üroloji Ana Bilim Dalı
dc.identifier.volume45en_US
dc.identifier.startpage486en_US
dc.identifier.issue7en_US
dc.identifier.endpage492en_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.authorscopusid56004895600
dc.authorscopusid55987751400
dc.authorscopusid35269493000
dc.authorscopusid55317539600
dc.authorscopusid57210020140
dc.authorscopusid6507648965
dc.authorscopusid7005266964
dc.identifier.wosWOS:000692323800003en_US
dc.identifier.scopus2-s2.0-85105254207en_US


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