Value of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy

Background: Percutaneous nephrolithotomy (PCNL) is the gold standard treatment for large renal calculi. The primary goal of treatment is absolute clearance of stone. The incidence of residual stones after PCNL ranges from 10% to 60% and may be higher in radiolucent stones. Aim of work: Our objective...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Mohammed Mohammed, Andrew Jones, Nabeel Kuwaijo, Jalal Al shareef, Ibrahim Salman, Shady Soliman
Formato:	article
Lenguaje:	EN
Publicado:	Al-Azhar University, Faculty of Medicine (Damietta) 2021
Materias:	percutaneous nephrolithotomy radiolucent residual fragments ultrasound stone clearance Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/7b2fe07102154bbbbfbb39b323bd0aa4
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:7b2fe07102154bbbbfbb39b323bd0aa4
record_format	dspace
spelling	oai:doaj.org-article:7b2fe07102154bbbbfbb39b323bd0aa42021-12-02T14:06:31ZValue of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy2636-41742682-378010.21608/ijma.2020.29998.1125https://doaj.org/article/7b2fe07102154bbbbfbb39b323bd0aa42021-01-01T00:00:00Zhttps://ijma.journals.ekb.eg/article_119303_931368975d0349cf8f30159c9969cc0f.pdfhttps://doaj.org/toc/2636-4174https://doaj.org/toc/2682-3780Background: Percutaneous nephrolithotomy (PCNL) is the gold standard treatment for large renal calculi. The primary goal of treatment is absolute clearance of stone. The incidence of residual stones after PCNL ranges from 10% to 60% and may be higher in radiolucent stones. Aim of work: Our objective was to assess the effectiveness of the use of ultrasound during PCNL in patients with radiolucent stones in reducing the incidence of residual fragments postoperatively. Patients and Methods: This was a single center prospective study over a 6 year period. We identified 86 patients undergoing PCNL with radiolucent stones. Ultrasound was used in conjunction with traditional fluoroscopy to identify residual fragments. Each patient had a first day post-operative computed tomography to assess for residual fragments. The sensitivity of ultrasound with fluoroscopy was compared to clinically or radiologically [CT] detected residual fragments. Results: Our overall stone clearance rate was 82.6% [as evidenced by postoperative CT]. The sensitivity of intra-operative ultrasound when compared to postoperative CT was 95.8%, specificity 40.0%, the positive predictive value 88.3% and negative predictive value 66.7%Conclusions: The use of intra-operative ultrasound during PCNL for radiolucent stones may help in reduction of postoperative imaging. However, future studies are recommend.Mohammed MohammedAndrew JonesNabeel KuwaijoJalal Al shareefIbrahim SalmanShady SolimanAl-Azhar University, Faculty of Medicine (Damietta)articlepercutaneous nephrolithotomyradiolucentresidual fragmentsultrasoundstone clearanceMedicine (General)R5-920ENInternational Journal of Medical Arts, Vol 3, Iss 1, Pp 962-966 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	percutaneous nephrolithotomy radiolucent residual fragments ultrasound stone clearance Medicine (General) R5-920
spellingShingle	percutaneous nephrolithotomy radiolucent residual fragments ultrasound stone clearance Medicine (General) R5-920 Mohammed Mohammed Andrew Jones Nabeel Kuwaijo Jalal Al shareef Ibrahim Salman Shady Soliman Value of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy
description	Background: Percutaneous nephrolithotomy (PCNL) is the gold standard treatment for large renal calculi. The primary goal of treatment is absolute clearance of stone. The incidence of residual stones after PCNL ranges from 10% to 60% and may be higher in radiolucent stones. Aim of work: Our objective was to assess the effectiveness of the use of ultrasound during PCNL in patients with radiolucent stones in reducing the incidence of residual fragments postoperatively. Patients and Methods: This was a single center prospective study over a 6 year period. We identified 86 patients undergoing PCNL with radiolucent stones. Ultrasound was used in conjunction with traditional fluoroscopy to identify residual fragments. Each patient had a first day post-operative computed tomography to assess for residual fragments. The sensitivity of ultrasound with fluoroscopy was compared to clinically or radiologically [CT] detected residual fragments. Results: Our overall stone clearance rate was 82.6% [as evidenced by postoperative CT]. The sensitivity of intra-operative ultrasound when compared to postoperative CT was 95.8%, specificity 40.0%, the positive predictive value 88.3% and negative predictive value 66.7%Conclusions: The use of intra-operative ultrasound during PCNL for radiolucent stones may help in reduction of postoperative imaging. However, future studies are recommend.
format	article
author	Mohammed Mohammed Andrew Jones Nabeel Kuwaijo Jalal Al shareef Ibrahim Salman Shady Soliman
author_facet	Mohammed Mohammed Andrew Jones Nabeel Kuwaijo Jalal Al shareef Ibrahim Salman Shady Soliman
author_sort	Mohammed Mohammed
title	Value of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy
title_short	Value of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy
title_full	Value of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy
title_fullStr	Value of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy
title_full_unstemmed	Value of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy
title_sort	value of intraoperative ultrasound in decreasing incidence of residual radiolucent stones post- percutaneous nephrolithotomy
publisher	Al-Azhar University, Faculty of Medicine (Damietta)
publishDate	2021
url	https://doaj.org/article/7b2fe07102154bbbbfbb39b323bd0aa4
work_keys_str_mv	AT mohammedmohammed valueofintraoperativeultrasoundindecreasingincidenceofresidualradiolucentstonespostpercutaneousnephrolithotomy AT andrewjones valueofintraoperativeultrasoundindecreasingincidenceofresidualradiolucentstonespostpercutaneousnephrolithotomy AT nabeelkuwaijo valueofintraoperativeultrasoundindecreasingincidenceofresidualradiolucentstonespostpercutaneousnephrolithotomy AT jalalalshareef valueofintraoperativeultrasoundindecreasingincidenceofresidualradiolucentstonespostpercutaneousnephrolithotomy AT ibrahimsalman valueofintraoperativeultrasoundindecreasingincidenceofresidualradiolucentstonespostpercutaneousnephrolithotomy AT shadysoliman valueofintraoperativeultrasoundindecreasingincidenceofresidualradiolucentstonespostpercutaneousnephrolithotomy
_version_	1718391971288973312

Value of Intraoperative Ultrasound in Decreasing Incidence of Residual Radiolucent Stones Post- Percutaneous Nephrolithotomy

Ejemplares similares