Comparıson of two dıfferent dılatatıon methods ın percutaneous nephrolıthotomy ın term of safety: One-shot dılatatıon versus stage dılatatıon
Temel Muhammed Cihan, Yılmaz Ömer, Ateş Ferhat, Ediz Caner, Okçelik Sezgin, Akan Serkan
Background: To compare one-shot and standard stage amplatz dilatation techniques in percutaneous nephrolithotomy (PCNL) in terms of efficacy and safety method performed in the treatment of kidney stones.Materials and Methods: Eighty patients who underwent PCNL were randomly divided into groups according to staged (group 1) or one-shot (group 2) amplatz dilatation. Amplatz dilatation was applied to the patients in group 1, starting from the 8F dilator, up to 30F in a standard manner. Patients in group 2 were dilated directly with a 30F amplatz dilator and both groups were compared in terms of efficacy and safety.Results: Complete stone-free status was achieved in 35 (87.5%) of the patients in group 1 and in 36 (90%) of the patients in group 2 and no statistically significant difference was found between the two groups in terms of stone-free status (p: 0. 72). In group 2, the duration of surgery, dilatation time, and duration of fluoroscopy were significantly shorter (p: 0.001, p: 0.007, p: 0.001). There was no statistically significant difference between the two groups in terms of erythrocyte solution requirement (p: 0. 64). Total complication rates were 15% in both groups, and there was no statistically significant difference between the groups in terms of complication rates (p: 1.00).Conclusions: One-shot amplatz dilatation method provided a significant advantage compared to the staged amplatz dilatation method by providing shorter dilatation time, scopy time and total operation time. In addition, it provided a similar rate of pain score, blood loss and hospital stay, resulting in the conclusion that it was a reliable method as safe as standard amplate dilatation.
Temel Muhammed Cihan, Yılmaz Ömer, Ateş Ferhat, Ediz Caner, Okçelik Sezgin, Akan Serkan. Comparıson of two dıfferent dılatatıon methods ın percutaneous nephrolıthotomy ın term of safety: One-shot dılatatıon versus stage dılatatıon. International Journal of Urology Research, Volume 3, Issue 1, 2021, Pages 17-21