@article{article_413765, title={Differences between types of tract dilatation techniques during percutaneous nephrolithotomy (PCNL).}, journal={Turkish Journal of Clinics and Laboratory}, volume={9}, pages={97–102}, year={2018}, DOI={10.18663/tjcl.413765}, author={Yuvanç, Ercan and Yilmaz, Erdal}, keywords={Böbrek taşları,Perkütan nefrolitotomi,12F amplatz dilatator,Balon dilatasyonu}, abstract={<p class="MsoNormal" style="text-align:justify;line-height:200%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:200%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Aim: </span> </b> <span lang="en-us" style="font-size:12pt;line-height:200%;font-family:’Times New Roman’, serif;" xml:lang="en-us">
Dilation </span> <span lang="en-us" style="font-size:12pt;line-height:200%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> of the distance
from the skin to the kidney stone </span> <span lang="en-us" style="font-size:12pt;line-height:200%;font-family:’Times New Roman’, serif;" xml:lang="en-us"> is one of the
important steps of percutaneous nephrolithotomy (PCNL). <sup> </sup> </span> <span lang="en-us" style="font-size:12pt;line-height:200%;font-family:’Times New Roman’, serif;" xml:lang="en-us">However, due to cost and exposure to
radiation, there is a debate about the proper dilatation method </span> <span lang="en-us" style="font-size:12pt;line-height:200%;font-family:’Times New Roman’, serif;" xml:lang="en-us">.
For this purpose, a controlled clinical trial was planned to evaluate the
effectiveness of the use of 12 F Amplatz dilator + balloon dilator in terms of
shorter duration of tract dilation and scopy time during PCNL. </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:200%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:200%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Material and Methods: </span> </b> <span lang="en-us" style="font-size:12pt;line-height:200%;font-family:’Times New Roman’, serif;" xml:lang="en-us">
60 patients with kidney stones and performed PCNL were included in the study
and divided into 3 groups. While balloon dilation was maintained after using
12F Amplatz dilator -only- in Group 1, balloon dilation was performed after
using 8/10 dilator/sheat set, dual-lumen ureteral catheter and Zebra <sup>TM </sup>
angled type guidewire as described in the teachings in Group 2. Dilation in
patients in Group 3 was performed with just Amplatz dilators ranging from 10F
to 30F without using balloon dilation. The access time, dilation time,
operation time, scopy time, cost, nephrostomy tube removal time, hospital stay
period parameters were recorded. </span> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:200%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:200%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Results: </span> </b> <span lang="en-us" style="font-size:12pt;line-height:200%;font-family:’Times New Roman’, serif;" xml:lang="en-us">
Dilation, operation and scopy times were significantly lower in Group 1
compared to the two other groups ( <i>p </i><0.05).  The costs were higher in Group 2.                         </span> </p> <p> </p> <p> </p> <p class="MsoNormal" style="text-align:justify;line-height:200%;"> <b> <span lang="en-us" style="font-size:12pt;line-height:200%;font-family:’Times New Roman’, serif;" xml:lang="en-us">Conclusion: </span> </b> <span lang="en-us" style="font-size:12pt;line-height:200%;font-family:’Times New Roman’, serif;" xml:lang="en-us">
Due to the shorter dilation, scopy and operation time and cost benefits, using
12F Amplatz dilator before and then balloon dilator seems advantageous.  </span> </p> <p> </p>}, number={2}, publisher={DNT Ortadoğu Yayıncılık A.Ş.}