Randomized study comparing safety and efficacy of one shot versus serial metal telescopic dilation technique in percutaneous nephrolithotomy

Introduction: Dilation of the track can be achieved by multiple incremental flexible Amplatz type, Alken metal telescoping dilators, or balloon in Percutaneous Nephrolithotomy(PCNL). Balloon dilator is the most expensive method. Both of the incremental dilation techniques are more time consuming with higher failure rates. Hence, a prospective randomized study was conducted to compare the safety and efficacy of “single shot” dilation of the nephrostomy tract by amplatz dilator with serial alken metallic telescopic dilation technique in PCNL.

[1]  R Günther,et al.  PERCUTANEOUS STONE MANIPULATION , 1981, The Journal of urology.

[2]  S. Torabian,et al.  Comparison of the safety and efficacy of one-shot and telescopic metal dilatation in percutaneous nephrolithotomy: a randomized controlled trial , 2014, Urolithiasis.

[3]  Liangren Liu,et al.  A comparison among four tract dilation methods of percutaneous nephrolithotomy: a systematic review and meta-analysis , 2013, Urolithiasis.

[4]  J. Wolf,et al.  Categorisation of complications and validation of the Clavien score for percutaneous nephrolithotomy. , 2012, European urology.

[5]  J. Wolf Percutaneous Approaches to the Upper Urinary Tract Collecting System , 2012 .

[6]  S. Shakeri,et al.  Renal parenchymal damage after percutaneous nephrolithotomy with one-stage tract dilation technique: a randomized clinical trial. , 2011, Journal of endourology.

[7]  S. Falahatkar,et al.  One-shot versus metal telescopic dilation technique for tract creation in percutaneous nephrolithotomy: comparison of safety and efficacy. , 2009, Journal of endourology.

[8]  A. Elahian,et al.  Percutaneous nephrolithotomy in patients with previous open nephrolithotomy: one-shot versus telescopic technique for tract dilatation. , 2008, Journal of endourology.

[9]  A. Aminsharifi,et al.  One-stage tract dilation for percutaneous nephrolithotomy: is it justified? , 2007, Journal of endourology.

[10]  I. Gülmez,et al.  Does previous open nephrolithotomy affect the outcome of percutaneous nephrolithotomy? , 2007, Journal of endourology.

[11]  D. Lifshitz,et al.  Percutaneous nephrolithotomy in patients who previously underwent open nephrolithotomy. , 2005, Journal of endourology.

[12]  A. Frattini,et al.  One shot: a novel method to dilate the nephrostomy access for percutaneous lithotripsy. , 2001, Journal of endourology.

[13]  M. Gallucci,et al.  Management of hemorrhage after percutaneous renal surgery. , 1998, Journal of endourology.

[14]  G. Bellman,et al.  Influence of technique of percutaneous tract creation on incidence of renal hemorrhage. , 1998, The Journal of urology.

[15]  D. Webb,et al.  Single-increment dilatation for percutaneous renal surgery: an experimental study. , 1991, British journal of urology.

[16]  J. Wickham,et al.  The changing practice of percutaneous stone surgery. Review of 1000 cases 1981-1988. , 1990, British journal of urology.

[17]  C. F. Beckmann,et al.  Complications of extracorporeal shock-wave lithotripsy and percutaneous nephrolithotomy. , 1988, The Urologic clinics of North America.

[18]  C. Viville [Percutaneous nephrolithotomy. Personal experience in 100 cases]. , 1987, Journal d'urologie.

[19]  K. Amplatz,et al.  An improved dilator system for percutaneous nephrostomies. , 1982, Radiology.