Percutaneous nephrolithotomy with X-ray free technique in morbidly obese patients

The preoperative demographic data including age, gender, body mass index (BMI), stone size, and operative position were reviewed. The number of access tract, time for each access establishment, operative duration, postoperative hospital stay time, related complications, stone composition analysis, a...

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Bibliographic Details
Published in:Chinese medical journal 2021-09, Vol.134 (20), p.2500-2502
Main Authors: Xiao, Bo, Zeng, Xue, Zhang, Gang, Jin, Song, Hu, Wei-Guo, Li, Jian-Xing
Format: Article
Language:English
Subjects:
Body mass index
Catheters
Consent
Correspondence
Humans
Kidney Calculi - surgery
Medical imaging
Nephrolithotomy, Percutaneous
Nephrostomy, Percutaneous
Obesity, Morbid - surgery
Patients
Radiation
Radiography
Retrospective Studies
Treatment Outcome
Ultrasonic imaging
Urinary tract infections
Urological surgery
Urology
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Description
Summary:The preoperative demographic data including age, gender, body mass index (BMI), stone size, and operative position were reviewed. The number of access tract, time for each access establishment, operative duration, postoperative hospital stay time, related complications, stone composition analysis, and auxiliary therapy were recorded. Thirty-two cases were diagnosed with urinary tract infection (UTI) by urine analysis, and Escherichia coli and Proteus mirabilis were the most common bacteria grown from urine culture. The main concerning problem is that excessive fat tissue surrounding the kidney can reduce the image quality under US, as the distance between puncture point and target calyx is increased, and the US energy is absorbed by adipose tissue along the access route.
ISSN:0366-6999
2542-5641
DOI:10.1097/CM9.0000000000001758