Authors' Response to the Letter to the Editor by Goel et al: Re: Reduced Radiation Exposure with the Use of an Air Retrograde Pyelogram During Fluoroscopic Access for Percutaneous Nephrolithotomy(From: Lipkin ME, Mancini JG, Zilberman DE, et al. J Endourol 2011;25:563–567)

2012 ◽  
Vol 26 (2) ◽  
pp. 198-198
Author(s):  
Michael E. Lipkin ◽  
Michael J. Miller ◽  
Glenn M. Preminger
Keyword(s):  
Radiation Exposure ◽  
Percutaneous Nephrolithotomy ◽  
Letter To The Editor ◽  
Retrograde Pyelogram

1583 REDUCED RADIATION EXPOSURE WITH THE USE OF AN AIR RETROGRADE PYELOGRAM DURING FLUOROSCOPIC ACCESS FOR PERCUTANEOUS NEPHROLITHOTOMY

2010 ◽  
Vol 183 (4S) ◽  
Author(s):  
Michael Lipkin ◽  
John Mancini ◽  
Dorit Zilberman ◽  
Eliza Raymundo ◽  
Daniel Yong ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Percutaneous Nephrolithotomy ◽  
Retrograde Pyelogram

Reduced Radiation Exposure with the Use of an Air Retrograde Pyelogram During Fluoroscopic Access for Percutaneous Nephrolithotomy

2011 ◽  
Vol 25 (4) ◽  
pp. 563-567 ◽  
Author(s):  
Michael E. Lipkin ◽  
John G. Mancini ◽  
Dorit E. Zilberman ◽  
Maria E. Raymundo ◽  
Daniel Yong ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Percutaneous Nephrolithotomy ◽  
Retrograde Pyelogram

FACTORS AFFECTING PATIENT RADIATION EXPOSURE DURING PRONE AND SUPINE PERCUTANEOUS NEPHROLITHOTOMY

2021 ◽  
Author(s):  
Anna M Zampini ◽  
Jacob N Bamberger ◽  
Kasmira R Gupta ◽  
Blair Gallante ◽  
William Atallah ◽  
...  
Keyword(s):  
Radiation Exposure ◽  
Percutaneous Nephrolithotomy ◽  
Factors Affecting ◽  
Patient Radiation Exposure

scholarly journals Assessing radiation exposure during endoscopic-guided percutaneous nephrolithotomy

2014 ◽  
Vol 8 (9-10) ◽  
pp. 347 ◽  
Author(s):  
Andrea G Lantz ◽  
Padraic O'Malley ◽  
Michael Ordon ◽  
Jason Y Lee
Keyword(s):  
Radiation Exposure ◽  
Effective Dose ◽  
Percutaneous Nephrolithotomy ◽  
Treatment Success ◽  
Fluoroscopy Time ◽  
Success Rates ◽  
Stone Size ◽  
Lower Treatment ◽  
The Mean ◽  
Stone Characteristics

Introduction: Percutaneous nephrolithotomy (PCNL) may be associated with significant ionizing radiation exposure for patients and operating room staff. Endoscopic-guided PCNL (ePCNL) is a technique that may be associated with less radiation exposure. This study examines ePCNL-related radiation exposure (fluoroscopytime, effective dose) and investigates variables that may predict increased exposure.Methods: A retrospective review of all consecutive ePCNLs performed at our institution, by a single surgeon, was conducted between November 2011 and November 2013. Patient demographics, stone characteristics and perioperative details were recorded, including radiation exposure. Pearson and Spearman correlation were used to assess variables correlated with radiation exposure.Results: In total, 55 ePCNL cases were included in the study. The mean age was 60 ± 15 years, mean body mass index (BMI) 30.0 ± 6.4 kg/m2 and mean stone size 3.2 × 2.1 cm. Seven cases (13%) involved complete staghorn stones, and 69% involved supracostal punctures. The mean fluoroscopy time was 3.4 ± 2.3 minutes, mean ED 2.4 ± 1.9 mSv. The treatment success rate, assessed 1-week postoperatively, was 87.3% and 7.3% of cases required ancillary procedures. The overall complication rate was 29%, but only 3 cases (5.5%) were Clavien ≥3. Longer fluoroscopy time correlated with increased stone size (p < 0.01), longer operative time (p < 0.01) and lower treatment success rates (p < 0.01); higher effective dose correlated with longer fluoroscopy time (p < 0.01) and increased skin-to-stone distance (p < 0.01). BMI did not correlate with fluoroscopy time or effective dose.Conclusions: Outcomes of ePCNL are comparable to traditional PCNL techniques and may be associated with lower radiation exposure, particularly beneficial for patients with higher BMI.

scholarly journals Ultrasound Guidance to Assist Percutaneous Nephrolithotomy Reduces Radiation Exposure in Obese Patients

Urology ◽  
2016 ◽  
Vol 98 ◽  
pp. 32-38 ◽  
Author(s):  
Manint Usawachintachit ◽  
Selma Masic ◽  
Helena C. Chang ◽  
Isabel E. Allen ◽  
Thomas Chi
Keyword(s):  
Radiation Exposure ◽  
Percutaneous Nephrolithotomy ◽  
Ultrasound Guidance ◽  
Obese Patients
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