Effect of Active Aspiration and Sheath Location on Intrapelvic Pressure During Miniaturized Percutaneous Nephrolithotomy
To evaluate the effects of location of the tip of percutaneous sheath and nephroscope in the collecting system together with active aspiration on the Intrapelvic pressure measurements (IPP) during miniaturized percutaneous nephrolithotomy (miniPNL). The data of 20 patients underwent miniPNL in supin...
Saved in:
Published in | Urology (Ridgewood, N.J.) Vol. 153; pp. 101 - 106 |
---|---|
Main Authors | , , , , , , |
Format | Journal Article |
Language | English |
Published |
United States
Elsevier Inc
01.07.2021
|
Subjects | |
Online Access | Get full text |
Cover
Loading…
Abstract | To evaluate the effects of location of the tip of percutaneous sheath and nephroscope in the collecting system together with active aspiration on the Intrapelvic pressure measurements (IPP) during miniaturized percutaneous nephrolithotomy (miniPNL).
The data of 20 patients underwent miniPNL in supine position was collected prospectively. IPP measurements were done with an 8 Fr urodynamic pressure measurement catheter in 4 different settings with respect to location of tip of sheath and nephroscope. All 4 settings were repeated with active aspiration. Totally measurements were done and compared in 8 different settings for 90 seconds in each patient.
Highest mean IPP measurements were recorded in setting II (35.3 ± 11.8 cm H2O) where the sheath was located in the calyx and the tip of the nephroscope was in the renal pelvis. When active aspiration was applied, the mean pressure measurements were significantly lower than the counterpart settings without aspiration (all P values <.0001). When the active aspiration was applied, intrarenal pressure measurements did not exceed 40 cm H2O in any settings in any of the patients.
Location of the tip of the sheath and the nephroscope has significant effect on IPP measurements. Active aspiration significantly lowers the IPP and keeps it <40 cm H2O. Endourologists should be aware of possible alterations in IPP during miniPNL and active aspiration should be kept in mind as an effective solution to decrease the risk of complications related to high IPP. |
---|---|
AbstractList | OBJECTIVETo evaluate the effects of location of the tip of percutaneous sheath and nephroscope in the collecting system together with active aspiration on the Intrapelvic pressure measurements (IPP) during miniaturized percutaneous nephrolithotomy (miniPNL). MATERIALS AND METHODSThe data of 20 patients underwent miniPNL in supine position was collected prospectively. IPP measurements were done with an 8 Fr urodynamic pressure measurement catheter in 4 different settings with respect to location of tip of sheath and nephroscope. All 4 settings were repeated with active aspiration. Totally measurements were done and compared in 8 different settings for 90 seconds in each patient. RESULTSHighest mean IPP measurements were recorded in setting II (35.3 ± 11.8 cm H2O) where the sheath was located in the calyx and the tip of the nephroscope was in the renal pelvis. When active aspiration was applied, the mean pressure measurements were significantly lower than the counterpart settings without aspiration (all P values <.0001). When the active aspiration was applied, intrarenal pressure measurements did not exceed 40 cm H2O in any settings in any of the patients. CONCLUSIONLocation of the tip of the sheath and the nephroscope has significant effect on IPP measurements. Active aspiration significantly lowers the IPP and keeps it <40 cm H2O. Endourologists should be aware of possible alterations in IPP during miniPNL and active aspiration should be kept in mind as an effective solution to decrease the risk of complications related to high IPP. To evaluate the effects of location of the tip of percutaneous sheath and nephroscope in the collecting system together with active aspiration on the Intrapelvic pressure measurements (IPP) during miniaturized percutaneous nephrolithotomy (miniPNL). The data of 20 patients underwent miniPNL in supine position was collected prospectively. IPP measurements were done with an 8 Fr urodynamic pressure measurement catheter in 4 different settings with respect to location of tip of sheath and nephroscope. All 4 settings were repeated with active aspiration. Totally measurements were done and compared in 8 different settings for 90 seconds in each patient. Highest mean IPP measurements were recorded in setting II (35.3 ± 11.8 cm H2O) where the sheath was located in the calyx and the tip of the nephroscope was in the renal pelvis. When active aspiration was applied, the mean pressure measurements were significantly lower than the counterpart settings without aspiration (all P values <.0001). When the active aspiration was applied, intrarenal pressure measurements did not exceed 40 cm H2O in any settings in any of the patients. Location of the tip of the sheath and the nephroscope has significant effect on IPP measurements. Active aspiration significantly lowers the IPP and keeps it <40 cm H2O. Endourologists should be aware of possible alterations in IPP during miniPNL and active aspiration should be kept in mind as an effective solution to decrease the risk of complications related to high IPP. |
Author | Gökce, Mehmet İlker Akpınar, Çağrı Karaburun, Murat Can Aydoğ, Ezel Gülpınar, Ömer Süer, Evren Babayiğit, Muammer |
Author_xml | – sequence: 1 givenname: Mehmet İlker surname: Gökce fullname: Gökce, Mehmet İlker email: migokce@ankara.edu.tr organization: Ankara University School of Medicine, Department of Urology, Ankara, Turkey – sequence: 2 givenname: Murat Can surname: Karaburun fullname: Karaburun, Murat Can organization: Ankara University School of Medicine, Department of Urology, Ankara, Turkey – sequence: 3 givenname: Muammer surname: Babayiğit fullname: Babayiğit, Muammer organization: Ankara University School of Medicine, Department of Urology, Ankara, Turkey – sequence: 4 givenname: Ezel surname: Aydoğ fullname: Aydoğ, Ezel organization: Ankara University School of Medicine, Department of Urology, Ankara, Turkey – sequence: 5 givenname: Çağrı surname: Akpınar fullname: Akpınar, Çağrı organization: Çubuk State Hospital, Department of Urology, Ankara, Turkey – sequence: 6 givenname: Evren surname: Süer fullname: Süer, Evren organization: Ankara University School of Medicine, Department of Urology, Ankara, Turkey – sequence: 7 givenname: Ömer surname: Gülpınar fullname: Gülpınar, Ömer organization: Ankara University School of Medicine, Department of Urology, Ankara, Turkey |
BackLink | https://www.ncbi.nlm.nih.gov/pubmed/33417928$$D View this record in MEDLINE/PubMed |
BookMark | eNqFkMFu2zAMhoWhw5p2fYQNOu7iTJItyT4NQdttBdKtwNazoNJ0o8CxPEkOlj59VTjbtQABEsRP_uR3Rk4GPyAhHzhbcsbV5-1yCr73j4elYCL3xJKJ-g1ZcCl00TSNPCELxhpWVKKRp-Qsxi1jTCml35HTsqy4bkS9IH-vuw4hUd_RFSS3R7qKows2OT9QO7T01wZt2tC1h7mX42ZIwY7Y7x3Qu4AxTgHp1RTc8Ehv3eBsyvUTtvQOA0zJDuinSH_guMkXu7Txye8O78nbzvYRL475nNx_vf59-b1Y__x2c7laF1AqmQpoGKtR8pp1pdIVQqc6LSUD0NDIGviDULySwGzH6hIBRSvqVqtWAyrOZHlOPs17x-D_TBiT2bkI2PfzWUZUWkkltORZKmcpBB9jwM6Mwe1sOBjOzAt0szVH6OYFuuHCZOh57uPRYnrYYft_6h_lLPgyCzA_uncYTASHA2DrQoZvWu9esXgGj9CaLg |
CitedBy_id | crossref_primary_10_1038_s41598_023_50237_7 crossref_primary_10_1007_s00345_021_03731_4 crossref_primary_10_1016_j_euf_2023_06_010 crossref_primary_10_1016_j_urology_2023_12_031 crossref_primary_10_1111_bju_15764 crossref_primary_10_1155_2022_1199052 crossref_primary_10_1080_13645706_2023_2172251 |
Cites_doi | 10.1007/s00345-018-2378-4 10.1007/s00345-018-2379-3 10.1016/j.kjms.2016.10.012 10.1089/end.2017.0602 10.4103/iju.IJU_261_18 10.1089/end.2014.0854 10.1089/end.2018.0239 10.1007/s11934-020-0969-2 10.1089/end.2006.0230 10.1016/S0022-5347(17)36456-X 10.1007/s00240-018-1055-9 10.1016/j.eururo.2017.01.046 10.1016/j.eururo.2016.01.047 10.1007/s00345-015-1642-0 |
ContentType | Journal Article |
Copyright | 2021 Elsevier Inc. Copyright © 2021 Elsevier Inc. All rights reserved. |
Copyright_xml | – notice: 2021 Elsevier Inc. – notice: Copyright © 2021 Elsevier Inc. All rights reserved. |
DBID | CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 |
DOI | 10.1016/j.urology.2020.12.028 |
DatabaseName | Medline MEDLINE MEDLINE (Ovid) MEDLINE MEDLINE PubMed CrossRef MEDLINE - Academic |
DatabaseTitle | MEDLINE Medline Complete MEDLINE with Full Text PubMed MEDLINE (Ovid) CrossRef MEDLINE - Academic |
DatabaseTitleList | MEDLINE - Academic MEDLINE |
Database_xml | – sequence: 1 dbid: NPM name: PubMed url: https://proxy.k.utb.cz/login?url=http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?db=PubMed sourceTypes: Index Database – sequence: 2 dbid: EIF name: MEDLINE url: https://proxy.k.utb.cz/login?url=https://www.webofscience.com/wos/medline/basic-search sourceTypes: Index Database |
DeliveryMethod | fulltext_linktorsrc |
Discipline | Medicine |
EISSN | 1527-9995 |
EndPage | 106 |
ExternalDocumentID | 10_1016_j_urology_2020_12_028 33417928 S009042952031534X |
Genre | Journal Article |
GroupedDBID | --- --K --M -RU .1- .55 .FO .GJ .~1 0R~ 123 1B1 1P~ 1RT 1~. 1~5 29Q 3O- 4.4 457 4CK 4G. 53G 5RE 5VS 6PF 7-5 71M 8P~ 9JM AABNK AACTN AAEDT AAEDW AAEJM AAIAV AAIKJ AAKOC AALRI AAOAW AAQFI AAQQT AAQXK AAWTL AAXUO ABBQC ABFNM ABLJU ABLVK ABMAC ABMZM ABOCM ABXDB ABYKQ ACDAQ ACIUM ACRLP ACRZS ADBBV ADEZE ADMUD AEBSH AEKER AENEX AEVXI AFCTW AFFNX AFKWA AFRHN AFTJW AFXIZ AGHFR AGUBO AGYEJ AHHHB AHPSJ AIEXJ AIKHN AITUG AJBFU AJJEV AJOXV AJRQY AJUYK ALMA_UNASSIGNED_HOLDINGS AMFUW AMRAJ ANZVX ASPBG AVWKF AXJTR AZFZN BKOJK BLXMC BNPGV CS3 DU5 EBS EFJIC EFLBG EJD EO8 EO9 EP2 EP3 EX3 F5P FDB FEDTE FGOYB FIRID FNPLU FYGXN G-2 G-Q GBLVA HEA HMK HMO HVGLF HZ~ IHE J1W KOM L7B LCYCR LZ2 M29 M41 MO0 N9A O-L O9- OAUVE OK. OW. OZT P-8 P-9 P2P PC. Q38 R2- RIG ROL RPZ SAE SCC SDF SDG SDP SEL SES SPCBC SSH SSZ T5K UV1 WH7 WOW WUQ X7M XPP Z5R ZA5 ZGI ~G- AAXKI AFJKZ AKRWK CGR CUY CVF ECM EIF NPM AAYXX CITATION 7X8 |
ID | FETCH-LOGICAL-c365t-c9008e5180f3674ecf6f7550cc7c958c1b26145c0af083ece2d28d76d7ce61053 |
IEDL.DBID | AIKHN |
ISSN | 0090-4295 |
IngestDate | Fri Aug 16 12:12:31 EDT 2024 Thu Sep 26 18:39:33 EDT 2024 Sat Sep 28 08:27:43 EDT 2024 Fri Feb 23 02:47:39 EST 2024 |
IsPeerReviewed | true |
IsScholarly | true |
Language | English |
License | Copyright © 2021 Elsevier Inc. All rights reserved. |
LinkModel | DirectLink |
MergedId | FETCHMERGED-LOGICAL-c365t-c9008e5180f3674ecf6f7550cc7c958c1b26145c0af083ece2d28d76d7ce61053 |
Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23 |
PMID | 33417928 |
PQID | 2476562751 |
PQPubID | 23479 |
PageCount | 6 |
ParticipantIDs | proquest_miscellaneous_2476562751 crossref_primary_10_1016_j_urology_2020_12_028 pubmed_primary_33417928 elsevier_sciencedirect_doi_10_1016_j_urology_2020_12_028 |
PublicationCentury | 2000 |
PublicationDate | July 2021 2021-07-00 20210701 |
PublicationDateYYYYMMDD | 2021-07-01 |
PublicationDate_xml | – month: 07 year: 2021 text: July 2021 |
PublicationDecade | 2020 |
PublicationPlace | United States |
PublicationPlace_xml | – name: United States |
PublicationTitle | Urology (Ridgewood, N.J.) |
PublicationTitleAlternate | Urology |
PublicationYear | 2021 |
Publisher | Elsevier Inc |
Publisher_xml | – name: Elsevier Inc |
References | Wu, Hua, Zhang, Zhou, Zhong, Ni (bib0003) 2017; 33 Chugh, Pietropaolo, Montanari, Sarica, Somani (bib0010) 2020; 21 Nagele, Horstmann, Sievert (bib0012) 2007; 21 Ghani, Andonian, Bultitude (bib0007) 2016; 70 Cindolo, Castellan, Scoffone (bib0005) 2016; 34 Rawandale-Patil, Ganpule, Patni (bib0016) 2019; 35 Loftus, Hinck, Makovey, Sivalingam, Monga (bib0011) 2018; 32 ElSheemy, Elmarakbi, Hytham, Ibrahim, Khadgi, Al-Kandari (bib0008) 2019; 47 . Doizi, Uzan, Keller (bib0014) 2020 Tokas, Herrmann, Skolarikos, Nagele (bib0006) 2019; 37 Tokas, Skolarikos, Herrmann, Nagele (bib0004) 2019; 37 Schwalb, Eshghi, Davidian, Franco (bib0009) 1993; 149 European Association Of Urology Urolithiasis Guidelines. 2020. Available at Mager, Balzereit, Reiter (bib0013) 2015; 29 Ruhayel, Tepeler, Dabestani (bib0002) 2017; 72 Alsmadi, Fan, Zhu, Wen, Zeng (bib0015) 2018; 32 Alsmadi (10.1016/j.urology.2020.12.028_bib0015) 2018; 32 10.1016/j.urology.2020.12.028_bib0001 Rawandale-Patil (10.1016/j.urology.2020.12.028_bib0016) 2019; 35 Schwalb (10.1016/j.urology.2020.12.028_bib0009) 1993; 149 Nagele (10.1016/j.urology.2020.12.028_bib0012) 2007; 21 Doizi (10.1016/j.urology.2020.12.028_bib0014) 2020 Tokas (10.1016/j.urology.2020.12.028_bib0004) 2019; 37 Wu (10.1016/j.urology.2020.12.028_bib0003) 2017; 33 ElSheemy (10.1016/j.urology.2020.12.028_bib0008) 2019; 47 Tokas (10.1016/j.urology.2020.12.028_bib0006) 2019; 37 Loftus (10.1016/j.urology.2020.12.028_bib0011) 2018; 32 Mager (10.1016/j.urology.2020.12.028_bib0013) 2015; 29 Cindolo (10.1016/j.urology.2020.12.028_bib0005) 2016; 34 Ghani (10.1016/j.urology.2020.12.028_bib0007) 2016; 70 Ruhayel (10.1016/j.urology.2020.12.028_bib0002) 2017; 72 Chugh (10.1016/j.urology.2020.12.028_bib0010) 2020; 21 |
References_xml | – volume: 47 start-page: 207 year: 2019 end-page: 214 ident: bib0008 article-title: Mini vs standard percutaneous nephrolithotomy for renal stones: a comparative study publication-title: Urolithiasis contributor: fullname: Al-Kandari – volume: 32 start-page: 819 year: 2018 end-page: 823 ident: bib0015 article-title: The influence of super-mini percutaneous nephrolithotomy on renal pelvic pressure in vivo publication-title: J Endourol contributor: fullname: Zeng – volume: 32 start-page: 350 year: 2018 end-page: 353 ident: bib0011 article-title: Mini versus standard percutaneous nephrolithotomy: the impact of sheath size on intrarenal pelvic pressure and infectious complications in a porcine model publication-title: J Endourol contributor: fullname: Monga – volume: 37 start-page: 125 year: 2019 end-page: 131 ident: bib0006 article-title: Pressure matters: intrarenal pressures during normal and pathological conditions, and impact of increased values to renal physiology publication-title: World J Urol contributor: fullname: Nagele – volume: 35 start-page: 197 year: 2019 end-page: 201 ident: bib0016 article-title: Development of an innovative intrarenal pressure regulation system for mini-PCNL: a preliminary study publication-title: Indian J Urol contributor: fullname: Patni – volume: 21 start-page: 1113 year: 2007 end-page: 1116 ident: bib0012 article-title: A newly designed amplatz sheath decreases intrapelvic irrigation pressure during mini-percutaneous nephrolitholapaxy: an in-vitro pressure-measurement and microscopic study publication-title: J Endourol contributor: fullname: Sievert – volume: 70 start-page: 382 year: 2016 end-page: 396 ident: bib0007 article-title: Percutaneous nephrolithotomy: update, trends, and future directions publication-title: Eur Urol contributor: fullname: Bultitude – volume: 149 start-page: 1576 year: 1993 end-page: 1585 ident: bib0009 article-title: Morphological and physiological changes in the urinary tract associated with ureteral dilation and ureteropyeloscopy: an experimental study publication-title: J Urol contributor: fullname: Franco – volume: 21 start-page: 16 year: 2020 ident: bib0010 article-title: Predictors of urinary infections and urosepsis after ureteroscopy for stone disease: a systematic eview from EAU section of urolithiasis (EULIS) publication-title: Curr Urol Rep contributor: fullname: Somani – volume: 37 start-page: 133 year: 2019 end-page: 142 ident: bib0004 article-title: Pressure matters 2: intrarenal pressure ranges during upper-tract endourological procedures publication-title: World J Urol contributor: fullname: Nagele – volume: 33 start-page: 36 year: 2017 end-page: 43 ident: bib0003 article-title: Comparison of renal pelvic pressure and postoperative fever incidence between standard- and mini-tract percutaneous nephrolithotomy publication-title: Kaohsiung J Med Sci contributor: fullname: Ni – year: 2020 ident: bib0014 article-title: Comparison of intrapelvic pressures during flexible ureteroscopy, mini-percutaneous nephrolithotomy, standard percutaneous nephrolithotomy, and endoscopic combined intrarenal surgery in a kidney model publication-title: World J Urol contributor: fullname: Keller – volume: 72 start-page: 220 year: 2017 end-page: 235 ident: bib0002 article-title: Tract sizes in miniaturized percutaneous nephrolithotomy: a systematic review from the European Association of Urology Urolithiasis Guidelines Panel publication-title: Eur Urol contributor: fullname: Dabestani – volume: 29 start-page: 929 year: 2015 end-page: 932 ident: bib0013 article-title: Introducing a novel in vitro model to characterize hydrodynamic effects of percutaneous nephrolithotomy systems publication-title: J Endourol contributor: fullname: Reiter – volume: 34 start-page: 305 year: 2016 end-page: 310 ident: bib0005 article-title: Mortality and flexible ureteroscopy: analysis of six cases publication-title: World J Urol contributor: fullname: Scoffone – volume: 37 start-page: 125 year: 2019 ident: 10.1016/j.urology.2020.12.028_bib0006 article-title: Pressure matters: intrarenal pressures during normal and pathological conditions, and impact of increased values to renal physiology publication-title: World J Urol doi: 10.1007/s00345-018-2378-4 contributor: fullname: Tokas – volume: 37 start-page: 133 year: 2019 ident: 10.1016/j.urology.2020.12.028_bib0004 article-title: Pressure matters 2: intrarenal pressure ranges during upper-tract endourological procedures publication-title: World J Urol doi: 10.1007/s00345-018-2379-3 contributor: fullname: Tokas – volume: 33 start-page: 36 year: 2017 ident: 10.1016/j.urology.2020.12.028_bib0003 article-title: Comparison of renal pelvic pressure and postoperative fever incidence between standard- and mini-tract percutaneous nephrolithotomy publication-title: Kaohsiung J Med Sci doi: 10.1016/j.kjms.2016.10.012 contributor: fullname: Wu – volume: 32 start-page: 350 year: 2018 ident: 10.1016/j.urology.2020.12.028_bib0011 article-title: Mini versus standard percutaneous nephrolithotomy: the impact of sheath size on intrarenal pelvic pressure and infectious complications in a porcine model publication-title: J Endourol doi: 10.1089/end.2017.0602 contributor: fullname: Loftus – volume: 35 start-page: 197 year: 2019 ident: 10.1016/j.urology.2020.12.028_bib0016 article-title: Development of an innovative intrarenal pressure regulation system for mini-PCNL: a preliminary study publication-title: Indian J Urol doi: 10.4103/iju.IJU_261_18 contributor: fullname: Rawandale-Patil – ident: 10.1016/j.urology.2020.12.028_bib0001 – volume: 29 start-page: 929 year: 2015 ident: 10.1016/j.urology.2020.12.028_bib0013 article-title: Introducing a novel in vitro model to characterize hydrodynamic effects of percutaneous nephrolithotomy systems publication-title: J Endourol doi: 10.1089/end.2014.0854 contributor: fullname: Mager – volume: 32 start-page: 819 year: 2018 ident: 10.1016/j.urology.2020.12.028_bib0015 article-title: The influence of super-mini percutaneous nephrolithotomy on renal pelvic pressure in vivo publication-title: J Endourol doi: 10.1089/end.2018.0239 contributor: fullname: Alsmadi – volume: 21 start-page: 16 year: 2020 ident: 10.1016/j.urology.2020.12.028_bib0010 article-title: Predictors of urinary infections and urosepsis after ureteroscopy for stone disease: a systematic eview from EAU section of urolithiasis (EULIS) publication-title: Curr Urol Rep doi: 10.1007/s11934-020-0969-2 contributor: fullname: Chugh – volume: 21 start-page: 1113 year: 2007 ident: 10.1016/j.urology.2020.12.028_bib0012 article-title: A newly designed amplatz sheath decreases intrapelvic irrigation pressure during mini-percutaneous nephrolitholapaxy: an in-vitro pressure-measurement and microscopic study publication-title: J Endourol doi: 10.1089/end.2006.0230 contributor: fullname: Nagele – volume: 149 start-page: 1576 year: 1993 ident: 10.1016/j.urology.2020.12.028_bib0009 article-title: Morphological and physiological changes in the urinary tract associated with ureteral dilation and ureteropyeloscopy: an experimental study publication-title: J Urol doi: 10.1016/S0022-5347(17)36456-X contributor: fullname: Schwalb – volume: 47 start-page: 207 year: 2019 ident: 10.1016/j.urology.2020.12.028_bib0008 article-title: Mini vs standard percutaneous nephrolithotomy for renal stones: a comparative study publication-title: Urolithiasis doi: 10.1007/s00240-018-1055-9 contributor: fullname: ElSheemy – volume: 72 start-page: 220 year: 2017 ident: 10.1016/j.urology.2020.12.028_bib0002 article-title: Tract sizes in miniaturized percutaneous nephrolithotomy: a systematic review from the European Association of Urology Urolithiasis Guidelines Panel publication-title: Eur Urol doi: 10.1016/j.eururo.2017.01.046 contributor: fullname: Ruhayel – year: 2020 ident: 10.1016/j.urology.2020.12.028_bib0014 article-title: Comparison of intrapelvic pressures during flexible ureteroscopy, mini-percutaneous nephrolithotomy, standard percutaneous nephrolithotomy, and endoscopic combined intrarenal surgery in a kidney model publication-title: World J Urol contributor: fullname: Doizi – volume: 70 start-page: 382 year: 2016 ident: 10.1016/j.urology.2020.12.028_bib0007 article-title: Percutaneous nephrolithotomy: update, trends, and future directions publication-title: Eur Urol doi: 10.1016/j.eururo.2016.01.047 contributor: fullname: Ghani – volume: 34 start-page: 305 year: 2016 ident: 10.1016/j.urology.2020.12.028_bib0005 article-title: Mortality and flexible ureteroscopy: analysis of six cases publication-title: World J Urol doi: 10.1007/s00345-015-1642-0 contributor: fullname: Cindolo |
SSID | ssj0006667 |
Score | 2.440609 |
Snippet | To evaluate the effects of location of the tip of percutaneous sheath and nephroscope in the collecting system together with active aspiration on the... OBJECTIVETo evaluate the effects of location of the tip of percutaneous sheath and nephroscope in the collecting system together with active aspiration on the... |
SourceID | proquest crossref pubmed elsevier |
SourceType | Aggregation Database Index Database Publisher |
StartPage | 101 |
SubjectTerms | Equipment Design Female Humans Hydrostatic Pressure Male Middle Aged Miniaturization - methods Nephrolithiasis - diagnosis Nephrolithiasis - surgery Nephrolithotomy, Percutaneous - instrumentation Nephrolithotomy, Percutaneous - methods Nephrostomy, Percutaneous - instrumentation Nephrostomy, Percutaneous - methods Suction - instrumentation Suction - methods Ureteroscopes Urodynamics |
Title | Effect of Active Aspiration and Sheath Location on Intrapelvic Pressure During Miniaturized Percutaneous Nephrolithotomy |
URI | https://dx.doi.org/10.1016/j.urology.2020.12.028 https://www.ncbi.nlm.nih.gov/pubmed/33417928 https://search.proquest.com/docview/2476562751 |
Volume | 153 |
hasFullText | 1 |
inHoldings | 1 |
isFullTextHit | |
isPrint | |
link | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1bi9QwFD7szoL4It4dL0sEXzszubRpH4fVZVadwQcX5i20ySnbRdth7ID64G_3pElXBEUQ-lQIDec7_fIlOReAV85WDrWsktJ7sCoUT3K0NQGSc24rLvXQM3K9yVaX6u023R7B2ZgL48MqI_cHTh_YOr6ZR2vOd03jc3wLz6ap8I0KpNoewwktR0pN4GR58W61uSFkUuixdOYi8QN-JfLMr2eH_XB8TTtFsRgOBn1f9j8vUX-ToMNSdH4X7kQNyZZhmvfgCNv7cGsdb8kfwNdQkph1NVsOdMaW4T6dMGBl65hvY91fsfddOK9j9Fz4Q94dfiLiYCFlcI_s9ZDDyNZN2_j6n813dOwD7u2BFCV2hy9sg-QLPoLuquu7z98ewuX5m49nqyR2WEiszNI-sQVJAEx5vqhlphWBlNWa9izWalukueUVbbBUahdlTVINLQoncqczpy2S7krlI5i0XYtPgBUFkpZx6GSVqTrThdAiK30DwFIgL6opzEajml0opGHGCLNrE1EwHgXDhSEUppCPpje_eYQhsv_X0JcjVIb-Fn8FEsxihNIkYIVO-RQeBwxvZiOl78Ym8qf__-FncFv4mJchnPc5TPr9AV-QaOmrUzie_eCn0TV_AosI7aU |
link.rule.ids | 315,786,790,4521,24144,27957,27958,45620,45714 |
linkProvider | Elsevier |
linkToHtml | http://utb.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1ba9swFBZdCtteyu5Ld9Ngr26im2U_hm4lWZOwhxbyJmzpmLpsdsgc2Prre2TJHYONwcBPBmFxvuNPn6RzIeSDs6UDLcqk8B4sc8mSDGyFgGSM2ZIJ3feMXK3T-aX8vFGbA3I65ML4sMrI_YHTe7aObybRmpNtXfsc39yzqeK-UYGQm3vkUCrN5Igczhbn8_UdIaNCj6Uzp4kf8CuRZ3J9st_1x9e4U-TT_mDQ92X_8xL1NwnaL0Vnj8hR1JB0Fqb5mBxA84TcX8Vb8qfkRyhJTNuKzno6o7Nwn44Y0KJx1Lex7q7osg3ndRSfhT_k3cJXJA4aUgZ3QD_2OYx0VTe1r_9Z34CjX2Bn96good1_p2tAX_ARdFdt1377-Yxcnn26OJ0nscNCYkWqusTmKAFAsWxaiVRLBCmtNO5ZrNU2V5llJW6wpLLTokKpBha445nTqdMWUHcp8ZyMmraBl4TmOaCWceBEmcoq1TnXPC18A8CCA8vLMTkZjGq2oZCGGSLMrk1EwXgUDOMGURiTbDC9-c0jDJL9v4a-H6Ay-Lf4K5BgFsOlRgHLtWJj8iJgeDcbIXw3Np4d__-H35EH84vV0iwX6_NX5CH38S99aO9rMup2e3iDAqYr30YHvQVGR--X |
openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Effect+of+Active+Aspiration+and+Sheath+Location+on+Intrapelvic+Pressure+During+Miniaturized+Percutaneous+Nephrolithotomy&rft.jtitle=Urology+%28Ridgewood%2C+N.J.%29&rft.au=G%C3%B6kce%2C+Mehmet+%C4%B0lker&rft.au=Karaburun%2C+Murat+Can&rft.au=Babayi%C4%9Fit%2C+Muammer&rft.au=Aydo%C4%9F%2C+Ezel&rft.date=2021-07-01&rft.eissn=1527-9995&rft.volume=153&rft.spage=101&rft_id=info:doi/10.1016%2Fj.urology.2020.12.028&rft_id=info%3Apmid%2F33417928&rft.externalDocID=33417928 |
thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=0090-4295&client=summon |
thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=0090-4295&client=summon |
thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=0090-4295&client=summon |