ObjectiveTo describe our experience with the circle nephrostomy tube (NT) (Cook Medical), a drainage system uniquely designed for use after multiple-access percutaneous nephrolithotomy (PNL).MethodsA retrospective review of 1317 consecutive patients undergoing 1599 PNLs at IU Health Methodist Hospital was performed. All multiple access cases utilizing circle NTs were reviewed and analyzed. The method of insertion of circle NT was demonstrated.ResultsA total of 1843 accesses were obtained in 1599 renal units (RUs): 380 upper pole, 129 interpolar, and 1334 lower pole. Multiple accesses in this series were required in 282 RUs (17.6%). Following multiple-access PNL, circle NTs, Cope loop, and reentry Malecot NTs were inserted in 91 RUs (32.3%), 208 RUs (73.8%), and 31 RUs (11%), respectively. None of the patients who had circle NT experienced clogging, dislodgement, or obstruction of the tube. The cost of circle, Cope loop, and Malecot NTs are 121.73 USD, 95.20 USD, and 81 USD, respectively.ConclusionCircle NTs are easy to insert, secure, cost-effective compared with inserting two NTs. Circle NTs provide excellent drainage and facilitate secondary procedures.
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机译:目的描述圆环肾造口术(NT)(Cook Medical)的经验,该系统是专门为多路经皮肾镜取石术(PNL)后使用而设计的引流系统。方法对IU Health Methodist医院的1317例接受1599个PNL的连续患者进行回顾性回顾。执行。审查和分析了所有使用循环NT的多址访问案例。结果表明,在1599个肾单位(RUs)中共获得1843次穿刺:上极380个,极间129个,下极1334个。此系列中的282 RU(17.6%)中需要多次访问。进行多次访问PNL之后,将圆形NT,Cope环和折返马勒科特NT分别插入91 RU(32.3%),208 RU(73.8%)和31 RU(11%)中。患有NTNT的患者均未出现管子阻塞,移位或阻塞。圆形NT,Cope环形NT和Malecot NT的价格分别为121.73美元,95.20美元和81美元。结论Circle NT易于插入,安全且具有成本效益,与插入两个NT相比。 Circle NTs可提供出色的排水性能,并方便进行二次手术。
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