Seguridad de la ureteroscopia flexible sin camisa de acceso ureteral.
Evaluar el impacto de la utilización de la camisa de acceso ureteral en la tasa libre de cálculos durante la ureterorenoscopia flexible en pacientes tratados por cálculos del tracto urinario superior. Materiales y métodos: Se realizó un estudio descriptivo donde se incluyó un componente analítico de...
- Autores:
- Tipo de recurso:
- Fecha de publicación:
- 2015
- Institución:
- Universidad Militar Nueva Granada
- Repositorio:
- Repositorio UMNG
- Idioma:
- spa
- OAI Identifier:
- oai:repository.unimilitar.edu.co:10654/7272
- Acceso en línea:
- http://hdl.handle.net/10654/7272
- Palabra clave:
- Nefrolitotomía flexible laser
Camisa de acceso ureteral
Tasa libre de cálculos
ENFERMEDADES DEL URETER
CALCULOS URETERALES
URETROSCOPIA
URETRA-EXAMEN
Flexible laser nephrolithotomy
ureteral access sheath
stone-free rate
- Rights
- License
- http://purl.org/coar/access_right/c_abf2
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|
dc.title.spa.fl_str_mv |
Seguridad de la ureteroscopia flexible sin camisa de acceso ureteral. |
dc.title.titleenglish.spa.fl_str_mv |
Security of the flexible ureteroscopy without ureteral access sheath |
title |
Seguridad de la ureteroscopia flexible sin camisa de acceso ureteral. |
spellingShingle |
Seguridad de la ureteroscopia flexible sin camisa de acceso ureteral. Nefrolitotomía flexible laser Camisa de acceso ureteral Tasa libre de cálculos ENFERMEDADES DEL URETER CALCULOS URETERALES URETROSCOPIA URETRA-EXAMEN Flexible laser nephrolithotomy ureteral access sheath stone-free rate |
title_short |
Seguridad de la ureteroscopia flexible sin camisa de acceso ureteral. |
title_full |
Seguridad de la ureteroscopia flexible sin camisa de acceso ureteral. |
title_fullStr |
Seguridad de la ureteroscopia flexible sin camisa de acceso ureteral. |
title_full_unstemmed |
Seguridad de la ureteroscopia flexible sin camisa de acceso ureteral. |
title_sort |
Seguridad de la ureteroscopia flexible sin camisa de acceso ureteral. |
dc.contributor.advisor.none.fl_str_mv |
Neira Melo, Iván Mauricio |
dc.subject.spa.fl_str_mv |
Nefrolitotomía flexible laser Camisa de acceso ureteral Tasa libre de cálculos |
topic |
Nefrolitotomía flexible laser Camisa de acceso ureteral Tasa libre de cálculos ENFERMEDADES DEL URETER CALCULOS URETERALES URETROSCOPIA URETRA-EXAMEN Flexible laser nephrolithotomy ureteral access sheath stone-free rate |
dc.subject.lemb.spa.fl_str_mv |
ENFERMEDADES DEL URETER CALCULOS URETERALES URETROSCOPIA URETRA-EXAMEN |
dc.subject.keyword.spa.fl_str_mv |
Flexible laser nephrolithotomy ureteral access sheath stone-free rate |
description |
Evaluar el impacto de la utilización de la camisa de acceso ureteral en la tasa libre de cálculos durante la ureterorenoscopia flexible en pacientes tratados por cálculos del tracto urinario superior. Materiales y métodos: Se realizó un estudio descriptivo donde se incluyó un componente analítico de correlación de variables. La población definida en el presente estudio incluye individuos con cálculos renales o ureterales proximales con indicación de nefrolitotomia flexible láser en un solo tiempo quirúrgico, la población corresponde a 60 pacientes los cuales se diferencian en dos grupos, en quienes se utilizó camisa de acceso ureteral durante el procedimiento (44 pacientes) y en quienes no se utilizó por falla en el acceso (16 pacientes). Resultados: Comparando las dos técnicas en cuanto a tiempo quirúrgico, tamaño de los cálculos, complicaciones y tasa libre de cálculos no se observan diferencias significativas; al realizar el análisis exploratorio multivariado, las dimensiones explican el 94% de la variabilidad del modelo y los individuos presentan correlación entre las categorías de no uso de camisa, no ocurrencia de complicaciones, tiempo quirúrgico menor a 90 minutos y cálculos con diámetros menores a 10 mm. Conclusiones: La nefrolitotomia flexible laser sin camisa de acceso ureteral es un procedimiento seguro en pacientes con litiasis menor de 10 mm, no hay variaciones representativas con respecto al uso de la camisa ureteral, por lo cual podría ser una alternativa quirúrgica para el tratamiento de la litiasis de tracto urinario superior en pacientes en quienes no sea posible el acceso con la camisa ureteral. |
publishDate |
2015 |
dc.date.created.none.fl_str_mv |
2015-11-05 |
dc.date.accessioned.none.fl_str_mv |
2016-02-01T22:43:29Z 2019-12-30T19:08:57Z |
dc.date.available.none.fl_str_mv |
2016-02-01T22:43:29Z 2019-12-30T19:08:57Z |
dc.type.spa.fl_str_mv |
info:eu-repo/semantics/bachelorThesis |
dc.type.coar.fl_str_mv |
http://purl.org/coar/resource_type/c_7a1f |
dc.type.spa.spa.fl_str_mv |
Trabajo de grado |
dc.identifier.uri.none.fl_str_mv |
http://hdl.handle.net/10654/7272 |
url |
http://hdl.handle.net/10654/7272 |
dc.language.spa.fl_str_mv |
spa |
language |
spa |
dc.rights.coar.fl_str_mv |
http://purl.org/coar/access_right/c_abf2 |
rights_invalid_str_mv |
http://purl.org/coar/access_right/c_abf2 |
dc.format.spa.fl_str_mv |
pdf |
dc.coverage.spatial.spa.fl_str_mv |
Medicina |
dc.publisher.spa.fl_str_mv |
Universidad Militar Nueva Granada |
dc.publisher.department.spa.fl_str_mv |
Facultad de Medicina |
dc.publisher.program.spa.fl_str_mv |
Urología |
institution |
Universidad Militar Nueva Granada |
dc.source.bibliographicCitation.spa.fl_str_mv |
1. Husain Alenezi, John D. Denstedt. Flexible ureteroscopy: Technological advancements, current indications and outcomes in the treatment of urolithiasis. Asian Journal of Urology (2015) June, 1-9. 2. Manoj Monga, Sara Best. Durability of Flexible Ureteroscopes: A Randomized, Prospective Study. The Journal Of Urology. Vol. 176, 137-141, July 2006. 3. O. Merigot De Treigny, MD, E. Bou Nasr. The cumulated stone diameter: a limited tool for stone burden estimation. Journal of Urology.2015.06.018. 4. John Kourambas, Robert R. Byrne. Dose a ureteral access sheath facilitate ureteroscopy? The Journal Of Urology. Vol. 165, 789–793, March 2001. 5. Ozyuvali E., Oguz U., Damar E. Should ureteral access sheath during retrograde intrarenal surgery be placed routinely? Eur Urol Suppl 2013;12. 6. Shubha De, Carl Sarkissian, Fabio C. M. Torricelli. New Ureteral Access Sheaths: A Double Standard. Urology 85: 757e763, 2015. 7. C. Poullis, A. Simoes, S. Malde. Does the use of ureteric access sheaths decrease intrarenal pressures during flexible ureterorenoscopy? A prospective study. European urology supplements 12 (2013) 29–68. 8. Olivier Traxer, Alexandre Thomas. Prospective evaluation and classification of ureteral wall injuries resulting from insertion of a ureteral access sheath during retrograde intrarenal surgery. The Journal Of Urology. Vol. 189, 580-584, February 2013 9. Jamil Rehman, Manoj Monga. Characterization of intrapelvic pressure during ureteropyeloscopy with ureteral access sheaths. Urology 61: 713–718, 2003. 10. Manoj Monga, Joshua Bodie, Barbara Ercole. Is there a role for small-diameter ureteral access sheaths? Impact on irrigant flow and intrapelvic pressures. UROLOGY 64: 439–442, 2004. 11. Manoj Monga, Sara Best. Durability of Flexible Ureteroscopes: A Randomized, Prospective Study. The Journal Of Urology Vol. 176, 137-141, July 2006. 12. Razvan Multescu, Bogdan Geavlete. Improved Durability of Flex-Xc Digital Flexible ureteroscope: How Long Can You expect it to Last? Urology January, 2014. Gaetan Berquet, Paul Prunel. The use of a ureteral access sheath does not improve stone-free rate after ureteroscopy for upper urinary tract stones. World J Urol (2014) 32:229–232 14. Scott G. Hubosky, Kelly A. Healy. Accessing the Difficult Ureter and the Importance of Ureteroscope Miniaturization: History Is Repeating Itself. Urology 84 (4), 2014. 15. Fuller T, Ferroni M, Mitchell C, Wollin D, Shah O, Miller N, et al. Defining failure rate of primary ureteroscopy. A multi-institutional study. AUA Annual meeting 2014. Pittsburgh, PA. Abstract: MP18-08. 16. Hsin-Hsiao Wang, Lin Huang. Use of the Ureteral Access Sheath During Ureteroscopy in Children. The Journal Of Urology. Vol. 186, 1728-1733, October 2011. |
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Neira Melo, Iván MauricioCelis Reyes, EstefaníaZapata Sánchez, Margaritaestefaniacelis@yahoo.comEspecialista en UrologíaMedicina2016-02-01T22:43:29Z2019-12-30T19:08:57Z2016-02-01T22:43:29Z2019-12-30T19:08:57Z2015-11-05http://hdl.handle.net/10654/7272Evaluar el impacto de la utilización de la camisa de acceso ureteral en la tasa libre de cálculos durante la ureterorenoscopia flexible en pacientes tratados por cálculos del tracto urinario superior. Materiales y métodos: Se realizó un estudio descriptivo donde se incluyó un componente analítico de correlación de variables. La población definida en el presente estudio incluye individuos con cálculos renales o ureterales proximales con indicación de nefrolitotomia flexible láser en un solo tiempo quirúrgico, la población corresponde a 60 pacientes los cuales se diferencian en dos grupos, en quienes se utilizó camisa de acceso ureteral durante el procedimiento (44 pacientes) y en quienes no se utilizó por falla en el acceso (16 pacientes). Resultados: Comparando las dos técnicas en cuanto a tiempo quirúrgico, tamaño de los cálculos, complicaciones y tasa libre de cálculos no se observan diferencias significativas; al realizar el análisis exploratorio multivariado, las dimensiones explican el 94% de la variabilidad del modelo y los individuos presentan correlación entre las categorías de no uso de camisa, no ocurrencia de complicaciones, tiempo quirúrgico menor a 90 minutos y cálculos con diámetros menores a 10 mm. Conclusiones: La nefrolitotomia flexible laser sin camisa de acceso ureteral es un procedimiento seguro en pacientes con litiasis menor de 10 mm, no hay variaciones representativas con respecto al uso de la camisa ureteral, por lo cual podría ser una alternativa quirúrgica para el tratamiento de la litiasis de tracto urinario superior en pacientes en quienes no sea posible el acceso con la camisa ureteral.NingunaTo evaluate the impact of the use of ureteral access sheath, during flexible ureterorenoscopy on stone-free rate for patients treated for upper urinary tract stones. Materials and Methods: A descriptive study with an analytical variable correlation component was performed. The population as defined in this study includes individuals with kidney or proximal ureteral stones, with an indication of flexible laser nephrolithotomy to manage stones in one surgical time, the population corresponds to 60 patients which are divided into two groups, those in which ureteral access sheath was used for the procedure (44 patients) and those in which it was not used secondary to access failure (16 patients). Results: Comparing the two techniques in terms of operative time, stone size and stone-free rate, there were no significant differences observed; after performing exploratory multivariate analysis, dimensions explain 94% of the variability of the model and correlation was found between the categories: no use of ureteral access sheath with no occurrence of complications, operative time less than 90 minutes and stones with smaller diameters than 10 mm. Conclusions: Flexible laser nephrolithotomy without ureteral access sheath is safe in patients with stones smaller than 10mm, with no representative variations with respect to the use of ureteral sheath, this means it can be a surgical alternative for the treatment of upper urinary tract stones in patients in which ureteral access fails with an ureteral access sheath.pdfspaUniversidad Militar Nueva GranadaFacultad de MedicinaUrologíaNefrolitotomía flexible laserCamisa de acceso ureteralTasa libre de cálculosENFERMEDADES DEL URETERCALCULOS URETERALESURETROSCOPIAURETRA-EXAMENFlexible laser nephrolithotomyureteral access sheathstone-free rateSeguridad de la ureteroscopia flexible sin camisa de acceso ureteral.Security of the flexible ureteroscopy without ureteral access sheathinfo:eu-repo/semantics/bachelorThesisTrabajo de gradohttp://purl.org/coar/resource_type/c_7a1f1. Husain Alenezi, John D. Denstedt. Flexible ureteroscopy: Technological advancements, current indications and outcomes in the treatment of urolithiasis. Asian Journal of Urology (2015) June, 1-9.2. Manoj Monga, Sara Best. Durability of Flexible Ureteroscopes: A Randomized, Prospective Study. The Journal Of Urology. Vol. 176, 137-141, July 2006.3. O. Merigot De Treigny, MD, E. Bou Nasr. The cumulated stone diameter: a limited tool for stone burden estimation. Journal of Urology.2015.06.018.4. John Kourambas, Robert R. Byrne. Dose a ureteral access sheath facilitate ureteroscopy? The Journal Of Urology. Vol. 165, 789–793, March 2001.5. Ozyuvali E., Oguz U., Damar E. Should ureteral access sheath during retrograde intrarenal surgery be placed routinely? Eur Urol Suppl 2013;12.6. Shubha De, Carl Sarkissian, Fabio C. M. Torricelli. New Ureteral Access Sheaths: A Double Standard. Urology 85: 757e763, 2015.7. C. Poullis, A. Simoes, S. Malde. Does the use of ureteric access sheaths decrease intrarenal pressures during flexible ureterorenoscopy? A prospective study. European urology supplements 12 (2013) 29–68.8. Olivier Traxer, Alexandre Thomas. Prospective evaluation and classification of ureteral wall injuries resulting from insertion of a ureteral access sheath during retrograde intrarenal surgery. The Journal Of Urology. Vol. 189, 580-584, February 20139. Jamil Rehman, Manoj Monga. Characterization of intrapelvic pressure during ureteropyeloscopy with ureteral access sheaths. Urology 61: 713–718, 2003.10. Manoj Monga, Joshua Bodie, Barbara Ercole. Is there a role for small-diameter ureteral access sheaths? Impact on irrigant flow and intrapelvic pressures. UROLOGY 64: 439–442, 2004.11. Manoj Monga, Sara Best. Durability of Flexible Ureteroscopes: A Randomized, Prospective Study. The Journal Of Urology Vol. 176, 137-141, July 2006.12. Razvan Multescu, Bogdan Geavlete. Improved Durability of Flex-Xc Digital Flexible ureteroscope: How Long Can You expect it to Last? Urology January, 2014.Gaetan Berquet, Paul Prunel. The use of a ureteral access sheath does not improve stone-free rate after ureteroscopy for upper urinary tract stones. World J Urol (2014) 32:229–23214. Scott G. Hubosky, Kelly A. Healy. Accessing the Difficult Ureter and the Importance of Ureteroscope Miniaturization: History Is Repeating Itself. Urology 84 (4), 2014.15. Fuller T, Ferroni M, Mitchell C, Wollin D, Shah O, Miller N, et al. Defining failure rate of primary ureteroscopy. A multi-institutional study. AUA Annual meeting 2014. Pittsburgh, PA. Abstract: MP18-08.16. Hsin-Hsiao Wang, Lin Huang. Use of the Ureteral Access Sheath During Ureteroscopy in Children. The Journal Of Urology. Vol. 186, 1728-1733, October 2011.http://purl.org/coar/access_right/c_abf2ORIGINALARTICULO NEFROLITOTOMIA FLEXIBLE SIN CAMISA URETERAL.pdfapplication/pdf285043http://repository.unimilitar.edu.co/bitstream/10654/7272/1/ARTICULO%20NEFROLITOTOMIA%20FLEXIBLE%20SIN%20CAMISA%20URETERAL.pdfa8328154982a0275a9d2eac953f46e96MD51LICENSElicense.txttext/plain1521http://repository.unimilitar.edu.co/bitstream/10654/7272/2/license.txt57c1b5429c07cf705f9d5e4ce515a2f6MD52TEXTARTICULO NEFROLITOTOMIA FLEXIBLE SIN CAMISA URETERAL.pdf.txtExtracted texttext/plain25053http://repository.unimilitar.edu.co/bitstream/10654/7272/3/ARTICULO%20NEFROLITOTOMIA%20FLEXIBLE%20SIN%20CAMISA%20URETERAL.pdf.txt0a381daaf562b26261e876b1d8368bc1MD53THUMBNAILARTICULO NEFROLITOTOMIA FLEXIBLE SIN CAMISA URETERAL.pdf.jpgIM Thumbnailimage/jpeg8278http://repository.unimilitar.edu.co/bitstream/10654/7272/4/ARTICULO%20NEFROLITOTOMIA%20FLEXIBLE%20SIN%20CAMISA%20URETERAL.pdf.jpg68824c802c044ec4840cda4f50f205b4MD5410654/7272oai:repository.unimilitar.edu.co:10654/72722019-12-30 14:08:57.859Repositorio Institucional UMNGbibliodigital@unimilitar.edu.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 |