Fluoroless Endourological Surgery for Stone Disease: a Review of the Literature-Tips and Tricks

被引：19

作者：

Emiliani, E. ^{[1
]}

Kanashiro, A. ^{[1
]}

Chi, T. ^{[2
]}

Perez-Fentes, D. A. ^{[3
]}

Manzo, B. O. ^{[4
]}

Angerri, O. ^{[1
]}

Somani, B. K. ^{[5
]}

机构：

[1] Autonomous Univ Barcelona, Dept Urol, Fdn Puigvert, Barcelona, Spain

[2] Univ Calif San Francisco UCSF, Dept Urol, San Francisco, CA USA

[3] Complejo Hosp Univ Santiago de Compostela, Dept Urol, Santiago De Compostela, Spain

[4] Hosp Reg Alta Especialidad Bajio, Dept Urol, Leon, Mexico

[5] Univ Hosp Southampton NHS Trust, Dept Urol, Southampton, Hants, England

来源：

CURRENT UROLOGY REPORTS | 2020年 / 21卷 / 07期

关键词：

Endourology; Radiation; Fluoroless; PCNL; Flexible ureteroscopy; Urolithiasis; RETROGRADE INTRARENAL SURGERY; FLUOROSCOPY-FREE TECHNIQUE; PERCUTANEOUS RENAL ACCESS; ULTRASOUND GUIDANCE; RADIATION-EXPOSURE; FLEXIBLE URETEROSCOPY; LEARNING-CURVE; NEPHROLITHOTOMY; KIDNEY; EXPERIENCE;

D O I：

10.1007/s11934-020-00979-y

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose of Review Urologists are at significant risk due to radiation exposure (RE) from endourological procedures for stone disease. Many techniques described have shown a reduction of RE. The purpose of this article is to review available protocols to decrease RE during such procedures and provide tips and tricks for their implementation. Recent Findings Several low-radiation and radiation-free protocols for percutaneous nephrolithotomy and flexible ureteroscopy have been described as an attempt to reduce RE during surgery. Beginning with specific checklists to ensure adequate C-arm usage, fluoroless procedures are based on endoscopic assessment, tactile guidance, and use of ultrasound to avoid fluoroscopy. A specific preoperative checklist and low radiation or complete fluoroless radiation endourological procedures have shown to be effective, feasible, and safe. It is recommended for urologists to be aware of the risks of RE and apply the "ALARA" (As Low As Reasonably Achievable) protocols.

引用

页数：8

共 67 条

[1] Fluoroscopy free flexible ureteroscopy with holmium: Yttrium-aluminium-garnet laser lithotripsy for removal of renal calculi [J].