@article { author = {Rakebi, Mohammad Mehdi and Mohammadi, Abdolreza and Fakhr Yasseri, Alimohammad and Ahmadi Pishkuhi, Mahin and Maroufi, Seyed Farzad and Guitynavard, Fateme}, title = {Evaluation of "UNDER VISION TOTAL TUBELESS PCNL" as a Novel Technique in Comparison to TOTAL TUBELESS PCNL}, journal = {Translational Research in Urology}, volume = {4}, number = {4}, pages = {173-179}, year = {2022}, publisher = {Urology Research Center, Tehran University of Medical Sciences}, issn = {2717-042X}, eissn = {2717-042X}, doi = {10.22034/tru.2022.368587.1133}, abstract = {Introduction: This study aims to evaluate Under Vision Total Tubeless PCNL (TT-PCNL) as a novel technique in reducing surgeon exposure to X-rays compared to the standard Total Tubeless PCNL. Percutaneous nephrolithotomy (PCNL) has been widely welcomed as a less-invasive medication for kidney stones. However, because it is usually performed using fluoroscopy, the endourologist is at risk of chronic X-ray exposure.Methods: The number of 76 consecutive patients who were candidates for PCNL surgery was randomized into two groups: 38 patients experienced TT-PCNL, and 38 patients underwent Under Vision TT-PCNL. The results were compared with fluoroscopy time and surgeon satisfaction.Results: The fluoroscopy time in the Under Vision TT-PCNL group was lower than in the Total Tubeless PCNL group (0.02). Surgeon satisfaction was higher in the Under Vision Total Tubeless PCNL group than in the TT-PCNL group (P-value=0.001). The mean total duration of surgery in the TT-PCNL under the Vision group was lower than the Total Tubeless PCNL group (P-value=0.04). There was no significant difference between the two groups' complications.Conclusion: The Under Vision TT-PCNL is compared to the normal PCNL in safety and effectiveness, but also it can significantly reduce the use of a fluoroscope. Moreover, surgeon satisfaction is better compared to the standard technique.}, keywords = {Renal stone,PCNL,Fluoroscopy,Under Vision,Stone Free Rate,Kidney Stones}, url = {http://www.transresurology.com/article_160216.html}, eprint = {http://www.transresurology.com/article_160216_e13a670e2f1b1536cfdca7accdcfba09.pdf} }