Impact of fluoroscopy technique on radiation time and surgical outcomes in supine percutaneous nephrolithotomy: a propensity score-matched analysis of intermittent versus live fluoroscopy - Summary - MDSpire
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Impact of fluoroscopy technique on radiation time and surgical outcomes in supine percutaneous nephrolithotomy: a propensity score-matched analysis of intermittent versus live fluoroscopy
To investigate the effects of intermittent fluoroscopy on radiation exposure and surgical outcomes in supine percutaneous nephrolithotomy (PCNL), specifically comparing it to continuous fluoroscopy.
Key Findings:
Intermittent fluoroscopy significantly reduced fluoroscopy time compared to continuous fluoroscopy, with a specific percentage reduction to be included.
Surgical outcomes, including stone-free rates and postoperative complications, were comparable between both techniques.
Reduced fluoroscopy time may lower radiation exposure for both patients and surgical teams.
Interpretation:
The use of intermittent fluoroscopy in supine PCNL can effectively minimize radiation exposure without compromising surgical efficacy, highlighting its potential as a standard practice.
Limitations:
Retrospective design may introduce selection bias.
Data collection was limited to specific surgeons, which may affect generalizability.
Surgeon experience may influence outcomes and should be considered.
Conclusion:
Intermittent fluoroscopy is a viable alternative to continuous fluoroscopy in PCNL, offering reduced radiation exposure while maintaining surgical outcomes, emphasizing the need for its adoption in clinical settings.
