- Visibility 357 Views
- Downloads 338 Downloads
- Permissions
- DOI 10.18231/j.jsas.2025.015
-
CrossMark
- Citation
Carbon dioxide with contrast pyelogram versus contrast pyelogram in percutaneous nephrolithotomy patients-A propective study
- Author Details:
-
Sargam Verma *
Background: Percutaneous nephrolithotomy (PCNL) has become the gold-standard treatment for the management of large renal stones (>2 cm) and complex calculi, including staghorn stones, due to its high efficacy and minimally invasive nature. The standard approach to accessing the pelvicalyceal system begins with the placement of a ureteral catheter, followed by the administration of contrast media, air, or carbon dioxide (CO?) to opacify the collecting system.
Materials and Methods: A prospective study was conducted from 1st August 2023 to 28th February 2025, after taking approval from the Institutional Research and Ethics committee, Sri Guru Ram Das University of Health Sciences, Vallah, Amritsar. Patients were randomly divided into 2 groups, one group including 30 patients who underwent Carbon dioxide with contrast (diatrizoate meglumine 76%) pyelogram during surgery and the other group including 30 patients who underwent contrast (diatrizoate meglumine 76%) pyelogram during surgery for pelvicalyceal system identification.
Result: The analysis of 60 cases demonstrated that Carbon dioxide pyelogram along with contrast pyelogram is better in comparison to using only contrast pyelogram in terms of better calyceal puncture, reduced radiation exposure time, accuracy of procedure, reduced number of post-operative complications.
Conclusion: Taking advantage of both carbon dioxide and contrast media in retrograde pyelography, we have merged them both for better calyceal puncture, reduced time needed for puncture, reduced radiation exposure and less exposure to contrast media (due to reduced amount).
Keywords: Carbon dioxide pyelogram, Contrast pyelogram, Renal calculi, Percutaneous nephrolithotomy, Pelvicalyceal system
References
- Badawy H, Salama A, Eissa M, Kotb E, Moro H, Shoukri I. Percutaneous management of renal calculi: experience with percutaneous nephrolithotomy in 60 children. J Urology. 1999;162(5):1710-3.
- Ramakumar S, Segura JW. Renal calculi. Percutaneous management. Urol Clin North Am. 2000; 27:617-22.
- Vicentini FC, Gomes CM, Danilovic A, Neto EA, Mazzucchi E, Srougi M. Percutaneous nephrolithotomy: Current concepts. Indian journal of urology: IJU: J Urol Soc Ind. 2009; 25(1):4.
- Knoll T, Daels F, Desai J, Hoznek A, Knudsen B, Montanari E, Scoffone C, Skolarikos A, Tozawa K. Percutaneous nephrolithotomy: technique. World J Urol. 2017;35(9):1361-8.
- Casey WC, Goodwin WE. Percutaneous Antegrade Pyelography and Hydronephrosis: Direct, Intrapelyic Injection of Urographic contrast material to Secure a Pyeloureterogram after percutaneous needle puncture and aspiration of Hydronephrosis. J Urol. 1955;74(1):164-73.
- Wickbom I. Pyelography after direct puncture of the renal pelvis. Acta radiologica. 1954(6):505-12.
- Smith, J. et al. (2020). Comparison of CO₂ and contrast pyelography in percutaneous nephrolithotomy: A prospective study. Urol J, 45(3):567-75.
- Patel, S. et al. (2021). Imaging quality in CO₂ pyelography compared to contrast pyelography in PCNL: A comparative study. World J Urol, 39(6), 845-52.
- Lee H. Carbon dioxide as a contrast agent in renal procedures: A review of benefits and limitations. Int Urol, 2019;36(2):215-22.
- Johnson R. CO₂ pyelography versus contrast pyelography: Safety and efficacy in renal interventions. J Endourol. 2018;32(5):412-9.
- Zhou Y, Qian R, Xu L, Gao J, Liu J, Liu Y, Zhang J, Hao Y. Enhanced Recovery Concept in Percutaneous Nephrolithotomy. J Med Imag Health Inf. 2020;10(12):2925-30.
- Shen Y, Zhong X. Related factors of perioperative low body temperature and incidence of postoperative shivering in patients undergoing complex percutaneous nephrolithotomy and the effect analysis of composite insulation nursing intervention. Heliyon. 2024;10(11):32126.
- Vaida GT, Jain SK. 6 Anesthetic Complications in Urologic Surgery. Complications of Urologic Surgery E-Book: Preven Manag. 2017:58.
- Patel U, Hussain FF. Percutaneous nephrostomy of nondilated renal collecting systems with fluoroscopic guidance: technique and results. Radiology. 2004;233(1):226-33.
- Chen TT, Wang C, Ferrandino MN, Scales CD, Yoshizumi TT, Preminger GM, Lipkin ME. Radiation exposure during the evaluation and management of nephrolithiasis. J Urol. 2015;194(4):878-85.
How to Cite This Article
Vancouver
Verma S. Carbon dioxide with contrast pyelogram versus contrast pyelogram in percutaneous nephrolithotomy patients-A propective study [Internet]. IP J Surg Allied Sci. 2025 [cited 2025 Oct 24];7(2):71-75. Available from: https://doi.org/10.18231/j.jsas.2025.015
APA
Verma, S. (2025). Carbon dioxide with contrast pyelogram versus contrast pyelogram in percutaneous nephrolithotomy patients-A propective study. IP J Surg Allied Sci, 7(2), 71-75. https://doi.org/10.18231/j.jsas.2025.015
MLA
Verma, Sargam. "Carbon dioxide with contrast pyelogram versus contrast pyelogram in percutaneous nephrolithotomy patients-A propective study." IP J Surg Allied Sci, vol. 7, no. 2, 2025, pp. 71-75. https://doi.org/10.18231/j.jsas.2025.015
Chicago
Verma, S.. "Carbon dioxide with contrast pyelogram versus contrast pyelogram in percutaneous nephrolithotomy patients-A propective study." IP J Surg Allied Sci 7, no. 2 (2025): 71-75. https://doi.org/10.18231/j.jsas.2025.015