| Yazarlar (4) |
Fatih Bicaklioglu
Kartal Dr. Lütfi Kırdar City Hospital, Turkey |
|
Gurkan Dalgic
Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, Turkey |
Dr. Öğr. Üyesi Mehmet EZER
Kafkas Üniversitesi, Türkiye |
|
Kemal Sarica
Sancaktepe Şehit Prof. Dr. İlhan Varank Training and Research Hospital, Turkey |
| Özet |
| Objective: Fluoroscopic access techniques may not reliably differentiate between papillary and non-papillary renal access during percutaneous nephrolithotomy (PNL), potentially leading to misinterpretations that could increase complication risks. This pilot study aimed to evaluate whether a novel radiopaque 3D-printed collecting system model could be used to investigate the feasibility of identifying non-papillary accesses using different biplanar fluoroscopic techniques in the supine PNL setting. Materials and methods: This experimental study was conducted in February 2023 using a 3D-printed Dentagum resin model of the renal collecting system fixed in a supine position. Five intentionally non-papillary accesses (two lower calyces, three middle calyces) that appeared papillary at a 0° fluoroscopic angle were created. Four biplanar fluoroscopic access techniques (0–30° cephalad, 0–30° caudal, 0–20° lateral, and 0–90°) were then employed to detect whether these accesses could be identified as non-papillary. Results: Among the five non-papillary accesses, 0–30° cephalad detected one (20%), 0–30° caudal detected two (40%), and 0–90° detected two (40%), while 0–20° lateral detected none. Both non-papillary accesses in the lower calyx were correctly identified using 0–90°, with one additionally detected by 0–30° cephalad and the other by 0–30° caudal. Of the three non-papillary middle calyx accesses, only one was detected (via 0–30° caudal), whereas the other two were missed by all tested angles. Additional angles (e.g., 60° lateral–30° cephalad) further increased non-papillary detection rates. Conclusions: This pilot study demonstrates that non-papillary accesses may appear papillary under standard biplanar fluoroscopic techniques, suggesting a risk of misinterpretation and underscoring the potential benefit of incorporating additional imaging angles to improve detection accuracy. |
| Anahtar Kelimeler |
| Fluoroscopy | Kidney papilla | Kidney stone | Papillary puncture | Percutaneous nephrolithotomy | Three-Dimensional printing |
| Makale Türü | Özgün Makale |
| Makale Alt Türü | SSCI, AHCI, SCI, SCI-Exp dergilerinde yayımlanan tam makale |
| Dergi Adı | BMC Urology |
| Dergi ISSN | 1471-2490 Wos Dergi Scopus Dergi |
| Dergi Grubu | Q3 |
| Makale Dili | İngilizce |
| Basım Tarihi | 12-2025 |
| Cilt No | 25 |
| Sayı | 1 |
| Doi Numarası | 10.1186/s12894-025-01856-x |
| Atıf Sayıları |
