Learning curve of ultrasound-guided percutaneous nephrolithotripsy in the treatment of complex renal calculi
Objective This study was performed to investigate the learning curve of ultrasound-guided percutaneous nephrolithotripsy (PCNL) for the treatment of complex renal calculi. Methods Seventy-two patients with complex renal stones who underwent ultrasound-guided PCNL by the same operator from November 2...
| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2024-03-01
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| Series: | Journal of International Medical Research |
| Online Access: | https://doi.org/10.1177/03000605241239026 |
| _version_ | 1797234191801253888 |
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| author | Zhaoxiang Lu Wentie Yang Wei He |
| author_facet | Zhaoxiang Lu Wentie Yang Wei He |
| author_sort | Zhaoxiang Lu |
| collection | DOAJ |
| description | Objective This study was performed to investigate the learning curve of ultrasound-guided percutaneous nephrolithotripsy (PCNL) for the treatment of complex renal calculi. Methods Seventy-two patients with complex renal stones who underwent ultrasound-guided PCNL by the same operator from November 2016 to September 2020 were retrospectively analyzed. The learning curve of PCNL for complex renal stones was analyzed using multifactorial cumulative sum (CUSUM) analysis and best-fit curves. Results The CUSUM best-fit curve peaked at Case 36, which represented the minimum number of cumulative cases required to cross the learning curve for this surgical procedure. Accordingly, the learning curve was divided into a learning improvement period (36 cases) and a proficiency phase (36 cases). Compared with the learning improvement period, the proficiency phase was characterized by a shorter puncture time and operation time, a smaller drop in the hemoglobin level, and a lower postoperative complication rate. Conclusion The learning curve of PCNL for the treatment of complex renal calculi can be divided into a learning improvement period and a proficiency phase, and the minimum cumulative number of cases is 36. |
| first_indexed | 2024-04-24T16:28:09Z |
| format | Article |
| id | doaj.art-69c0de15af9a482fae50f430bd3b43f3 |
| institution | Directory Open Access Journal |
| issn | 1473-2300 |
| language | English |
| last_indexed | 2024-04-24T16:28:09Z |
| publishDate | 2024-03-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Journal of International Medical Research |
| spelling | doaj.art-69c0de15af9a482fae50f430bd3b43f32024-03-30T11:05:29ZengSAGE PublishingJournal of International Medical Research1473-23002024-03-015210.1177/03000605241239026Learning curve of ultrasound-guided percutaneous nephrolithotripsy in the treatment of complex renal calculiZhaoxiang LuWentie YangWei HeObjective This study was performed to investigate the learning curve of ultrasound-guided percutaneous nephrolithotripsy (PCNL) for the treatment of complex renal calculi. Methods Seventy-two patients with complex renal stones who underwent ultrasound-guided PCNL by the same operator from November 2016 to September 2020 were retrospectively analyzed. The learning curve of PCNL for complex renal stones was analyzed using multifactorial cumulative sum (CUSUM) analysis and best-fit curves. Results The CUSUM best-fit curve peaked at Case 36, which represented the minimum number of cumulative cases required to cross the learning curve for this surgical procedure. Accordingly, the learning curve was divided into a learning improvement period (36 cases) and a proficiency phase (36 cases). Compared with the learning improvement period, the proficiency phase was characterized by a shorter puncture time and operation time, a smaller drop in the hemoglobin level, and a lower postoperative complication rate. Conclusion The learning curve of PCNL for the treatment of complex renal calculi can be divided into a learning improvement period and a proficiency phase, and the minimum cumulative number of cases is 36.https://doi.org/10.1177/03000605241239026 |
| spellingShingle | Zhaoxiang Lu Wentie Yang Wei He Learning curve of ultrasound-guided percutaneous nephrolithotripsy in the treatment of complex renal calculi Journal of International Medical Research |
| title | Learning curve of ultrasound-guided percutaneous nephrolithotripsy in the treatment of complex renal calculi |
| title_full | Learning curve of ultrasound-guided percutaneous nephrolithotripsy in the treatment of complex renal calculi |
| title_fullStr | Learning curve of ultrasound-guided percutaneous nephrolithotripsy in the treatment of complex renal calculi |
| title_full_unstemmed | Learning curve of ultrasound-guided percutaneous nephrolithotripsy in the treatment of complex renal calculi |
| title_short | Learning curve of ultrasound-guided percutaneous nephrolithotripsy in the treatment of complex renal calculi |
| title_sort | learning curve of ultrasound guided percutaneous nephrolithotripsy in the treatment of complex renal calculi |
| url | https://doi.org/10.1177/03000605241239026 |
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