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Article Synopsis
- Percutaneous nephrolithotripsy (PCNL) is the preferred method for treating large kidney stones, but can occasionally lead to rare complications like injuries to nearby organs, such as the gall bladder (GB).
- A case was reported where a patient experienced GB perforation after PCNL, which was identified during the procedure when the surgeon noticed unusual fluid during the initial puncture.
- The situation was addressed immediately with laparoscopic cholecystectomy, highlighting the importance of being aware of such complications for timely diagnosis and treatment to prevent serious outcomes.
Use of Temporally Validated Machine Learning Models To Predict Outcomes of Percutaneous Nephrolithotomy Using Data from the British Association of Urological Surgeons Percutaneous Nephrolithotomy Audit.
Eur Urol Focus
March 2024
Department of Urology, University Hospital Southampton NHS Foundation Trust, Southampton, UK.
Article Synopsis
- Machine learning (ML) techniques were applied to predict outcomes of percutaneous nephrolithotomy (PCNL) surgeries using a comprehensive national database from the British Association of Urological Surgeons, focusing on various postoperative complications and patient outcomes.
- The study built several predictive models (XGB, DNN, and LR) and validated them with a dataset from 2019, ultimately narrowing down to 11 key variables that impact these outcomes for enhanced accuracy.
- This research represents the largest ML analysis of PCNL outcomes, showcasing that the models developed can be utilized in clinical settings for better risk profiling of patients undergoing this procedure.
Utility of guided FNAC and cell block preparation from liver and gall bladder masses: Learning experience from a tertiary care center.
J Cancer Res Ther
July 2024
Department of Radiology, Hind Institute of Medical Sciences, Barabanki, Uttar Pradesh, India.
Introduction: Ultrasound- and CT-guided fine needle aspiration cytology (FNAC) increases the accessibility of intra-abdominal masses to the liver and gall bladder with the advantages of low cost and high diagnostic yield. Cell block technique has been known for further increasing the diagnostic accuracy.
Aims And Objectives: We aimed to study the effectiveness of FNAC and the cell block method in cytological diagnosis of liver and gall bladder masses.
Conservative Management of a Biliary Tract Injury During Percutaneous Nephrolithotomy.
Cureus
December 2023
Urology, Tata Main Hospital, Jamshedpur, IND.
Percutaneous nephrolithotomy (PCNL) is a well-established treatment option for the management of kidney stones. It has evolved over time with advances in surgical technique and technology. Even for the most experienced urologists, both major and minor complications may be encountered during PCNL.
View Article and Find Full Text PDFPercutaneous Ultrasound-Guided Core Needle Biopsy: Comparison of 16-Gauge versus 14-Gauge Needle and the Effect of Coaxial Guidance in 1065 Breast Biopsies - A Prospective Randomized Clinical Noninferiority Trial.
Ultraschall Med
October 2020
Department of Women's Health, University of Tübingen, Germany.
Purpose: Ultrasound-guided core needle biopsy (CNB) is considered the standard assessment to diagnose sonographically visible suspicious breast mass lesions. Based on nonrandomized trials, the current German guidelines recommend at least three cylinders with ≤ 14-gauge needle biopsy. However, no recommendation is made as to how many specimens are needed with a smaller needle size, such as 16-gauge, or if biopsy with coaxial guidance improves diagnostic accuracy and quality.
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