PCNL trajectory: a novel concept to predict success in supine PCNL

香港泌尿外科學會Oral (Free Paper) Session IV - Andrology, Men’s Health and Stone Disease: OP.4-5OBJECTIVE: Supine PCNL confers certain advantages over its prone counterpart but access parameters change with supine positioning. Supine position limits maneuverability of instruments, limiting access to upper and mid-pole stones. We aim to determine predictive factors for success of supine PCNL through road-mapping of ...published_or_final_versionThe 17th Annual Scientific Meeting of the Hong Kong Urological Association, Hong Kong, 6 November 2011. In Program Book, 2011, p. 5

PCNL trajectory to predict success in supine PCNL: a novel concept

This journal suppl. contatin program & abstracts of the 29th World Congress of Endourology & SWL WCE, 2011Session - MP23: PNL 2: abstract no. MP23-13INTRODUCTION: Supine PCNL confers certain advantages over prone. Access parameters change with positioning. Supine position limits maneuverability of instruments, limiting access to upper & mid-pole stones. We aim to determine predictive factors for success of supine PCNL through road-mapping of PCNL trajectory. MATERIAL & METHOD: Consecutive patients undergoing PCNL from July-Dec2010 were recruited. Choice of position was made by surgeon. Tracts were performed under USG & fluoroscopy. Distances and angles were measured intra-operatively with rigid and flexible nephroscope, and correlated with pre-operative imaging. RESULTS 19 patients underwent PCNL(13supine, 6prone) Stone load was comparable in both groups. Overall stone clearance after single PCNL was 74%. Regardless of abdominal thickness and approach, all lower pole and renal pelvic stones were reached with mean excursion of 140 mm in supine & 105 mm in prone position. Mean entry angle was 59 for supine, and 35 for prone. In supine PCNL, the upper pole was reached in 4 of 11 tracts, with mean-excursion of 172mm& entry angle of 33. Similarly, 2 of 11 supine PCNL reached middle pole. Conversely, all prone PCNL tracts reached upper & middle pole with decreased excursion & angle. CONCLUSION: PCNL in prone position can reach renal pelvis and 3 poles via lower pole puncture. PCNL trajectory may be a tool to predict success in supine PCNL by estimating chance of reaching mid & upper pole. Skin to upper pole distance larger than 185mm and entry angle more than 48 degrees decrease chance of upper pole access.published_or_final_versionThe 29th World Congress of Endourology & SWL WCE, Kyoto, Japan, 30 November–3 December 2011. In Journal of Endourology, v. 25 suppl 1, p. A145, abstract no. MP23-1

The relationship between renal stone excursion distance and body build during ESWL

香港泌尿外科學會Oral (Free Paper) Session IV - Andrology, Men’s Health and Stone Disease: OP.4-4AIM: To study the relationship between body build and renal stone excursion distance during ESWL. PATIENTS AND METHODS: 88 consecutive patients with different urinary stones underwent ESWL from Oct 2010 to Feb 2011. Patients with ureteric stone, incomplete data, double-J stent and PCN in-situ were excluded. Stone characteristics including burden, position and excursion at deep inspiration and ...published_or_final_versionThe 17th Annual Scientific Meeting of the Hong Kong Urological Association, Hong Kong, 6 November 2011. In Program Book, 2011, p. 5

Engineering of NADPH Supply Boosts Photosynthesis-Driven Biotransformations

was reached, allowing the complete conversion of a 60 mM substrate solution within 4 h

Electronic transitions of scandium monophosphide

The Conference program's website is located at http://isms.illinois.edu/Archive.phpSession - TK. Metal containing: paper TK0

Emergency percutaneous nephrostomy in supine position under local anesthesia

Unmoderated Poster Session 1: UP-01.104The 31st Congress of the Société Internationale d'Urologie (SIU2011), Berlin, Germany, 16-20 October 2011

Simultaneous antegrade and retrograde approach for complex upper tract stones in modified supine valdivia position: early experience

This journal supplement is proceedings of the CongressModerated Poster Session 10: Stones - MP-10.14INTRODUCTION AND OBJECTIVE: Management of large impacted proximal ureteric stone remains controversial. Stone free rate for ESWL is decreased in stones > 2cm. URSL to impacted upper ureteric stones causes flushing of stone fragments to the kidney. Percutaneous antegrade ureteroscopy is an acceptable first-line treatment for large impacted upper ureteric stones; in combination with renal stone removal; in failure of retrograde access to the stone. Simultaneous antegrade and retrograde approach theoretically brings about the advantages of both approaches. Our objective is ...The 31st Congress of the Société Internationale d'Urologie (SIU2011), Berlin, Germany, 16-20 October 2011. In Urology, 2011, v. 78 n. 3 suppl., p. S106-S107, abstract no. MP-10.1

Long-term follow-up of ulcerative colitis in the Chinese population

OBJECTIVES: The incidence of ulcerative colitis (UC) in Asia is increasing but reports on its long-term course are few. We set out determine the incidence, prevalence, and survival rate of UC in the Chinese population and phenotypic stability by longitudinal follow-up. METHODS: A cohort of Chinese UC patients were followed up in a tertiary referral center in Hong Kong between 1985 and 2006. Clinical data were prospectively collected since 2001. Population statistics were obtained from the Census and Statistics Department of Hong Kong for the calculation of age-specific incidence, prevalence, and survival. The disease phenotypes at diagnosis and upon follow-up were documented. RESULTS: A total of 172 patients (51.7% men) with a median age at diagnosis of 37.0 years (range: 12.0-85.0) were included. The cohort was observed for a total of 1,393 person-years with a median follow-up duration of 7.0 years (range: 0.5-22.0). The age-standardized incidence and prevalence rates of UC per 100,000 were 2.1 (95% confidence interval, CI: 1.1-3.7) and 26.5 (95% CI: 22.6-30.9), respectively, in 2006. The 10-year cumulative rate of proximal extension was 23.8%. Only one patient developed colorectal cancer during the observation period. The cumulative colectomy rates were 2.4% and 7.6% at 1 and 10 years of follow-up. Overall survival was similar to that expected (P=0.07). CONCLUSIONS: The incidence of UC has increased sixfold in the past two decades in Hong Kong. The complication, colorectal cancer, and colectomy rates are low in Chinese patients but increase with duration of illness. © 2009 by the American College of Gastroenterology.link_to_subscribed_fulltex

A comparison of the acceptance of immunochemical faecal occult blood test and colonoscopy in colorectal cancer screening: A prospective study among Chinese

Background Preferences to choose immunochemical faecal occult blood test (FIT) and colonoscopy as colorectal cancer (CRC) screening modalities among asymptomatic Chinese subjects remain unknown. Aim To evaluate the preference of choosing colonoscopy vs. FIT among CRC screening participants. Methods From a community-based CRC screening programme for asymptomatic Hong Kong Chinese aged 50-70 years, participants attended standardized educational sessions and chose the options of annual FIT for 5 years or direct colonoscopy once. Factors associated with choosing colonoscopy were evaluated by multivariate regression analysis. Results Among 3430 participants [mean age 56.8 years (s.d. 5.0); female 55.1%, male 44.9%], 51.3% chose colonoscopy and 48.7% chose FIT. Older participants (65-70 years) were less likely to choose colonoscopy [adjusted odds ratio (aOR) 0.731, P = 0.041]. Subjects who chose colonoscopy were those disagreed screening would lead to discomfort (aOR 1.356, P < 0.001), had relatives or friends who had CRC (first degree relatives aOR 1.679, P < 0.001; second degree relatives aOR 1.304, P = 0.019; friends or others aOR 1.252, P = 0.026) and those who self-perceived their health as poor (aOR 1.529, P = 0.025). Conclusions Faecal occult blood test and direct colonoscopy were equally preferable to Chinese. Colonoscopy was preferred among the younger subjects, those with positive family history of CRC and self-perceived poor health status. © 2010 Blackwell Publishing Ltd.link_to_subscribed_fulltex