In vivo Porcine Model for Practicing Retrograde Intrarenal Surgery

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dc.authoridOZGOK, IBRAHIM YASAR/0000-0003-0552-4009
dc.contributor.authorTunc, Lutfi
dc.contributor.authorResorlu, Berkan
dc.contributor.authorUnsal, Ali
dc.contributor.authorOguz, Ural
dc.contributor.authorDiri, Akif
dc.contributor.authorGozen, Ali Serdar
dc.contributor.authorBedir, Selahattin
dc.date.accessioned2025-01-27T20:54:38Z
dc.date.available2025-01-27T20:54:38Z
dc.date.issued2014
dc.departmentÇanakkale Onsekiz Mart Üniversitesi
dc.description.abstractObjectives: To examine the feasibility of retrograde intrarenal surgery (RIRS) in a porcine model. Materials and Methods: Female pigs (n = 3) were placed in a dorsal lithotonny position under general anesthesia, and stone material was inserted into the renal pelvis of the pigs. The bladder was entered with a cystoscope, and a 0.038-inch hydrophilic guidewire was passed into the renal pelvis. Following successful placement of the guidewire, a ureteral access sheath (9.5/11.5 Fr) was placed to allow for optimal visualization. A 7.5-Fr flexible ureteroscope (Karl Storz Flex-X2) and a 200-mu m laser fiber were used for lithotripsy. When basketing was deemed necessary, zero-tipped nitinol stone baskets were used. Trainees then practiced all these manipulations on the model. Results: Urologists with moderate experience in advanced endourologic surgery were trained using this model. However, there were some surgical difficulties due to the urinary system anatomy of the pig. Intravaginal location of the urethra, bladder neck location of the ureters, tight ureteric orifices, tortuous ureters, longitudinally elongated renal pelvis, narrow infundibulopelvic angle and shallow calices made the passage of the instruments and maneuverability of the flexible ureteroscope more difficult than in a human model. Conclusions: Despite some difficulties, our porcine model was very effective, because all the trainees successfully practiced the RIRS manipulations on this model. Copyright (C) 2013 S. Karger AG, Basel
dc.identifier.doi10.1159/000351420
dc.identifier.endpage67
dc.identifier.issn0042-1138
dc.identifier.issn1423-0399
dc.identifier.issue1
dc.identifier.pmid23920001
dc.identifier.scopus2-s2.0-84895075388
dc.identifier.scopusqualityQ2
dc.identifier.startpage64
dc.identifier.urihttps://doi.org/10.1159/000351420
dc.identifier.urihttps://hdl.handle.net/20.500.12428/26124
dc.identifier.volume92
dc.identifier.wosWOS:000330605400010
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoen
dc.publisherKarger
dc.relation.ispartofUrologia Internationalis
dc.relation.publicationcategoryinfo:eu-repo/semantics/openAccess
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.snmzKA_WoS_20250125
dc.subjectPorcine model
dc.subjectRetrograde intrarenal surgery
dc.subjectStone fragments
dc.titleIn vivo Porcine Model for Practicing Retrograde Intrarenal Surgery
dc.typeArticle

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