What's New in Percutaneous Nephrolithotomy

Overview

Journal Arab J Urol

Date 2015 Nov 12

PMID 26558043

Citations 5

Authors

Arvind P Ganpule

Mahesh R Desai

Affiliations

Soon will be listed here.

Abstract

Introduction: The goal of percutaneous nephrolithotomy (PCNL) is to ensure complete stone clearance with minimal morbidity. The key to complete clearance is accurate technique, expertise and instrumentation.

Methods: We systematically reviewed available reports that were identified using a PubMed/Medline search. The keywords used were 'PCNL' and 'advances in PCNL'. The findings were reviewed under the topics of newer developments in imaging, techniques and a review of outcomes with an emphasis on stone clearance and complications.

Conclusion: The newer developments in imaging methods, such as cone-beam computed tomography and staghorn morphometry, help the surgeon to plan the procedure for a safe and better outcome. The highlight of these newer developments is the miniaturisation of instruments. This has translated into developing newer techniques such as the 'microperc' and 'miniperc'. The data-collection initiative by the Clinical Research Office of the Endourological Society has helped in obtaining a high level of evidence.

Citing Articles

A retrospective cohort study on the use of machine learning to predict stone-free status following percutaneous nephrolithotomy: An experience from Saudi Arabia.

Alghafees M, Abdul Rab S, Aljurayyad A, Alotaibi T, Sabbah B, Seyam R Ann Med Surg (Lond). 2022; 84:104957.

PMID: 36536733 PMC: 9758327. DOI: 10.1016/j.amsu.2022.104957.

The treatment option for calyceal diverticulum stones: flexible ureteroscopy lithotripsy (FURL) or all-seeing needle-assisted percutaneous nephrolithotomy (PCNL)?.

Zeng J, Zhang L, Chen X, He H, Li X Urolithiasis. 2022; 50(6):743-749.

PMID: 35994081 DOI: 10.1007/s00240-022-01353-y.

EMS Lithoclast Trilogy™: an effective single-probe dual-energy lithotripter for mini and standard PCNL.

Sabnis R, Balaji S, Sonawane P, Sharma R, Vijayakumar M, Singh A World J Urol. 2019; 38(4):1043-1050.

PMID: 31177306 DOI: 10.1007/s00345-019-02843-2.

Role of Minimally Invasive (Micro and Ultra-mini) PCNL for Adult Urinary Stone Disease in the Modern Era: Evidence from a Systematic Review.

Jones P, Elmussareh M, Aboumarzouk O, Mucksavage P, Somani B Curr Urol Rep. 2018; 19(4):27.

PMID: 29516304 PMC: 5842282. DOI: 10.1007/s11934-018-0764-5.

Multislice computed tomography vs. intravenous urography for planning supine percutaneous nephrolithotomy: A randomised clinical trial.

El-Wahab O, El-Tabey M, El-Barky E, El-Baky S, El-Falah A, Refaat M Arab J Urol. 2015; 12(2):162-7.

PMID: 26019942 PMC: 4434608. DOI: 10.1016/j.aju.2013.11.005.

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