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. 2009 Jan;25(1):4-10.
doi: 10.4103/0970-1591.44281.

Percutaneous nephrolithotomy: Current concepts

Fabio C Vicentini  1 , Cristiano Mendes Gomes, Alexandre Danilovic, Elias A Chedid Neto, Eduardo Mazzucchi, Miguel Srougi
Affiliations

Percutaneous nephrolithotomy: Current concepts

Fabio C Vicentini et al. Indian J Urol. 2009 Jan.

Abstract

Percutaneous nephrolithotomy (PNL) is the procedure of choice for large renal stones. Since its introduction in 1976, many aspects of the operative technique and the endoscopic equipments have had constant evolution, increasing the success rates of the procedure. We performed a literature search using Entrez Pubmed from January 2000 to July 2007 concerning PNL and many aspects related to all steps of the procedure.We could verify that PNL in supine position has been proved as an acceptable option, but more worldwide experience is necessary. Urologists must be trained to gain their own renal tract access. Minipercutaneous PNL still needs equipments improvements for better results. Tubeless PNL is increasing in popularity and different tract sealants have been studied. Medical prevention is proved to be effective against stone recurrence and should be always used after PNL.Although the evolution of the technique in the last 20 years, urologists must continue to improve their skills and develop new technologies to offer to the patients more and more a safe and effective option to treat large renal stones.

Keywords: Percutaneous nephrolithotomy; kidney stone; tubeless.

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Conflict of interest statement

Conflict of Interest: None declared.

References

    1. Preminger GM, Assimos DG, Lingeman JE, Nakada SY, Pearle MS, Wolf JS, Jr, et al. Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. J Urol. 2005;173:1991–2000. - PubMed
    1. Fernstrom I, Johansson B. Percutaneous pyelolithotomy: A new extraction technique. Scand J Urol Nephrol. 1976;10:257–9. - PubMed
    1. El-Nahas AR, Shokeir AA, El-Assmy AM, Mohsen T, Shoma AM, Eraky I, et al. Post-percutaneous nephrolithotomy extensive hemorrhage: A study of risk factors. J Urol. 2007;177:576–9. - PubMed
    1. Valdivia Uria JG, Valle Gerhold J, Lopez Lopez JA, Villarroya Rodriguez S, Ambroj Navarro C, Ramirez Fabian M, et al. Technique and complications of percutaneous nephroscopy: Experience with 557 patients in the supine position. J Urol. 1998;160:1975–8. - PubMed
    1. Neto EA, Mitre AI, Gomes CM, Arap MA, Srougi M. Percutaneous nephrolithotripsy with the patient in a modified supine position. J Urol. 2007;178:165–8. - PubMed