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Percutaneous nephrolithotomy: Current concepts

Percutaneous nephrolithotomy: Current concepts

Authors :
Fabio C Vicentini
Cristiano Mendes Gomes
Alexandre Danilovic
Elias A Chedid Neto
Eduardo Mazzucchi
Miguel Srougi
Source :
Indian Journal of Urology, Vol 25, Iss 1, Pp 4-10 (2009)
Publication Year :
2009
Publisher :
Wolters Kluwer Medknow Publications, 2009.

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.

Details

Language :
English
ISSN :
09701591 and 19983824
Volume :
25
Issue :
1
Database :
Directory of Open Access Journals
Journal :
Indian Journal of Urology
Publication Type :
Academic Journal
Accession number :
edsdoj.8d3752c184bf4e579843088e7f350740
Document Type :
article
Full Text :
https://doi.org/10.4103/0970-1591.44281