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What’s new in percutaneous nephrolithotomy

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/Me...

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Detalles Bibliográficos
Autores principales: Ganpule, Arvind P., Desai, Mahesh R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4442968/
https://www.ncbi.nlm.nih.gov/pubmed/26558043
http://dx.doi.org/10.1016/j.aju.2012.07.005
Descripción
Sumario: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.