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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...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2012
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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 |
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author | Ganpule, Arvind P. Desai, Mahesh R. |
author_facet | Ganpule, Arvind P. Desai, Mahesh R. |
author_sort | Ganpule, Arvind P. |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-4442968 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-44429682015-11-10 What’s new in percutaneous nephrolithotomy Ganpule, Arvind P. Desai, Mahesh R. Arab J Urol Review 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. Elsevier 2012-09 2012-08-14 /pmc/articles/PMC4442968/ /pubmed/26558043 http://dx.doi.org/10.1016/j.aju.2012.07.005 Text en © 2012 Arab Association of Urology. Production and hosting by Elsevier B.V. All rights reserved. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). |
spellingShingle | Review Ganpule, Arvind P. Desai, Mahesh R. What’s new in percutaneous nephrolithotomy |
title | What’s new in percutaneous nephrolithotomy |
title_full | What’s new in percutaneous nephrolithotomy |
title_fullStr | What’s new in percutaneous nephrolithotomy |
title_full_unstemmed | What’s new in percutaneous nephrolithotomy |
title_short | What’s new in percutaneous nephrolithotomy |
title_sort | what’s new in percutaneous nephrolithotomy |
topic | Review |
url | 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 |
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