Percutaneous nephrolithotomy made easier: a practical guide, tips and tricks

被引:70
作者
Ko, Raymond [1 ]
Soucy, Frederic [1 ]
Denstedt, John D. [1 ]
Razvi, Hassan [1 ]
机构
[1] Univ Western Ontario, Dept Surg, Div Urol, London, ON N6A 3K7, Canada
关键词
percutaneous nephrolithotomy; percutaneous renal access; stone disease;
D O I
10.1111/j.1464-410X.2007.07259.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Percutaneous nephrolithotomy (PCNL) plays an integral role in managing large renal stones. Establishing percutaneous renal access is the most crucial step in the procedure and requires a thorough understanding of renal, retroperitoneal and thoracic anatomy to minimize the risk of complications. Moreover, access to fluoroscopy and the proper equipment are critical to ensuring complete stone removal. In this review we describe the technique of PCNL used in a high-volume endourology centre, where the urologist is involved in all aspects of the procedure.
引用
收藏
页码:535 / 539
页数:5
相关论文
共 19 条
[1]   Influence of technique of percutaneous tract creation on incidence of renal hemorrhage [J].
Davidoff, R ;
Bellman, GC .
JOURNAL OF UROLOGY, 1997, 157 (04) :1229-1231
[2]   Third prize: 2006 endourological society essay - Competition contemporary percutaneous nephrolithotripsy: 1585 procedures in 1338 consecutive patients [J].
Duvdevani, Mordechai ;
Razvi, Hassan ;
Sofer, Mario ;
Beiko, Darren T. ;
Nott, Linda ;
Chew, Ben H. ;
Denstedt, John D. .
JOURNAL OF ENDOUROLOGY, 2007, 21 (08) :824-829
[3]   THE RETRORENAL COLON IN THE SUPINE AND PRONE PATIENT [J].
HOPPER, KD ;
SHERMAN, JL ;
LUETHKE, JM ;
GHAED, N .
RADIOLOGY, 1987, 162 (02) :443-446
[4]  
Kanaroglou Androniki, 2006, Can J Urol, V13, P3153
[5]   Percutaneous nephrolithotomy: an update [J].
Kim, SC ;
Kuo, RL ;
Lingeman, JE .
CURRENT OPINION IN UROLOGY, 2003, 13 (03) :235-241
[6]  
Kondas J., 1994, International Urology and Nephrology, V26, P399, DOI 10.1007/BF02768008
[7]   Percutaneous renal access: tips and tricks [J].
Marcovich, R ;
Smith, AD .
BJU INTERNATIONAL, 2005, 95 :78-84
[8]   One week of ciprofloxacin before percutaneous nephrolithotomy significantly reduces upper tract infection and urosepsis: a prospective controlled study [J].
Mariappan, Paramananthan ;
Smith, Gordon ;
Moussa, Sami A. ;
Tolley, David A. .
BJU INTERNATIONAL, 2006, 98 (05) :1075-1079
[9]   Use of fibrin glue in percutaneous nephrolithotomy [J].
Mikhail, AA ;
Kaptein, JS ;
Bellman, GC .
UROLOGY, 2003, 61 (05) :910-914
[10]   Critical analysis of supracostal access for percutaneous renal surgery [J].
Munver, R ;
Delvecchio, FC ;
Newman, GE ;
Preminger, GM .
JOURNAL OF UROLOGY, 2001, 166 (04) :1242-1246