Percutaneous nephrolithotomy: technique

被引：90

作者：

Knoll, Thomas ^{[1
]}

Daels, Francisco ^{[2
]}

Desai, Janak ^{[3
]}

Hoznek, Andras ^{[4
]}

Knudsen, Bodo ^{[5
]}

Montanari, Emanuele ^{[6
]}

Scoffone, Cesare ^{[7
]}

Skolarikos, Andreas ^{[8
]}

Tozawa, Keiichi ^{[9
]}

机构：

[1] Univ Tubingen, Klinikum Sindelfingen Boeblingen, Dept Urol, Tubingen, Germany

[2] Hosp Italiano Buenos Aires, Buenos Aires, DF, Argentina

[3] Samved Hosp, Ahmadabad, Gujarat, India

[4] Hop Henri Mondor, Creteil, France

[5] Ohio State Univ, Wexner Med Ctr, Columbus, OH 43210 USA

[6] Hosp Santi & Carlo, Milan, Italy

[7] Cottolengo Hosp, Turin, Italy

[8] Univ Athens, Sismanogleio Gen Hosp, Athens, Greece

[9] Nagoya City Univ, Klinikum Sindelfingen Boeblingen, Dept Urol, Nagoya, Aichi, Japan

来源：

WORLD JOURNAL OF UROLOGY | 2017年 / 35卷 / 09期

关键词：

Percutaneous nephrolithotomy; Urinary calculi; Miniaturized; Tubeless; Ultrasound; Fluoroscopy; LOWER POLE NEPHROLITHIASIS; CLINICAL-RESEARCH OFFICE; SHOCK-WAVE LITHOTRIPSY; RENAL ACCESS; STAGHORN CALCULI; SUPINE VALDIVIA; PRONE POSITION; STONES; NEPHROSTOLITHOTOMY; TUBELESS;

D O I：

10.1007/s00345-017-2001-0

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) is considered to be the first line of treatment for large renal stones. Though PCNL comes with higher morbidity, its efficacy is unbeaten by other minimally invasive modalities. However, potential complications, such as bleeding, occur. Improved skills and modifications of the procedure may reduce the probability of adverse outcomes. This article discusses the current trends and standards in PCNL technique with special focus on all important steps as positioning, access, instruments, dilation, disintegration, and exit, including outcomes, complication management, and training modalities.

引用

页码：1361 / 1368

页数：8

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