Percutaneous nephrolithotomy

• Verfasst von: Knoll, Thomas [VerfasserIn]
• Titel: Percutaneous nephrolithotomy
• Titelzusatz: technique
• Verf.angabe: Thomas Knoll, Francisco Daels, Janak Desai, Andras Hoznek, Bodo Knudsen, Emanuele Montanari, Cesare Scoffone, Andreas Skolarikos, Keiichi Tozawa
• E-Jahr: 2017
• Jahr: 25 January 2017
• Umfang: 8 S.
• Fussnoten: Gesehen am 19.11.2018
• Titel Quelle: Enthalten in: World journal of urology
• Ort Quelle: Berlin : Springer, 1983
• Jahr Quelle: 2017
• Band/Heft Quelle: 35(2017), 9, Seite 1361-1368
• ISSN Quelle: 1433-8726
• DOI: doi:10.1007/s00345-017-2001-0
• Datenträger: Online-Ressource
• Sprache: eng
• Sach-SW: Fluoroscopy
• Sach-SW: Miniaturized
• Sach-SW: Percutaneous nephrolithotomy
• Sach-SW: Tubeless
• Sach-SW: Ultrasound
• Sach-SW: Urinary calculi
• K10plus-PPN: 1583815597

Abstract

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.