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Surgical Atlas
Percutaneous nephrolithotomy: the Mannheim technique
Author(s) -
Knoll Thomas,
Michel Maurice S.,
Alken Peter
Publication year - 2007
Publication title -
bju international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 1464-4096
DOI - 10.1111/j.1464-410x.2007.06613.x
Subject(s) - university hospital , medicine , general hospital , percutaneous nephrolithotomy , urology , general surgery , percutaneous , surgery
Proper establishment of the percutaneous tract is the most important step in percutaneous stone removal. If appropriately done the efficacy is optimal, with low complication rates. Depending on the availability of fluoroscopic facilities, in different countries the tract is established either by radiologists or urologists; this is still under debate in reports in the American literature [1–5]. Recently, Watterson et al. [5] compared renal access acquired by urologist vs radiologist and showed a higher stone-free rate and fewer complications by the former. This confirms our data indicating that the urologist should obtain renal access to achieve the optimum renal access for later stone removal [6].