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Percutaneous nephrolithotomy made easier: a practical guide, tips and tricks
Author(s) -
Ko Raymond,
Soucy Frédéric,
Denstedt John D.,
Razvi Hassan
Publication year - 2008
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.2007.07259.x
Subject(s) - percutaneous nephrolithotomy , fluoroscopy , medicine , percutaneous , renal stone , radiology , surgery , urinary system
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.