Present indications and techniques of percutaneous nephrolithotomy: What the future holds?
The purpose of the review was to present the latest updates on percutaneous nephrolithotomy (PCNL) procedure in terms of indications and evolving techniques, and to identify the advantages and disadvantages of each modality. The data for this review were collected after a thorough PubMed search in c...
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| Format: | Article |
| Language: | English |
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Elsevier
2018-10-01
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| Series: | Asian Journal of Urology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214388218300699 |
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| author | Itay M. Sabler Ioannis Katafigiotis Ofer N. Gofrit Mordechai Duvdevani |
| author_facet | Itay M. Sabler Ioannis Katafigiotis Ofer N. Gofrit Mordechai Duvdevani |
| author_sort | Itay M. Sabler |
| collection | DOAJ |
| description | The purpose of the review was to present the latest updates on percutaneous nephrolithotomy (PCNL) procedure in terms of indications and evolving techniques, and to identify the advantages and disadvantages of each modality. The data for this review were collected after a thorough PubMed search in core clinical journals in English language. The key words included “PCNL” and “PNL” in combination with “indications”, “techniques”, “review” and “miniaturized PCNL”. Publications relevant to the subject were retrieved and critically reviewed. Current European and American Urology Association Nephrolithiasis Guidelines were included as well. The indications for standard PCNL have been changed through the past decade. Despite evolution of the procedure, innovations and the development of new technical approaches, the indications for miniaturized PCNL have not been standardized yet. There is a need for well-constructed randomized trials to explore the indications, complications and results for each evolving approach. A continuous reduction of tract size is not the only revolution of the last years. There is constant ongoing interest in developing new efficient miniature instruments, intracorporeal lithotripters and sophisticated tract creation methods. We can summarize that, PCNL represents a valuable well-known tool in the field of endourology. We should be open minded to future changes in surgical approaches and technological improvements. Keywords: Percutaneous nephrolithotomy, Nephrolithiasis, Intracorporeal lithotripsy, Lasers, Tract creation, Renal access, Horseshoe kidney, Calyceal diverticulum, Lower pole stones |
| format | Article |
| id | doaj-art-a1c4f4d8b41b4b2babf1bf85e6f1ceaa |
| institution | OA Journals |
| issn | 2214-3882 |
| language | English |
| publishDate | 2018-10-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Urology |
| spelling | doaj-art-a1c4f4d8b41b4b2babf1bf85e6f1ceaa2025-08-20T02:28:07ZengElsevierAsian Journal of Urology2214-38822018-10-015428729410.1016/j.ajur.2018.08.004Present indications and techniques of percutaneous nephrolithotomy: What the future holds?Itay M. Sabler0Ioannis Katafigiotis1Ofer N. Gofrit2Mordechai Duvdevani3Corresponding author.; Department of Urology, Hadassah Hebrew University Hospital, Ein Karem, Jerusalem, IsraelDepartment of Urology, Hadassah Hebrew University Hospital, Ein Karem, Jerusalem, IsraelDepartment of Urology, Hadassah Hebrew University Hospital, Ein Karem, Jerusalem, IsraelDepartment of Urology, Hadassah Hebrew University Hospital, Ein Karem, Jerusalem, IsraelThe purpose of the review was to present the latest updates on percutaneous nephrolithotomy (PCNL) procedure in terms of indications and evolving techniques, and to identify the advantages and disadvantages of each modality. The data for this review were collected after a thorough PubMed search in core clinical journals in English language. The key words included “PCNL” and “PNL” in combination with “indications”, “techniques”, “review” and “miniaturized PCNL”. Publications relevant to the subject were retrieved and critically reviewed. Current European and American Urology Association Nephrolithiasis Guidelines were included as well. The indications for standard PCNL have been changed through the past decade. Despite evolution of the procedure, innovations and the development of new technical approaches, the indications for miniaturized PCNL have not been standardized yet. There is a need for well-constructed randomized trials to explore the indications, complications and results for each evolving approach. A continuous reduction of tract size is not the only revolution of the last years. There is constant ongoing interest in developing new efficient miniature instruments, intracorporeal lithotripters and sophisticated tract creation methods. We can summarize that, PCNL represents a valuable well-known tool in the field of endourology. We should be open minded to future changes in surgical approaches and technological improvements. Keywords: Percutaneous nephrolithotomy, Nephrolithiasis, Intracorporeal lithotripsy, Lasers, Tract creation, Renal access, Horseshoe kidney, Calyceal diverticulum, Lower pole stoneshttp://www.sciencedirect.com/science/article/pii/S2214388218300699 |
| spellingShingle | Itay M. Sabler Ioannis Katafigiotis Ofer N. Gofrit Mordechai Duvdevani Present indications and techniques of percutaneous nephrolithotomy: What the future holds? Asian Journal of Urology |
| title | Present indications and techniques of percutaneous nephrolithotomy: What the future holds? |
| title_full | Present indications and techniques of percutaneous nephrolithotomy: What the future holds? |
| title_fullStr | Present indications and techniques of percutaneous nephrolithotomy: What the future holds? |
| title_full_unstemmed | Present indications and techniques of percutaneous nephrolithotomy: What the future holds? |
| title_short | Present indications and techniques of percutaneous nephrolithotomy: What the future holds? |
| title_sort | present indications and techniques of percutaneous nephrolithotomy what the future holds |
| url | http://www.sciencedirect.com/science/article/pii/S2214388218300699 |
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