TY - JOUR
T1 - Recent advancement or less invasive treatment of percutaneous nephrolithotomy
AU - Kim, Bum Soo
N1 - Publisher Copyright:
© The Korean Urological Association, 2015.
PY - 2015/9/1
Y1 - 2015/9/1
N2 - Since its initial introduction in 1976, percutaneous nephrolithotomy (PCNL) has been widely performed for the management of large renal stones and currently is recommended for staghorn calculi, kidney stones larger than 2 cm, and shock wave lithotripsy-resistant lower pole stones greater than 1 cm. However, except for open and laparoscopic surgery, PCNL is the most invasive of the minimally invasive stone surgery techniques. Over the years, technical and instrumental advances have been made in PCNL to reduce morbidity and improve effectiveness. A thorough review of the recent literature identified five major areas of progress for the advancement of PCNL: patient positioning, method of percutaneous access, development of lithotriptors, miniaturized access tracts, and postoperative nephrostomy tube management. This review provides an overview of recent advancements in PCNL and the outcomes of each area of progress and notes how much we achieve with less invasive PCNL. This information may allow us to consider the future role and future developments of PCNL.
AB - Since its initial introduction in 1976, percutaneous nephrolithotomy (PCNL) has been widely performed for the management of large renal stones and currently is recommended for staghorn calculi, kidney stones larger than 2 cm, and shock wave lithotripsy-resistant lower pole stones greater than 1 cm. However, except for open and laparoscopic surgery, PCNL is the most invasive of the minimally invasive stone surgery techniques. Over the years, technical and instrumental advances have been made in PCNL to reduce morbidity and improve effectiveness. A thorough review of the recent literature identified five major areas of progress for the advancement of PCNL: patient positioning, method of percutaneous access, development of lithotriptors, miniaturized access tracts, and postoperative nephrostomy tube management. This review provides an overview of recent advancements in PCNL and the outcomes of each area of progress and notes how much we achieve with less invasive PCNL. This information may allow us to consider the future role and future developments of PCNL.
KW - Kidney calculi
KW - Minimally invasive surgical procedures
KW - Percutaneous nephrostomy
KW - Supine position
KW - Surgical instruments
UR - http://www.scopus.com/inward/record.url?scp=84941202196&partnerID=8YFLogxK
U2 - 10.4111/kju.2015.56.9.614
DO - 10.4111/kju.2015.56.9.614
M3 - Review article
C2 - 26366273
AN - SCOPUS:84941202196
SN - 0494-4747
VL - 56
SP - 614
EP - 623
JO - Korean Journal of Urology
JF - Korean Journal of Urology
IS - 9
ER -