Percutaneous nephrolithotomy(PCNL) a critical review.

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Percutaneous nephrolithotomy(PCNL) a critical review.

Int J Surg. 2016 Nov 14;:

Authors: Ganpule AP, Vijayakumar M, Malpani A, Desai MR

Abstract
INTRODUCTION: Percutaneous nephrolithotomy (PCNL) is the preferred treatment of choice for renal calculi. PCNL has evolved remarkably since the eighties when it was first described.
APPROACH: Approach might be by either supine or prone and the access is made with the help of either fluoroscopy or ultrasound. Recently endoscopy and ipad guided puncture have also been described.
MINIATURIZATION: The traditional PCNl were sung tracts upto 40 fr initially and the most common used was around 30 fr till recently. Even though the stone clearance rate was good there were complications such as bleeding With the advent of excellent optics and advances in stone fragmentation the tract size has reduced to a great extent which has reduced the complications without compromising the stone clearance.
COMPLICATIONS: The complications related to access might be injury to pleura, and other visceral organs. The other complications are bleeding, infection and incomplete stone clearance.
CONCLUSION: PCNL has emerged as most efficient procedure among these approaches to stone removal, though not devoid of complications and requirement for skills. The drive for minimal invasive approach should not compromise stone clearance, latter being the core principle of endourology. In skilled hands PCNL is the answer to stone questions we as urologist face day to day. though which form of PCNL is to be chosen depends on surgeons skill level and discretion.

PMID: 27856356 [PubMed - as supplied by publisher]

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