Our Multiple Single-step Access Results in Percutaneous Nephrolithotomy

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AB01. Percutaneous renal access for nephrolithotomy

Percutaneous nephrolithotomy has revolutionized the ability of the urologist to remove large burdens of renal stones over the last 15 years. In the United States, it has largely replaced open stone surgery for the treatment of large sized stones. One of the key factors in optimizing outcomes for this procedure is accurate percutaneous renal access. The guiding principles for effective renal acc...

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Results of Percutaneous Nephrolithotomy under Spinal Anesthesia

Recently, there has been a considerable increase in the number of procedures carried out under regional anesthesia. However, percutaneous nephrolithotomy (PCNL) procedures are usually performed under general anesthesia. The aim of this study was to assess the safety and efficacy of PCNL under spinal anesthesia in patients with renal calculi. We describe our 9 years experience of performing PCNL...

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Single-step renal dilatation in percutaneous nephrolithotomy: A prospective randomised study

OBJECTIVE To perform an economical single-step renal dilatation (RD) during percutaneous nephrolithotomy (PCNL), using directly a 30-F Amplatz dilator over the central Alken dilator, in a trial to reduce the operative duration and radiation exposure during RD while avoiding an exchange of dilators that might increase the risk of blood loss. PATIENTS AND METHODS In a prospective randomised stu...

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Pediatric percutaneous nephrolithotomy using adult sized instruments: our experience.

PURPOSE To evaluate the safety and efficacy of pediatric percutaneous nephrolithotomy (PCNL) using adult sized instruments in the management of pediatric urolithiasis. MATERIALS AND METHODS We retrospectively reviewed the medical records of 38 children younger than 15 years who had undergone 45 PCNLs with adult sized instruments in our center between August 2007 and February 2010. RESULTS T...

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Complications in percutaneous nephrolithotomy.

OBJECTIVE This review focuses on a step-by-step approach to percutaneous nephrolithotomy (PNL) and its complications and management. METHODS Based on institutional and personal experience with >1000 patients treated by PNL, we reviewed the literature (Pubmed search) focusing on technique, type, and incidence of complications of the procedure. RESULTS Complications during or after PNL may be...

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ژورنال

عنوان ژورنال: Journal of Urological Surgery

سال: 2019

ISSN: 2148-9580

DOI: 10.4274/jus.galenos.2018.2053