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Percutaneous access techniques in renal surgery.

P B Irby1, B F Schwartz, M L Stoller

  • 1Walter Reed Army Medical Center, Washington, DC, USA.

Techniques in Urology
|June 22, 1999
PubMed
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Percutaneous renal surgery offers valuable techniques for urinary stone removal when extracorporeal shock wave lithotripsy is insufficient. This review covers the history, anatomy, and methods for managing renal calculi.

Area of Science:

  • Urology
  • Nephrology
  • Surgical Techniques

Background:

  • Percutaneous renal surgery is a continually evolving field.
  • Extracorporeal shock wave lithotripsy (ESWL) has led to the abandonment of some percutaneous techniques.
  • ESWL is not universally effective for all urinary calculi.

Purpose of the Study:

  • To review the history, anatomy, and techniques of percutaneous renal surgery.
  • To discuss specific problems and complications related to renal stone disease management.
  • To highlight the continued importance of percutaneous approaches for urinary calculi.

Main Methods:

  • Historical review of percutaneous renal surgery.
  • Anatomical considerations for renal access.
  • Description of various percutaneous surgical techniques.

Related Experiment Videos

  • Analysis of complications and problem-solving strategies.

    • Main Results:

    • Percutaneous renal surgery remains a vital option for stone-free patients.
    • Different techniques are necessary for diverse urinary stone presentations.
    • Understanding anatomy and potential complications is crucial for success.

    Conclusions:

    • Percutaneous renal surgery is essential for comprehensive urinary stone management.
    • Urologists must retain proficiency in percutaneous techniques.
    • A combination of treatments may be required for optimal patient outcomes.