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Percutaneous nephrolithotomy and its legacy.
A Skolarikos1, G Alivizatos, J J M C H de la Rosette
1Second Department of Urology, University of Athens, Athens, Greece. andskol@yahoo.com
European Urology
|December 8, 2004
Summary
Percutaneous Nephrolithotomy (PNL) is a safe and effective treatment for kidney stones, especially large calculi. Further research is needed to compare PNL with other stone removal methods.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Percutaneous Nephrolithotomy (PNL) has a long history of safe and effective use for renal stone treatment.
- Interest remains high in PNL application across diverse patient populations.
Purpose of the Study:
- To review the indications, safety, and efficacy of PNL in various patient groups.
- To discuss technical aspects, new advancements, and ongoing debates in PNL procedures.
Main Methods:
- A comprehensive literature search was conducted on PNL.
- The search covered the MEDLINE database from 1980 to 2004.
Main Results:
- PNL is a well-established, safe, and effective treatment for kidney stones.
- Its application in pediatric, obese, and complex renal cases is of significant interest.
- Simultaneous bilateral PNL is viable for bilateral stones with experienced practitioners.
- Debates continue regarding optimal techniques, including patient positioning, access, dilation, and drainage.
Conclusions:
- PNL is the preferred method for managing large renal calculi.
- High-quality prospective randomized trials are necessary to compare PNL with alternative treatments.