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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
Parentral Nutrition: Centeral and Peripheral Parental Nutrition01:27

Parentral Nutrition: Centeral and Peripheral Parental Nutrition

Parenteral Nutrition (PN) delivers essential nutrients directly into the bloodstream, bypassing the digestive system. It is commonly used for individuals with severe digestive disorders or conditions that prevent normal nutrient absorption.
PN can be administered through two primary routes:
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Kidney Transplant II: Surgical Procedure01:26

Kidney Transplant II: Surgical Procedure

Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living donor...

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Updated: Jun 6, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
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Published on: September 13, 2022

[Synchronous bilateral percutaneous nephrolithotomy (PCNL)].

F Gigli, M A Cerruto, F Zattoni

    Urologia
    |November 19, 2010
    PubMed
    Summary
    This summary is machine-generated.

    Synchronous bilateral percutaneous nephrolithotomy (PCNL) is a safe and effective treatment for bilateral kidney stones. This procedure offers a favorable cost-benefit ratio and excellent stone-free rates in selected patients.

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    Area of Science:

    • Urology
    • Nephrology
    • Surgical Innovation

    Context:

    • Bilateral renal stones present a significant management challenge.
    • Percutaneous nephrolithotomy (PCNL) is a primary treatment modality for kidney stones.
    • Synchronous bilateral PCNL is explored as a potential solution for complex cases.

    Purpose:

    • To evaluate the safety and efficacy of synchronous bilateral percutaneous nephrolithotomy (PCNL).
    • To report clinical outcomes and complications associated with the simultaneous treatment of bilateral kidney stones.
    • To assess the cost-benefit ratio of this approach.

    Summary:

    • Four patients with persistent or recurrent bilateral renal stones underwent synchronous bilateral PCNL by a single surgeon.
    • The majority (75%) had calcium oxalate nephrolithiasis.
    • No peri- or post-operative complications were observed, with all patients achieving a stone-free status at a mean 12-month follow-up.

    Impact:

    • Synchronous bilateral PCNL appears to be a safe procedure in carefully selected patients.
    • It can be considered when the initial PCNL is straightforward and without complications.
    • This approach offers a potentially efficient treatment for bilateral kidney stones, minimizing morbidity.