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A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

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Published on: September 13, 2022

New instrumentation in percutaneous nephrolithotomy.

Joseph W Pugh¹, Benjamin K Canales

¹Department of Urology, University of Florida, Gainesville, FL, USA.

Indian Journal of Urology : IJU : Journal of the Urological Society of India

|December 1, 2010

Summary

New advancements in percutaneous nephrolithotomy (PCNL) instrumentation enhance the treatment of large kidney stones. This review covers evolving technologies for improved efficacy and safety in PCNL procedures.

Keywords:

Percutaneous nephrolithotomy lithotripsy stone manipulation devices tract sealants

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Area of Science:

Urology
Medical Devices
Nephrology

Background:

Percutaneous nephrolithotomy (PCNL) is the primary treatment for large or complex kidney stones.
PCNL techniques and equipment have continuously evolved since 1976 for better outcomes.

Purpose of the Study:

To review the advancements in PCNL instrumentation and technology.
To summarize new equipment and their potential benefits for treating renal calculi.

Main Methods:

Literature review of Medline from January 2004 to November 2009.
Inclusion of manufacturer data for equipment without published evidence.

Main Results:

Summaries of intracorporeal lithotriptors, stone manipulation devices, PCNL tract sealants, and digital rigid nephroscopes.
Evolution shows increased instrumentation options for urologists.

Conclusions:

Modern PCNL instrumentation offers enhanced options for effective percutaneous treatment of large renal stones.
Technological evolution aims to improve procedural efficacy, safety, and reproducibility.