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An update on percutaneous nephrolithotomy: lessons learned from the CROES PCNL Global Study
A Tefekli1, E Cordeiro, J J M C H de la Rosette
1Nisantasi, Istanbul, Turkey.
Minerva Medica
|February 9, 2013
Summary
Percutaneous nephrolithotomy (PNL) has evolved significantly, offering high stone-free rates for large kidney stones. Lessons learned from the CROES Global PNL Study refine this minimally invasive technique.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Percutaneous nephrolithotomy (PNL) has evolved since the 1970s.
- PNL is a key minimally invasive option for large renal stones (>1.5-2 cm).
- PNL faces competition from retrograde intrarenal surgery and laparoscopic techniques.
Purpose of the Study:
- To analyze lessons learned from the CROES Global PNL Study.
- To provide insights into the evolution of PNL techniques and outcomes.
- To update understanding of PNL in the context of contemporary minimally invasive surgery.
Main Methods:
- Prospective data collection from over 5800 patients undergoing PNL worldwide.
- Detailed analysis of data by the CROES Global PNL Study Group.
- Synthesis of findings from over 25 scientific publications.
Main Results:
- PNL demonstrates high stone-free rates for large renal calculi.
- Analysis highlights considerable complication rates associated with PNL.
- The study provides a comprehensive global perspective on PNL outcomes.
Conclusions:
- Continuous evolution in PNL equipment and techniques is evident.
- Understanding lessons from large-scale studies like CROES is crucial for optimizing PNL.
- PNL remains a competitive and evolving treatment for kidney stones.
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