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Kidney targeting and puncturing during percutaneous nephrolithotomy: recent advances and future perspectives
Pedro L Rodrigues1, Nuno F Rodrigues, Jaime Fonseca
1ICVS/3B's - PT Government Associate Laboratory, Braga/Guimarães, Portugal.
Journal of Endourology
|March 16, 2013
Summary
Achieving precise kidney access for percutaneous nephrolithotomy (PCNL) remains challenging. Advances in imaging and surgical tools improve renal access, but a universally accepted solution for PCNL puncture guidance is still under development.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Medical Imaging
Background:
- Percutaneous nephrolithotomy (PCNL) requires precise kidney puncture for successful renal access.
- Developing effective techniques and devices for kidney targeting in PCNL is crucial.
Purpose of the Study:
- To critically review methodologies and techniques for kidney targeting and puncture during PCNL.
- To identify research paths for improving the PCNL procedure.
Main Methods:
- A comprehensive literature search was conducted on Medline/PubMed, ISI Web of Science, and Scopus (2007-2012).
- Two authors independently reviewed identified studies.
- 52 relevant articles were selected for this review.
Main Results:
- Numerous techniques and technological advancements aim to enhance PCNL puncture.
- Key contributions include medical imaging, novel surgical tools, motion tracking, robotics, and advanced image processing.
- Despite progress, no single, widely accepted solution for PCNL puncture guidance has emerged.
Conclusions:
- Medical imaging, advanced tools, and robotics have significantly contributed to PCNL puncture techniques.
- PCNL puncture guidance remains an active and challenging research area.
- Future research should prioritize real-time, radiation-free imaging, and robust algorithms.
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