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Author Spotlight: Developing a Bedside Protocol for Kidney and Genitourinary Ultrasonography
Published on: June 21, 2024
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Fluoroscopy guided percutaneous renal access in prone position.
Gyanendra R Sharma1, Pankaj N Maheshwari1, Anshu G Sharma1
1Gyanendra R Sharma, Department of Urology, Chitale Clinic Private Limited, Solapur, Maharashtra 413001, India.
World Journal of Clinical Cases
|March 20, 2015
Summary
This review details percutaneous renal access for kidney stone management. It offers a step-by-step guide, anatomical insights, and techniques to overcome challenges in this crucial procedure.
Area of Science:
- Urology
- Surgical Anatomy
- Medical Imaging
Background:
- Percutaneous nephrolithotomy (PCNL) is a standard procedure for renal calculus disease.
- Achieving optimal renal access is critical for PCNL success.
- Fluoroscopy-guided access presents a steep learning curve due to 2D visualization of 3D anatomy.
Purpose of the Study:
- To provide a comprehensive anatomical basis for percutaneous renal access.
- To review advancements and literature on percutaneous renal access techniques.
- To offer a practical, step-by-step guide for performing renal access.
Main Methods:
- Literature review of percutaneous renal access.
- Description of anatomical considerations for renal access.
- Presentation of a mathematical principle for determining puncture site, angle, and depth.
Main Results:
- Detailed anatomical review relevant to renal access.
- Discussion of common challenges during puncture and dilatation.
- A technique for optimizing puncture parameters using mathematical principles.
Conclusions:
- A thorough understanding of renal anatomy is vital for successful PCNL access.
- The described technique aids in achieving precise skin puncture, angle, and depth.
- This guide aims to improve the success rate and reduce complications in percutaneous renal access.
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