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Urinary Tract Calculi VI: Surgical Management

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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...

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Updated: Mar 15, 2026

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy

Published on: September 13, 2022

[Operative technique for percutaneous nephrolithotomy].

A Häcker¹, A Bachmann², T Herrmann³

¹Universitätsmedizin Mannheim, Theodor-Kutzer-Ufer 1-3, 68513, Mannheim, Deutschland. axel.haecker@umm.de.

Der Urologe. Ausg. A

|September 15, 2016

Summary

This summary is machine-generated.

Percutaneous nephrolithotomy (PCNL) is a minimally invasive kidney stone removal method that has largely replaced open surgery. This article details PCNL

Keywords:

Minimally invasive therapy Percutaneous nephrolithotomy Percutaneous nephrolitolapaxy Surgical technique Urolithiasis

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Published on: July 19, 2018

Area of Science:

Urology
Minimally Invasive Surgery

Background:

Kidney stones are a common ailment.
Open surgery for kidney stones is largely obsolete.
Percutaneous nephrolithotomy (PCNL) is the standard treatment.

Purpose of the Study:

To describe the indications for PCNL.
To detail the surgical technique of PCNL.
To outline complication management strategies for PCNL.

Main Methods:

Literature review of PCNL techniques.
Analysis of clinical indications for PCNL.
Review of complication data and management.

Main Results:

PCNL is indicated for most kidney stone burdens.
The technique involves accessing the kidney through a small incision.
Complications are managed through various interventions.

Conclusions:

PCNL is a highly effective treatment for kidney stones.
Understanding indications and technique is crucial for success.
Effective complication management ensures patient safety.