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Updated: Jan 5, 2026
09:31
In Vivo, Percutaneous, Needle Based, Optical Coherence Tomography of Renal Masses
Published on: March 30, 2015
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Techniques for fluoroscopy-guided percutaneous renal access: An analytical review
Gyanendra Ravindra Sharma1, Bhojraj Luitel2
1Chitale Clinic Private Limited, Solapur, Maharashtra, India.
Summary
This review examines fluoroscopy-guided techniques for percutaneous renal access, a crucial step in percutaneous nephrolithotomy. Understanding these methods is vital for endourologists as no single technique has proven superior.
Area of Science:
- Urology
- Medical Imaging
- Surgical Techniques
Background:
- Percutaneous renal access is essential for percutaneous nephrolithotomy.
- Fluoroscopy and ultrasonography are key imaging modalities for guiding access.
- Numerous fluoroscopy-guided techniques exist, each with unique principles.
Purpose of the Study:
- To review and analyze various fluoroscopy-guided percutaneous renal access techniques.
- To discuss the anatomical principles underlying these access methods.
- To highlight the advantages and limitations of each technique.
Main Methods:
- A comprehensive literature search was conducted using PubMed.
- Relevant studies describing fluoroscopy-guided percutaneous renal access techniques were identified.
- Techniques were analyzed based on skin site selection, puncture angle, and depth determination.
Main Results:
- Various fluoroscopy-guided percutaneous renal access techniques have been described.
- Each technique presents distinct advantages and limitations.
- No comparative studies exist to determine the superiority of any single technique.
Conclusions:
- Endourologists must be proficient in multiple fluoroscopy-guided percutaneous renal access techniques.
- Further comparative studies are needed to establish the optimal technique.
- Informed selection of technique is crucial for successful percutaneous nephrolithotomy.
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