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[Evolution and miniaturization of percutaneous nephrolithotomy].

Fabian Schoofs1,2, Giuseppe Celentano2, Hamid Abboudi2

  • 1Service d'urologie, Département de chirurgie, HUG, 1211 Genève 14.

Revue Medicale Suisse
|November 29, 2019
PubMed
Summary

Percutaneous nephrolithotomy (PCNL) has evolved with miniaturized technology, expanding its use for kidney stones. Ongoing advancements aim to reduce complications like bleeding, making PCNL a beneficial procedure for more patients.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery

Background:

  • Percutaneous nephrolithotomy (PCNL) was initially developed for large kidney stones.
  • Technological advancements have led to device miniaturization in PCNL.
  • Minimizing complications, especially hemorrhage, is a key focus in PCNL development.

Purpose of the Study:

  • To detail the advancements in percutaneous nephrolithotomy (PCNL).
  • To highlight the impact of technological progress on PCNL techniques.
  • To underscore the expanding indications and benefits of modern PCNL.

Main Methods:

  • Review of technological progress in PCNL equipment.
  • Analysis of evolving PCNL techniques to reduce complications.
  • Examination of expanded indications for PCNL.

Main Results:

  • PCNL technology has significantly improved, with device miniaturization.
  • New techniques aim to decrease PCNL-related hemorrhage.
  • PCNL is becoming less invasive with broader patient applicability.

Conclusions:

  • Technological advancements in PCNL have not compromised stone clearance.
  • Reduced invasiveness and complications are expanding PCNL indications.
  • Understanding the evolving nature of PCNL is crucial for its future application.