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Related Experiment Video

Updated: Sep 6, 2025

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Electromagnetic-guided puncture: a tool or a tale?

Arman Tsaturyan1, Evangelos Liatsikos1,2,3, Solon Faitatziadis1

  • 1Department of Urology, University of Patras, Patras, Greece.

Current Opinion in Urology
|June 24, 2022
PubMed
Summary

Electromagnetic-guided puncture offers a promising new approach for percutaneous nephrolithotomy (PCNL), potentially improving outcomes and reducing complications. This technique shows high success rates and shorter learning curves for urologists compared to traditional methods.

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Area of Science:

  • Urology
  • Medical Technology
  • Surgical Innovation

Background:

  • Percutaneous nephrolithotomy (PCNL) outcomes are influenced by puncture technique and site.
  • Postoperative adverse events in PCNL can be linked to the puncture procedure.

Purpose of the Study:

  • To review current puncture guidance methods for PCNL.
  • To explore the role of electromagnetic-guided puncture in PCNL.

Main Methods:

  • Review of existing literature on PCNL puncture guidance.
  • Discussion of fluoroscopic, ultrasound, and electromagnetic guidance techniques.
  • Analysis of experimental and clinical data on electromagnetic navigation.

Main Results:

  • Electromagnetic-guided puncture is a recent technological advancement for PCNL.
  • This method utilizes a sensor-equipped wire for navigation to the renal collecting system.
  • Studies indicate a high first puncture success rate, reduced puncture time, and shorter learning curves.

Conclusions:

  • Fluoroscopic and ultrasound guidance are standard but have steep learning curves (approx. 60 cases).
  • Electromagnetic navigation shows feasibility and promising initial outcomes for PCNL.
  • Further research is needed to integrate electromagnetic guidance into routine urological practice.