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2012 ; 10
(3
): 317-23
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What s new in percutaneous nephrolithotomy
#MMPMID26558043
Ganpule AP
; Desai MR
Arab J Urol
2012[Sep]; 10
(3
): 317-23
PMID26558043
show ga
INTRODUCTION: The goal of percutaneous nephrolithotomy (PCNL) is to ensure
complete stone clearance with minimal morbidity. The key to complete clearance is
accurate technique, expertise and instrumentation. METHODS: We systematically
reviewed available reports that were identified using a PubMed/Medline search.
The keywords used were 'PCNL' and 'advances in PCNL'. The findings were reviewed
under the topics of newer developments in imaging, techniques and a review of
outcomes with an emphasis on stone clearance and complications. CONCLUSION: The
newer developments in imaging methods, such as cone-beam computed tomography and
staghorn morphometry, help the surgeon to plan the procedure for a safe and
better outcome. The highlight of these newer developments is the miniaturisation
of instruments. This has translated into developing newer techniques such as the
'microperc' and 'miniperc'. The data-collection initiative by the Clinical
Research Office of the Endourological Society has helped in obtaining a high
level of evidence.
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