European Association of Urology Section of Urolithiasis and International Alliance of Urolithiasis Joint Consensus on Percutaneous Nephrolithotomy

Zeng, Guohua; Zhong, Wen; Pearle, Margaret S.; Choong, Simon; Chew, Ben H.; Skolarikos, Andreas; Liatsikos, Evangelos; Pal, Shashi Kiran; Lahme, Sven; Durutović, Otaš; Farahat, Yasser; Khadgi, Sanjay; Desai, Mahesh; Chi, Thomas; Smith, Daron; Hoznek, Andràs; Papatsoris, Athanasios; Desai, Janak; Mazzon, Giorgio; Somani, Bhaskar; Eisner, Brian H.; Scoffone, Cesare Marco; Nguyen, Dong; Ferretti, Stefania; Giusti, Guido; Saltirov, I.; Maroccolo, Marcus Vinícius Osorio; Gökçe, Mehmet İlker; Straub, Michael; Bernardo, Norberto O.; Lantin, Pedro; Saulat, Sherjeel; Gamal, Wael; Denstedt, John D.; Ye, Zhangqun; Sarıca, Kemal

doi:10.1016/j.euf.2021.03.008

Cited by 38 publications

(31 citation statements)

References 111 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Percutaneous nephrolithotomy (PCNL) is recommended as the standard procedure for upper urinary tract stones larger than 2 cm [1]. Despite of the high stone clearance rate and many refinements of PCNL, there are still concerns regarding the potential risk of severe complications, including surrounding organ injury, bleeding requiring transfusion or embolization, or even death [2].…”

Section: Introductionmentioning

confidence: 99%

Feasibility of contrast-enhanced ultrasound and flank position during percutaneous nephrolithotomy in patients with no apparent hydronephrosis: a randomized controlled trial

et al. 2022

View full text Add to dashboard Cite

Purpose To investigate the puncture accuracy and feasibility of contrast-enhanced ultrasound (CEUS) guided percutaneous nephrolithotomy (PCNL) in flank position for patients with no apparent hydronephrosis. Methods Between May 2018 and June 2020, 72 kidney stone patients with no or mild hydronephrosis were randomized into two groups: a CEUS-guided PCNL group and a conventional ultrasound (US)-guided group. Patients’ demographics and perioperative outcomes were compared, including the success rate of puncture via calyceal fornix, the success rate of a single-needle puncture, puncture time, operative time, postoperative hemoglobin loss, stone-free rate, incidence of complications and postoperative stay. Results The success rate of puncture via calyceal fornix for CEUS-guided group was significantly higher than that for conventional US-guided group (86.1 vs. 47.2%, p = 0.002). Patients performed with CEUS-guided PCNL required shorter renal puncture time than those guided with conventional US (36.5 s vs. 61.0 s, p < 0.001). The median postoperative hemoglobin loss in the CEUS-guided group was significantly lower than that in conventional US-guided group (2.5 vs. 14.5 g/L, p < 0.01). There was no statistically significant difference in the success rate of a single-needle puncture, operative time, stone-free rate, incidence of complications and postoperative stay between the two groups. Conclusion CEUS guidance facilitates identification of the renal calyx fornix, and benefits more precise renal puncture and less hemoglobin loss in PCNL. CEUS-guided PCNL in flank position is a feasible approach to the treatment of kidney stone patients with no apparent hydronephrosis. Trial registration number: ChiCTR1800015417.

show abstract

Section: Introductionmentioning

confidence: 99%

Feasibility of contrast-enhanced ultrasound and flank position during percutaneous nephrolithotomy in patients with no apparent hydronephrosis: a randomized controlled trial

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Once the operator has a clear preoperative puncture plan during fluoroscopy and ultrasound-guided PCNL procedures, fluoroscopy can be used only for access tract formation and wire position confirmation. Shortening of fluoroscopy time during PCNL is an important technical requirement to ensure safety and efficiency in PCNL while also reducing the radiation exposure of the patient and surgical team ( 11 ).…”

Section: Discussionmentioning

confidence: 99%

“…There is a continuous search for new and improved methods that could help and refine the course of the PCNL procedure by achieving a more accurate approach to the renal collecting system and stone treatment while decreasing the risk of complications ( 11 ).…”

Section: Introductionmentioning

confidence: 99%

3D Imaging Segmentation and 3D Rendering Process for a Precise Puncture Strategy During PCNL – a Pilot Study

et al. 2022

Self Cite

View full text Add to dashboard Cite

Percutaneous nephrolithotomy (PCNL) is frequently used as the first-line treatment of large and complex stones. The key point for successful complex stone removal with minimal risk of complications is to establish the most appropriate access route. Understanding the three-dimensional (3D) relationship of kidney stones and renal collecting systems is crucial for planning and creating an optimal access route. By using a 3D volume segmentation tool a more accurate approach to the renal collecting system and stone treatment could be planned. The objective of this study was assessing the impact of 3D software in getting the desired access.

show abstract

“…This pragmatic change has not only influenced the developed world but also the low and middle income countries of Asia, too [16]. Percutaneous nephrolithotomy was introduced in 1976; subsequent technologic developments and refinement in endourologic techniques have made PCNL the management option of choice for large renal stones and/or stones that are resistant to shock wave lithotripsy (SWL) or ureteroscopy [17]. Although prone PCNL has been in vogue for decades, recent advances have introduced a supine position for PCNL and different modifications have also made it possible.…”

Section: Discussionmentioning

confidence: 99%

Access and Fluoroscopy Time Difference in Patients Undergoing Prone Percutaneous Nephrolithotomy (PCNL) With Ureteric Catheter Placement in Supine Versus Lithotomy Position

Mirani¹,

Ather²,

Kazmi³

et al. 2022

Cureus

View full text Add to dashboard Cite

Objective: To compare the operative and fluoroscopy time in two different methods of ureteral stent insertion before prone percutaneous nephrolithotomy (PCNL).Materials and method: Over 12 months, 124 patients with urolithiasis who went through prone PCNL were included in our study. All the patients had kidney stones and were divided into two groups based on the method of ureteral catheter insertion. This was done with the help of flexible or rigid cystoscopy in to group A and group B, respectively. Both groups had an equal number of patients, i.e., 62. The main outcome variables assessed were access time (from intubation to placement of access sheath) and fluoroscopy time during access.Results: The categorical variables (age, gender, site of the stone) between the two groups were comparable. The access time in groups A and B were 48±4.30 and 77±10 minutes, respectively. The fluoroscopy times in groups A and B were 52±14.63 and 116±47.77 seconds, respectively. A statistically significant difference (pvalue < 0.05) was observed for both the access and fluoroscopy time. None of the patients in either of the groups had a misplaced ureteral catheter requiring repositioning.Conclusion: Flexible cystoscope-assisted insertion of ureteral catheter prior to PCNL significantly reduces operative time, fluoroscopy time, and consequently radiation exposure during PCNL.

show abstract

European Association of Urology Section of Urolithiasis and International Alliance of Urolithiasis Joint Consensus on Percutaneous Nephrolithotomy

Cited by 38 publications

References 111 publications

Feasibility of contrast-enhanced ultrasound and flank position during percutaneous nephrolithotomy in patients with no apparent hydronephrosis: a randomized controlled trial

Feasibility of contrast-enhanced ultrasound and flank position during percutaneous nephrolithotomy in patients with no apparent hydronephrosis: a randomized controlled trial

3D Imaging Segmentation and 3D Rendering Process for a Precise Puncture Strategy During PCNL – a Pilot Study

Access and Fluoroscopy Time Difference in Patients Undergoing Prone Percutaneous Nephrolithotomy (PCNL) With Ureteric Catheter Placement in Supine Versus Lithotomy Position

Contact Info

Product

Resources

About