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Tips to Enter the Pelvicalyceal System in the Supine Position

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Abstract

A suitable, accurate and atraumatic percutaneous access is the key point for the success of any percutaneous nephrolithotomy, maximizing its effectiveness in terms of stone-free rates and its safety by reducing the risk of complications. The percutaneous renal access can be divided into five main steps, regardless of the patient’s positioning: personalized preoperative planning, puncture of the collecting system; insertion of the guidewire; dilation of the percutaneous tract; insertion of the working Amplatz sheath. There are several tips to optimize the aforementioned steps of the percutaneous renal access. Some of them are very general ones, a sort of forma mentis applicable in any position, others are exclusively related to the supine and supine-modified positions, mainly the Galdakao-modified supine Valdivia position in our experience.

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Authors and Affiliations

  1. Department of Urology, Cottolengo Hospital, Via Cottolengo 9, Torino, 10152, Italy

    Cesare Marco Scoffone & Cecilia Maria Cracco

Authors
  1. Cesare Marco Scoffone
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  2. Cecilia Maria Cracco
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Corresponding author

Correspondence to Cesare Marco Scoffone .

Editor information

Editors and Affiliations

  1. Department of Urology, East Surrey Hospital, Redhill, United Kingdom

    Abhay Rané

  2. Department of Urology, Ege University School of Medicine, İzmir, Turkey

    Burak Turna

  3. Case Western University, University Hospitals Urology Institute, Cleveland, Ohio, USA

    Riccardo Autorino

  4. Urology, SLK Kliniken, Heilbronn, Baden-Württemberg, Germany

    Jens J. Rassweiler

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© 2017 Springer-Verlag London

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Scoffone, C.M., Cracco, C.M. (2017). Tips to Enter the Pelvicalyceal System in the Supine Position. In: Rané, A., Turna, B., Autorino, R., Rassweiler, J. (eds) Practical Tips in Urology. Springer, London. https://doi.org/10.1007/978-1-4471-4348-2_46

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  • DOI: https://doi.org/10.1007/978-1-4471-4348-2_46

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  • Publisher Name: Springer, London

  • Print ISBN: 978-1-4471-4347-5

  • Online ISBN: 978-1-4471-4348-2

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