Advertisement

Percutaneous Nephrolithotomy

  • John W. Dushinski
  • James E. Lingeman
Chapter
Part of the Atlas of Clinical Urology book series (ACU)

Abstract

Percutaneous nephrolithotomy (PNL) was first described by Fernstrom and Johansson in 1976 [1]. Improved surgical instruments and endourologic techniques developed in the ensuing decade allowed the procedure to gain widespread acceptance [2,3]. Today, PNL in conjunction with shock wave lithotripsy (SWL) has replaced open-stone surgery at most institutions. Patient comfort has been improved by combining previously separate steps in the PNL procedure into a single setting. Retrograde placement of a ureteral catheter, percutaneous access, and stone removal are all performed in the operating room under a single anesthetic by the urologist. This also avoids becoming dependent on another person’s skill and schedule and allows the flexibility to perform additional renal access procedures when required. Although other specialists may be capable of performing renal access, it is the urologist who should decide which site provides the best access to the stone.

Keywords

Shock Wave Lithotripsy Percutaneous Nephrolithotomy Ureteral Catheter Nephrostomy Tube Cystine Stone 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. 1.
    Fernstrom I, Johansson B: Percutaneous pyelolithotomy: a new extraction technique. Scand J Urol Nephrol 1976, 10:257–259.PubMedGoogle Scholar
  2. 2.
    Segura JW, Patterson DE, LeRoy AJ, et al.: Percutaneous removal of kidney stones: preliminary report. Mayo Clin Proc 1982, 57:615–619.PubMedGoogle Scholar
  3. 3.
    Clayman RV, Surya V, Miller RP, et al.: Percutaneous nephrolithotomy: extraction of renal and ureteral calculi from 100 patients. J Urol 1984, 131:868–871.PubMedGoogle Scholar
  4. 4.
    Lam HS, Lingeman JE, Mosbaugh PM, et al.: Evolution of the technique of combination therapy for staghorm calculi: a decreasing role for extracorporeal shock wave lithotripsy. J Urol 1992, 148:1058–1062.PubMedGoogle Scholar
  5. 5.
    Davidoff R, Bellman GC: Influence of technique of percutaneous tract creation on incidence of renal hemorrhage. J Urol 1997, 157:1229–1231.PubMedCrossRefGoogle Scholar
  6. 6.
    Denstedt JD, Razvi HA, Sales JL, et al.: Preliminary experience with holmium:YAG laser lithotripsy. J Endourol 1995, 9:255–258.PubMedCrossRefGoogle Scholar
  7. 7.
    Grasso M: Experience with the holmium laser as an endoscopic lithotrite. Urology 1996, 48:199–206.PubMedCrossRefGoogle Scholar
  8. 8.
    Lingeman JE, Newmark JR, Wong MR: Classification and management of staghorn calculi. In Controversies in Endourology. Edited by Smith AD. Philadelphia: WB Saunders; 1995:136–145.Google Scholar

Copyright information

© Springer Science+Business Media New York 2000

Authors and Affiliations

  • John W. Dushinski
  • James E. Lingeman

There are no affiliations available

Personalised recommendations