Abstract
Percutaneous nephrolithotomy (PCNL) was introduced in the 1970s as a minimally invasive procedure in the treatment of renal stones, with further development in its technique in the ensuing years. Indications for PCNL have diminished with the appearance of extracorporeal shock wave lithotripsy (ESWL) in the early years of 1980s, but then they gradually increased. Currently, the role of PCNL is mainly in the treatment of large, multiple, complex, and lower calyceal stones. The efficacy of PCNL has increased with the improvement and introduction of new instruments such as the flexible nephroscope, the ureteroscope, and intracorporeal lithotripsy technology (ultrasound, pneumatic, and laser devices).
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Arafa, A.S., Al-Kandari, A.M. (2013). Visceral Complications of Percutaneous Nephrolithotomy (PCNL). In: Al-Kandari, A., Desai, M., Shokeir, A., Shoma, A., Smith, A. (eds) Difficult Cases in Endourology. Springer, London. https://doi.org/10.1007/978-1-84882-083-8_7
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