Present indications and techniques of percutaneous nephrolithotomy:What the future holds?
作者机构：Department of UrologyHadassah Hebrew University HospitalEin KaremJerusalemIsrael
出 版 物：《Asian Journal of Urology》 (亚洲泌尿外科杂志（英文）)
年 卷 期：2018年第5卷第4期
页 面：287-294页
学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学]
主 题：Percutaneous nephrolithotomy Nephrolithiasis Intracorporeal lithotripsy Lasers Tract creation Renal access Horseshoe kidney Calyceal diverticulum Lower pole stones
摘 要：The purpose of the review was to present the latest updates on percutaneous nephrolithotomy(PCNL)procedure in terms of indications and evolving techniques,and to identify the advantages and disadvantages of each *** data for this review were collected after a thorough PubMed search in core clinical journals in English *** key words included“PCNLand“PNLin combination with“indications,“techniques,“reviewand“miniaturized PCNL.Publications relevant to the subject were retrieved and critically *** European and American Urology Association Nephrolithiasis Guidelines were included as *** indications for standard PCNL have been changed through the past *** evolution of the procedure,innovations and the development of new technical approaches,the indications for miniaturized PCNL have not been standardized *** is a need for well-constructed randomized trials to explore the indications,complications and results for each evolving approach.A continuous reduction of tract size is not the only revolution of the last *** is constant ongoing interest in developing new efficient miniature instruments,intracorporeal lithotripters and sophisticated tract creation *** can summarize that,PCNL represents a valuable well-known tool in the field of *** should be open minded to future changes in surgical approaches and technological improvements.
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