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Present indications and techniques of percutaneous nephrolithotomy:What the future holds?

Asian Journal of Urology 2018年第4期5卷 287-294页

作者： Itay M.Sabler Ioannis Katafigiotis Ofer N.Gofrit mordechai duvdevani Department of Urology Hadassah Hebrew University HospitalEin KaremJerusalemIsrael

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“PCNL”and“PNL”in combination with“indications”,“techniques”,“review”and“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.

关键词： Percutaneous nephrolithotomy Nephrolithiasis Intracorporeal lithotripsy Lasers Tract creation Renal access Horseshoe kidney Calyceal diverticulum Lower pole stones

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