Loading…
Percutaneous Nephrolithotomy: Update, Trends, and Future Directions
Abstract Context Percutaneous nephrolithotomy (PCNL) is the surgical standard for treating large or complex renal stones. Since its inception, the technique of PCNL has undergone many modifications. Objective To perform a collaborative review on the latest evidence related to outcomes and innovation...
Saved in:
| Published in: | European urology 2016-08, Vol.70 (2), p.382-396 |
|---|---|
| Main Authors: | , , , , , , , |
| Format: | Article |
| Language: | English |
| Subjects: | |
| Citations: | Items that this one cites Items that cite this one |
| Online Access: | Get full text |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| cited_by | cdi_FETCH-LOGICAL-c516t-48a883a50b1efd21fe0c8579072d62d59acc011491845e5a8ecf04c94fec38cb3 |
|---|---|
| cites | cdi_FETCH-LOGICAL-c516t-48a883a50b1efd21fe0c8579072d62d59acc011491845e5a8ecf04c94fec38cb3 |
| container_end_page | 396 |
| container_issue | 2 |
| container_start_page | 382 |
| container_title | European urology |
| container_volume | 70 |
| creator | Ghani, Khurshid R Andonian, Sero Bultitude, Matthew Desai, Mihir Giusti, Guido Okhunov, Zhamshid Preminger, Glenn M de la Rosette, Jean |
| description | Abstract Context Percutaneous nephrolithotomy (PCNL) is the surgical standard for treating large or complex renal stones. Since its inception, the technique of PCNL has undergone many modifications. Objective To perform a collaborative review on the latest evidence related to outcomes and innovations in the practice of PCNL since 2000. Evidence acquisition A literature review was performed using the PubMed database between 2000 and July 2015, restricted to human species, adults, and the English language. The Medline search used a strategy including the following keywords: percutaneous nephrolithotomy, PNL, advances, trends, technique , and the Medical Subject Headings term percutaneous nephrostomy. Evidence synthesis Population-based studies have now provided a wealth of information regarding patient outcomes following PCNL. The complexity of the stone treated can be quantified using a variety of validated nephrolithometry classification systems. Increasing familiarity with the supine approach to PCNL has enabled simultaneous combined retrograde and antegrade surgery. Advances such as endoscopic guided percutaneous access may help urologists achieve access with less morbidity. Increasing miniaturization of equipment has led to the development of mini, micro, and ultramini techniques. The tubeless method of PCNL is now accepted practice with good evidence of safety in appropriately selected patients. Conclusions Modern-day PCNL allows personalized stone management tailored to individual patient and surgeon factors. Future studies should continue to refine methods to assess complexity and safety and to determine consensus on the use of miniaturized PCNL. Patient summary Modern-day percutaneous nephrolithotomy has transformed from an operation traditionally undertaken in one position, using one access method with one set of instrumentation and one surgeon, to one with a variety of options at each step. |
| doi_str_mv | 10.1016/j.eururo.2016.01.047 |
| format | article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_1811891048</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0302283816001664</els_id><sourcerecordid>1811891048</sourcerecordid><originalsourceid>FETCH-LOGICAL-c516t-48a883a50b1efd21fe0c8579072d62d59acc011491845e5a8ecf04c94fec38cb3</originalsourceid><addsrcrecordid>eNqNkU1v1DAQhi0EokvhHyCUI4cmzNj5cDggVQuFSlVBoj1bXnuiesnGix0j7b_HSwoHLu3JGumZ97WeYew1QoWA7bttRSmk4Cuepwqwgrp7wlYoO1F2TQtP2QoE8JJLIU_Yixi3ACCaXjxnJ7yVXSu4XLH1NwomzXoin2JxTfu74Ec33_nZ7w7vi9u91TOdFTeBJhvPCj3Z4iLNKVDx0QUys_NTfMmeDXqM9Or-PWW3F59u1l_Kq6-fL9fnV6VpsJ3LWmophW5ggzRYjgOBkU3XQ8dty23Ta2MAse5R1g01WpIZoDZ9PZAR0mzEKXu75O6D_5kozmrnoqFxXH6vUCLKHqGWj0ABOsjlXUbrBTXBxxhoUPvgdjocFII6mlZbtZhWR9MKUGXTee3NfUPa7Mj-W_qrNgMfFoCykl-OgorG0WTI_hGnrHcPNfwfYEY3OaPHH3SguPUpTFm3QhW5AvX9eO3jsbGFnNLW4jfV8aV6</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1800705797</pqid></control><display><type>article</type><title>Percutaneous Nephrolithotomy: Update, Trends, and Future Directions</title><source>ScienceDirect Freedom Collection</source><creator>Ghani, Khurshid R ; Andonian, Sero ; Bultitude, Matthew ; Desai, Mihir ; Giusti, Guido ; Okhunov, Zhamshid ; Preminger, Glenn M ; de la Rosette, Jean</creator><creatorcontrib>Ghani, Khurshid R ; Andonian, Sero ; Bultitude, Matthew ; Desai, Mihir ; Giusti, Guido ; Okhunov, Zhamshid ; Preminger, Glenn M ; de la Rosette, Jean</creatorcontrib><description>Abstract Context Percutaneous nephrolithotomy (PCNL) is the surgical standard for treating large or complex renal stones. Since its inception, the technique of PCNL has undergone many modifications. Objective To perform a collaborative review on the latest evidence related to outcomes and innovations in the practice of PCNL since 2000. Evidence acquisition A literature review was performed using the PubMed database between 2000 and July 2015, restricted to human species, adults, and the English language. The Medline search used a strategy including the following keywords: percutaneous nephrolithotomy, PNL, advances, trends, technique , and the Medical Subject Headings term percutaneous nephrostomy. Evidence synthesis Population-based studies have now provided a wealth of information regarding patient outcomes following PCNL. The complexity of the stone treated can be quantified using a variety of validated nephrolithometry classification systems. Increasing familiarity with the supine approach to PCNL has enabled simultaneous combined retrograde and antegrade surgery. Advances such as endoscopic guided percutaneous access may help urologists achieve access with less morbidity. Increasing miniaturization of equipment has led to the development of mini, micro, and ultramini techniques. The tubeless method of PCNL is now accepted practice with good evidence of safety in appropriately selected patients. Conclusions Modern-day PCNL allows personalized stone management tailored to individual patient and surgeon factors. Future studies should continue to refine methods to assess complexity and safety and to determine consensus on the use of miniaturized PCNL. Patient summary Modern-day percutaneous nephrolithotomy has transformed from an operation traditionally undertaken in one position, using one access method with one set of instrumentation and one surgeon, to one with a variety of options at each step.</description><identifier>ISSN: 0302-2838</identifier><identifier>EISSN: 1873-7560</identifier><identifier>DOI: 10.1016/j.eururo.2016.01.047</identifier><identifier>PMID: 26876328</identifier><language>eng</language><publisher>Switzerland: Elsevier B.V</publisher><subject>Humans ; Kidney Calculi - surgery ; Nephrolithotomy, Percutaneous - adverse effects ; Nephrolithotomy, Percutaneous - methods ; Nephrolithotomy, Percutaneous - trends ; Outcomes ; Patient Selection ; Percutaneous nephrolithotomy ; Review ; Technique ; Treatment Outcome ; Urology</subject><ispartof>European urology, 2016-08, Vol.70 (2), p.382-396</ispartof><rights>2016</rights><rights>Published by Elsevier B.V.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c516t-48a883a50b1efd21fe0c8579072d62d59acc011491845e5a8ecf04c94fec38cb3</citedby><cites>FETCH-LOGICAL-c516t-48a883a50b1efd21fe0c8579072d62d59acc011491845e5a8ecf04c94fec38cb3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>315,786,790,27957,27958</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/26876328$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ghani, Khurshid R</creatorcontrib><creatorcontrib>Andonian, Sero</creatorcontrib><creatorcontrib>Bultitude, Matthew</creatorcontrib><creatorcontrib>Desai, Mihir</creatorcontrib><creatorcontrib>Giusti, Guido</creatorcontrib><creatorcontrib>Okhunov, Zhamshid</creatorcontrib><creatorcontrib>Preminger, Glenn M</creatorcontrib><creatorcontrib>de la Rosette, Jean</creatorcontrib><title>Percutaneous Nephrolithotomy: Update, Trends, and Future Directions</title><title>European urology</title><addtitle>Eur Urol</addtitle><description>Abstract Context Percutaneous nephrolithotomy (PCNL) is the surgical standard for treating large or complex renal stones. Since its inception, the technique of PCNL has undergone many modifications. Objective To perform a collaborative review on the latest evidence related to outcomes and innovations in the practice of PCNL since 2000. Evidence acquisition A literature review was performed using the PubMed database between 2000 and July 2015, restricted to human species, adults, and the English language. The Medline search used a strategy including the following keywords: percutaneous nephrolithotomy, PNL, advances, trends, technique , and the Medical Subject Headings term percutaneous nephrostomy. Evidence synthesis Population-based studies have now provided a wealth of information regarding patient outcomes following PCNL. The complexity of the stone treated can be quantified using a variety of validated nephrolithometry classification systems. Increasing familiarity with the supine approach to PCNL has enabled simultaneous combined retrograde and antegrade surgery. Advances such as endoscopic guided percutaneous access may help urologists achieve access with less morbidity. Increasing miniaturization of equipment has led to the development of mini, micro, and ultramini techniques. The tubeless method of PCNL is now accepted practice with good evidence of safety in appropriately selected patients. Conclusions Modern-day PCNL allows personalized stone management tailored to individual patient and surgeon factors. Future studies should continue to refine methods to assess complexity and safety and to determine consensus on the use of miniaturized PCNL. Patient summary Modern-day percutaneous nephrolithotomy has transformed from an operation traditionally undertaken in one position, using one access method with one set of instrumentation and one surgeon, to one with a variety of options at each step.</description><subject>Humans</subject><subject>Kidney Calculi - surgery</subject><subject>Nephrolithotomy, Percutaneous - adverse effects</subject><subject>Nephrolithotomy, Percutaneous - methods</subject><subject>Nephrolithotomy, Percutaneous - trends</subject><subject>Outcomes</subject><subject>Patient Selection</subject><subject>Percutaneous nephrolithotomy</subject><subject>Review</subject><subject>Technique</subject><subject>Treatment Outcome</subject><subject>Urology</subject><issn>0302-2838</issn><issn>1873-7560</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2016</creationdate><recordtype>article</recordtype><recordid>eNqNkU1v1DAQhi0EokvhHyCUI4cmzNj5cDggVQuFSlVBoj1bXnuiesnGix0j7b_HSwoHLu3JGumZ97WeYew1QoWA7bttRSmk4Cuepwqwgrp7wlYoO1F2TQtP2QoE8JJLIU_Yixi3ACCaXjxnJ7yVXSu4XLH1NwomzXoin2JxTfu74Ec33_nZ7w7vi9u91TOdFTeBJhvPCj3Z4iLNKVDx0QUys_NTfMmeDXqM9Or-PWW3F59u1l_Kq6-fL9fnV6VpsJ3LWmophW5ggzRYjgOBkU3XQ8dty23Ta2MAse5R1g01WpIZoDZ9PZAR0mzEKXu75O6D_5kozmrnoqFxXH6vUCLKHqGWj0ABOsjlXUbrBTXBxxhoUPvgdjocFII6mlZbtZhWR9MKUGXTee3NfUPa7Mj-W_qrNgMfFoCykl-OgorG0WTI_hGnrHcPNfwfYEY3OaPHH3SguPUpTFm3QhW5AvX9eO3jsbGFnNLW4jfV8aV6</recordid><startdate>20160801</startdate><enddate>20160801</enddate><creator>Ghani, Khurshid R</creator><creator>Andonian, Sero</creator><creator>Bultitude, Matthew</creator><creator>Desai, Mihir</creator><creator>Giusti, Guido</creator><creator>Okhunov, Zhamshid</creator><creator>Preminger, Glenn M</creator><creator>de la Rosette, Jean</creator><general>Elsevier B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7QP</scope></search><sort><creationdate>20160801</creationdate><title>Percutaneous Nephrolithotomy: Update, Trends, and Future Directions</title><author>Ghani, Khurshid R ; Andonian, Sero ; Bultitude, Matthew ; Desai, Mihir ; Giusti, Guido ; Okhunov, Zhamshid ; Preminger, Glenn M ; de la Rosette, Jean</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c516t-48a883a50b1efd21fe0c8579072d62d59acc011491845e5a8ecf04c94fec38cb3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2016</creationdate><topic>Humans</topic><topic>Kidney Calculi - surgery</topic><topic>Nephrolithotomy, Percutaneous - adverse effects</topic><topic>Nephrolithotomy, Percutaneous - methods</topic><topic>Nephrolithotomy, Percutaneous - trends</topic><topic>Outcomes</topic><topic>Patient Selection</topic><topic>Percutaneous nephrolithotomy</topic><topic>Review</topic><topic>Technique</topic><topic>Treatment Outcome</topic><topic>Urology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ghani, Khurshid R</creatorcontrib><creatorcontrib>Andonian, Sero</creatorcontrib><creatorcontrib>Bultitude, Matthew</creatorcontrib><creatorcontrib>Desai, Mihir</creatorcontrib><creatorcontrib>Giusti, Guido</creatorcontrib><creatorcontrib>Okhunov, Zhamshid</creatorcontrib><creatorcontrib>Preminger, Glenn M</creatorcontrib><creatorcontrib>de la Rosette, Jean</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Calcium & Calcified Tissue Abstracts</collection><jtitle>European urology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ghani, Khurshid R</au><au>Andonian, Sero</au><au>Bultitude, Matthew</au><au>Desai, Mihir</au><au>Giusti, Guido</au><au>Okhunov, Zhamshid</au><au>Preminger, Glenn M</au><au>de la Rosette, Jean</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous Nephrolithotomy: Update, Trends, and Future Directions</atitle><jtitle>European urology</jtitle><addtitle>Eur Urol</addtitle><date>2016-08-01</date><risdate>2016</risdate><volume>70</volume><issue>2</issue><spage>382</spage><epage>396</epage><pages>382-396</pages><issn>0302-2838</issn><eissn>1873-7560</eissn><notes>ObjectType-Article-2</notes><notes>SourceType-Scholarly Journals-1</notes><notes>ObjectType-Feature-3</notes><notes>content type line 23</notes><notes>ObjectType-Review-1</notes><notes>ObjectType-Article-1</notes><notes>ObjectType-Feature-2</notes><abstract>Abstract Context Percutaneous nephrolithotomy (PCNL) is the surgical standard for treating large or complex renal stones. Since its inception, the technique of PCNL has undergone many modifications. Objective To perform a collaborative review on the latest evidence related to outcomes and innovations in the practice of PCNL since 2000. Evidence acquisition A literature review was performed using the PubMed database between 2000 and July 2015, restricted to human species, adults, and the English language. The Medline search used a strategy including the following keywords: percutaneous nephrolithotomy, PNL, advances, trends, technique , and the Medical Subject Headings term percutaneous nephrostomy. Evidence synthesis Population-based studies have now provided a wealth of information regarding patient outcomes following PCNL. The complexity of the stone treated can be quantified using a variety of validated nephrolithometry classification systems. Increasing familiarity with the supine approach to PCNL has enabled simultaneous combined retrograde and antegrade surgery. Advances such as endoscopic guided percutaneous access may help urologists achieve access with less morbidity. Increasing miniaturization of equipment has led to the development of mini, micro, and ultramini techniques. The tubeless method of PCNL is now accepted practice with good evidence of safety in appropriately selected patients. Conclusions Modern-day PCNL allows personalized stone management tailored to individual patient and surgeon factors. Future studies should continue to refine methods to assess complexity and safety and to determine consensus on the use of miniaturized PCNL. Patient summary Modern-day percutaneous nephrolithotomy has transformed from an operation traditionally undertaken in one position, using one access method with one set of instrumentation and one surgeon, to one with a variety of options at each step.</abstract><cop>Switzerland</cop><pub>Elsevier B.V</pub><pmid>26876328</pmid><doi>10.1016/j.eururo.2016.01.047</doi><tpages>15</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0302-2838 |
| ispartof | European urology, 2016-08, Vol.70 (2), p.382-396 |
| issn | 0302-2838 1873-7560 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_1811891048 |
| source | ScienceDirect Freedom Collection |
| subjects | Humans Kidney Calculi - surgery Nephrolithotomy, Percutaneous - adverse effects Nephrolithotomy, Percutaneous - methods Nephrolithotomy, Percutaneous - trends Outcomes Patient Selection Percutaneous nephrolithotomy Review Technique Treatment Outcome Urology |
| title | Percutaneous Nephrolithotomy: Update, Trends, and Future Directions |
| url | http://sfxeu10.hosted.exlibrisgroup.com/loughborough?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-09-22T18%3A24%3A59IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Percutaneous%20Nephrolithotomy:%20Update,%20Trends,%20and%20Future%20Directions&rft.jtitle=European%20urology&rft.au=Ghani,%20Khurshid%20R&rft.date=2016-08-01&rft.volume=70&rft.issue=2&rft.spage=382&rft.epage=396&rft.pages=382-396&rft.issn=0302-2838&rft.eissn=1873-7560&rft_id=info:doi/10.1016/j.eururo.2016.01.047&rft_dat=%3Cproquest_cross%3E1811891048%3C/proquest_cross%3E%3Cgrp_id%3Ecdi_FETCH-LOGICAL-c516t-48a883a50b1efd21fe0c8579072d62d59acc011491845e5a8ecf04c94fec38cb3%3C/grp_id%3E%3Coa%3E%3C/oa%3E%3Curl%3E%3C/url%3E&rft_id=info:oai/&rft_pqid=1800705797&rft_id=info:pmid/26876328&rfr_iscdi=true |