Advertisement

Armamentariums Related to Percutaneous Nephrolithotripsy (PCNL)

  • Athanasios Dellis
  • Athanasios Papatsoris
Chapter
  • 32 Downloads

Abstract

Percutaneous nephrolithotomy (PCNL) has been extensively developed through the last two decades. Apart from the technique and procedural standardization, the optimal surgical setting and imaging equipment are fundamental in order to puncture the ideal calyx and achieve stone-free result with the lowest possible complications. The large variety of the instruments and disposables in order to puncture, dilate, perform lithotripsy, retrieve stone fragments and exit is of utmost importance to perform a safe and effective PCNL. In this chapter we describe the armamentariums used in the PCNL procedure, including nephroscopes, access and dilatation equipment, lithotripters, retrieval devices and nephrostomies.

Keywords

Percutaneous nephrolithotomy Puncture Access sheath Tract dilatation Staghorn stone Nephrolithiasis Lithotripsy Laser Nephrostomy mini PCNL 

References

  1. 1.
    Scoffone CM, Hoznek A, Rode J. Instruments and accessories for ECIRS. In: Scoffone CM, et al., editors. Supine percutaneous nephrolithotomy and ECIRS. Paris: Springer-Verlag; 2014.CrossRefGoogle Scholar
  2. 2.
    Skolarikos A, Dellis A. Tips to puncture the kidney using the triangular technique. In: Rane A, et al., editors. Practical tips in urology. London: Springer-Verlag; 2016.Google Scholar
  3. 3.
    Fernstrom I, Johansson B. Percutaneous pyelolithotomy. A new extraction technique. Scand J Urol Nephrol. 1976;10:257–9.PubMedCrossRefPubMedCentralGoogle Scholar
  4. 4.
    Skolarikos A, Alivizatos G, Papatsoris A, et al. Ultrasound-guided percutaneous nephrostomy performed by urologists: 10-year experience. Urology. 2006;68(3):495–9.PubMedCrossRefGoogle Scholar
  5. 5.
    Webb DR. Percutaneous renal surgery. A practical clinical handbook. Cham: Springer International Publishing; 2016.CrossRefGoogle Scholar
  6. 6.
    Turna B, Nazli O, Demiryoguran S, et al. Percutaneous nephrolithotomy: variables that influence hemorrhage. Urology. 2007;69:603–7.PubMedCrossRefGoogle Scholar
  7. 7.
    Michel MS, Trojan L, Rassweiler JJ. Complications in percutaneous nephrolithotomy. Eur Urol. 2007;51:899–906.PubMedCrossRefPubMedCentralGoogle Scholar
  8. 8.
    Autorino R, Liatsikos E, Porpiglia F. New technologies and techniques in minimally invasive urologic surgery. An ESUT collection. Torino: Edizioni Minerva Medica SpA; 2019.Google Scholar
  9. 9.
    Lahme S, Bichler KH, Stohmaier WL, et al. Minimally invasive PCNL in patients with renal pelvic and calyceal stones. Eur Urol. 2001;40:619–24.PubMedCrossRefGoogle Scholar
  10. 10.
    Sabnis RB, Ganesamoni R, Scarpal R. Miniperc: what is its current status? Curr Opin Urol. 2012;22:129–33.PubMedCrossRefGoogle Scholar
  11. 11.
    Li X, He Z, Wu K, et al. Chinese minimally invasive percutaneous nephrolithotomy: the Guangzhou experience. J Endourol. 2009;23:1693–7.PubMedCrossRefGoogle Scholar
  12. 12.
    Zhao Z, Tuerxu A, Liu Y, et al. Super-mini PCNL (SMP): material, indications, technique, advantages and results. Arch Esp Urol. 2017;70:211–6.PubMedGoogle Scholar
  13. 13.
    Desai J, Solanki R. Ultra-mini percutaneous nephrolithotomy (UMP): one more armamentarium. BJU Int. 2013;112:1046–9.PubMedGoogle Scholar
  14. 14.
    Bader MJ, Gratzke C, Seitz M, et al. The “all-seeing needle”: initial results of an optical puncture system confirm in access in percutaneous nephrolithotomy. Eur Urol. 2011;59:1054–9.PubMedPubMedCentralCrossRefGoogle Scholar
  15. 15.
    Segura JW, Patterson DE, Leroy AJ, et al. Percutaneous lithotripsy. J Urol. 1983;130:1051–4.PubMedCrossRefGoogle Scholar
  16. 16.
    Alken P, Hutschenreiter G, Gunher R, et al. Percutaneous stone manipulation. J Urol. 1981;125:463–7.PubMedPubMedCentralCrossRefGoogle Scholar
  17. 17.
    Alken P. Telescopbougierset zur perkutanen Nephrostomie. Aktuel Urol. 1981;12:216–9.CrossRefGoogle Scholar
  18. 18.
    Clayman RV, Castaneda-Zuniga WR, Hunter DW, et al. Rapid balloon dilatation of the nephrostomy track for nephrostolithotomy. Radiology. 1983;147:884–5.PubMedPubMedCentralCrossRefGoogle Scholar
  19. 19.
    Frattini A, Barbieri A, Salsi P, et al. One shot: a novel method to dilate the nephrostomy access for percutaneous lithotripsy. J Endourol. 2001;15:919–23.PubMedPubMedCentralCrossRefGoogle Scholar
  20. 20.
    Goharderakhshan RZ, Schwarz BF, Rudnick DM, et al. Radially expanding single-step nephrostomy tract dilator. Urology. 2001;58:693–8.PubMedCrossRefGoogle Scholar
  21. 21.
    Dehong C, Liangren L, Huawei L, et al. A comparison among four tract dilation methods of percutaneous nephrolithotomy: a systematic review and meta-analysis. Urolithiasis. 2013;41(6):523–30.PubMedPubMedCentralCrossRefGoogle Scholar
  22. 22.
    Dellis AE, Skolarikos AA, Nastos K, et al. The impact of technique standardization on total operating and fluoroscopy times in simple endourological procedures: a prospective study. J Endourol. 2018;32(8):747–52.PubMedCrossRefGoogle Scholar
  23. 23.
    Karagiannis A, Skolarikos A, Alexandrescu E, et al. Epidemiologic study of urolithiasis in seven countries of South-Eastern Europe: S.E.G.U.R. 1 study. Arch Ital Urol Androl. 2017;89(3):173–7.PubMedCrossRefGoogle Scholar
  24. 24.
    Rusnak B, Castaneda-Zuniga W, Kotula F, et al. An improved dilator system for percutaneous nephrostomies. Radiology. 1982;144:174.PubMedCrossRefGoogle Scholar
  25. 25.
    Mulvaney WP. Attempted disintegration of calculi by ultrasonic vibrations. J Urol. 1953;70:704–7.PubMedCrossRefGoogle Scholar
  26. 26.
    Gasteyer KH. Eine neue Methode der Blasensteinzertrummerung: Die Ultraschall-Lithotripsie. Urologe. 1971;10:30–2.PubMedGoogle Scholar
  27. 27.
    Pietropaolo A, Proietti S, Geraghty R, et al. Trends of ‘urolithiasis: interventions, simulation, and laser technology’ over the last 16 years (2000-2015) as published in the literature (PubMed): a systematic review from European Section of Uro-technology (ESUT). World J Urol. 2017;35(11):1651–8.PubMedPubMedCentralCrossRefGoogle Scholar
  28. 28.
    Durutovic O, Dzamic Z, Milojevic B, et al. Pulsed versus continuous mode fluoroscopy during PCNL: safety and effectiveness comparison in a case series study. Urolithiasis. 2016;44(6):565–70.PubMedCrossRefGoogle Scholar
  29. 29.
    Hemal AK, Goel A, Aron M, et al. Evaluation of fragmentation with single or multiple pulse setting of lithoclast for renal calculi during percutaneous nephrolithotripsy and its impact on clearance. Urol Int. 2003;70:265–8.PubMedCrossRefGoogle Scholar
  30. 30.
    Teichman JM, Vassar GJ, Bishoff JT, et al. Holmium:YAG lithotripsy yields smaller fragments than lithoclast, pulsed dye laser or electrohydraulic lithotripsy. J Urol. 1998;159:17–23.PubMedCrossRefGoogle Scholar
  31. 31.
    Bourdoumis A, Papatsoris A, Calleary JG, et al. The evolution of urolithiasis assessment and management in the new millennium. Panminerva Med. 2016;58(3):222–36.PubMedGoogle Scholar
  32. 32.
    Bourdoumis A, Stasinou T, Kachrilas S, et al. Thromboprophylaxis and bleeding diathesis in minimally invasive stone surgery. Nat Rev Urol. 2014;11(1):51–8.PubMedCrossRefGoogle Scholar
  33. 33.
    Kachrilas S, Papatsoris A, Bach C, et al. The current role of percutaneous chemolysis in the management of urolithiasis: review and results. Urolithiasis. 2013;41(4):323–6.PubMedCrossRefGoogle Scholar
  34. 34.
    Bach C, Goyal A, Kumar P, et al. The Barts ‘flank-free’ modified supine position for percutaneous nephrolithotomy. Urol Int. 2012;89(3):365–8.PubMedCrossRefGoogle Scholar
  35. 35.
    Papatsoris AG, Shaikh T, Patel D, et al. Use of a virtual reality simulator to improve percutaneous renal access skills: a prospective study in urology trainees. Urol Int. 2012;89(2):185–90.PubMedCrossRefGoogle Scholar
  36. 36.
    Kumar P, Bach C, Kachrilas S, et al. Supine percutaneous nephrolithotomy (PCNL): ‘in vogue’ but in which position? BJU Int. 2012;110(11 Pt C):E1018–21.PubMedCrossRefGoogle Scholar
  37. 37.
    Hoffman N, Lukasewycz SJ, Canales B, et al. Percutaneous renal stone extraction: in vitro study of retrieval devices. J Urol. 2004;172:559–61.PubMedCrossRefGoogle Scholar
  38. 38.
    Kachrilas S, Papatsoris A, Bach C, et al. Colon perforation during percutaneous renal surgery: a 10-year experience in a single endourology centre. Urol Res. 2012 Jun;40(3):263–8.PubMedCrossRefGoogle Scholar
  39. 39.
    El-Husseiny T, Moraitis K, Maan Z, et al. Percutaneous endourologic procedures in high-risk patients in the lateral decubitus position under regional anesthesia. J Endourol. 2009;23(10):1603–6.PubMedCrossRefGoogle Scholar
  40. 40.
    Skolarikos A, Papatsoris AG. Diagnosis and management of postpercutaneous nephrolithotomy residual stone fragments. J Endourol. 2009;23(10):1751–5.PubMedCrossRefGoogle Scholar
  41. 41.
    Papatsoris A, Masood J, El-Husseiny T, et al. Improving patient positioning to reduce complications in prone percutaneous nephrolithotomy. J Endourol. 2009;23(5):831–2.PubMedCrossRefGoogle Scholar
  42. 42.
    Papatsoris AG, Zaman F, Panah A, et al. Simultaneous anterograde and retrograde endourologic access: “the Barts technique”. J Endourol. 2008;22(12):2665–6.PubMedCrossRefGoogle Scholar
  43. 43.
    Papatsoris AG, Masood J, Saunders P. Supine valdivia and modified lithotomy position for simultaneous anterograde and retrograde endourological access. BJU Int. 2007;100(5):1192.PubMedCrossRefGoogle Scholar
  44. 44.
    Bissas A, Dellis A, Bafaloukas N, et al. Percutaneous nephrolithotomy to remove a cartridge detonating cap mimicking a renal pelvic stone 12 years after renal trauma. J Endourol. 2005;19(6):719–21.PubMedCrossRefGoogle Scholar
  45. 45.
    Panah A, Masood J, Zaman F, et al. A technique to flush out renal stone fragments during percutaneous nephrolithotomy. J Endourol. 2009;23(1):5–6.PubMedCrossRefGoogle Scholar
  46. 46.
    Somani B, Dellis A, Liatsikos E, et al. Review on diagnosis and management of urolithiasis in pregnancy: an ESUT practical guide for urologists. World J Urol. 2017;35(11):1637–49.PubMedCrossRefGoogle Scholar
  47. 47.
    Skolarikos A, Dellis A, Knoll T. Ureteropelvic obstruction and renal stones: etiology and treatment. Urolithiasis. 2015;43(1):5–12.PubMedCrossRefGoogle Scholar
  48. 48.
    Paul EM, Marcovich R, Lee BR, et al. Choosing the ideal nephrostomy tube. BJU Int. 2003;92:672–7.PubMedCrossRefGoogle Scholar
  49. 49.
    Srinivasan AK, Herati A, Okeke Z, et al. Renal drainage after percutaneous nephrolithotomy. J Endourol. 2009;23:1743–9.PubMedCrossRefGoogle Scholar
  50. 50.
    Armitage JN, Irving SO, Burgess NA. Percutaneous nephrolithotomy in the United Kingdom: results of a prospective data registry. Eur Urol. 2012;61:1188–93.PubMedCrossRefGoogle Scholar
  51. 51.
    Aldoukhi AH, Black KM, Shields J, Ghani KR. Ambulatory tubeless mini-percutaneous nephrolithotomy using Moses technology and dusting technique. Urology. 2019;124:306.PubMedCrossRefGoogle Scholar
  52. 52.
    Papatsoris A, Dellis A, Daglas G, et al.; EAU Young Academic Urology Working Parties (Endourology). Management of JJ stent-related symptoms. Acta Chir Iugosl. 2014;61(1):73–4.PubMedCrossRefGoogle Scholar
  53. 53.
    Dellis A, Joshi HB, Timoney AG, et al. Relief of stent related symptoms: review of engineering and pharmacological solutions. J Urol. 2010;184:1267–72.PubMedCrossRefGoogle Scholar
  54. 54.
    Deliveliotis C, Chrisofos M, Gougousis E, et al. Is there a role for alpha1-blockers in treating double-J stent-related symptoms? Urology. 2006;67:35–9.PubMedCrossRefGoogle Scholar
  55. 55.
    Dellis AE, Keeley FX Jr, Manolas V, et al. Role of a-blockers in the treatment of stent-related symptoms: a prospective randomized control study. Urology. 2014;83:56–61.PubMedCrossRefGoogle Scholar
  56. 56.
    Dellis A, Papatsoris A, Keeley FX, et al. Tamsulosin, Solifenacin, and their combination for the treatment of stent-related symptoms: a randomized controlled study. J Endourol. 2017;31(1):100–9.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2020

Authors and Affiliations

  • Athanasios Dellis
    • 1
    • 2
  • Athanasios Papatsoris
    • 2
  1. 1.University Department of Surgery, Aretaieion HospitalAthensGreece
  2. 2.University Department of Urology, Sismanoglio HospitalAthensGreece

Personalised recommendations