Percutaneous Stone Removal Techniques

  • H. N. Whitfield
Part of the Clinical Practice in Urology book series (PRACTICE UROLOG)


The technique of percutaneous nephrolithotomy (PCNL) has been developed over the past 5 years and is now established as a standard method of removing stones from the kidney (Reddy et al. 1985; Segura et al. 1985; Whitfield 1983a). Firstly0, a transparenchymal track must be established between the collecting system of the kidney and the skin. Secondly, the stone must be removed. These two steps may be performed under the same general or epidural anaesthetic as a one–stage procedure; alternatively, the track may be established under local anaesthesia and kept patent for 48–72 h by a nephrostomy tube before the stone is removed.


Renal Pelvis Extracorporeal Shock Wave Lithotripsy Stone Removal Percutaneous Nephrolithotomy Nephrostomy Tube 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. Brannen GE, Bush WH, Correa RJ, Gibbons RP, Elder JS (1985) Kidney stone removal:percutaneous versus surgical lithotomy. J Urol 133: 6–12PubMedGoogle Scholar
  2. Charlton M, Vallancien G, Veillon B, Brisset JM (1986) Urinary tract infection in percutaneous surgery for renal calculi. J Urol 135: 15–17Google Scholar
  3. Hasun R, Ryan PC, West AB, Fitzpatrick JM, Marberger M (1985) A new approach to the problem of residual stones after electrohydraulic nephrolithotripsy. Br J Urol 57: 605–609PubMedCrossRefGoogle Scholar
  4. Kelle tt MJ, Miller RA, Wickham JE A (1983) The role of the radiologist in percutaneous renal surgery. Br J Urol [Suppl]: 27–30Google Scholar
  5. Marberger M, Stackl W, Hruby W, Kroiss A (1985) Late sequelae of ultrasonic lithotripsy of renal calculi. J Urol 133: 170–173PubMedGoogle Scholar
  6. Mayo ME, Krieger JN, Rudd TG (1985) Effect of percutaneous nephrostolithotomy on renal function. J Urol 133: 167–169PubMedGoogle Scholar
  7. Reddy PK, Hulbert JC, Large PH et al. (1985) Percutaneous removal of renal and ureteral calculi:experience with 400 cases. J Urol 134: 662–665PubMedGoogle Scholar
  8. Rittenberg MH, Koolpz H, Keeler L, McNamara T, Bagley DE (1985) Pain control: comparison of percutaneous and operative nephrolithotomy. Urology 25: 468–471PubMedCrossRefGoogle Scholar
  9. Segura JW, Patterson DE, Leroy AJ et al. (1985) Percutaneous removal of kidney stones: review of 1000 cases. J Urol 134: 1077–1081PubMedGoogle Scholar
  10. Webb PR, Fitzpatrick JM (1985) Percutaneous nephrolithotripsy: a functional and morphological study. J Urol 134: 587–591PubMedGoogle Scholar
  11. Whitfield HN (1983a) Percutaneous nephrolithotomy. Br J Urol 55: 609–612PubMedCrossRefGoogle Scholar
  12. Whitfield HN (1983b) Percutaneous nephrolithotomy: the urologist on his own. Br J Urol [Suppl]: 97–102Google Scholar
  13. Whitfield HN, Mills V (1985) Percutaneous nephrolithotomy: a report of 150 cases, Br J Urol 57: 603–604PubMedCrossRefGoogle Scholar
  14. Wickham JEA, Miller RA, Kellett MJ (1983) Percutaneous nephrolithotomy, results and cost effectiveness. Br J Urol [Suppl]: 103–106Google Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1988

Authors and Affiliations

  • H. N. Whitfield

There are no affiliations available

Personalised recommendations