Abstract
Percutaneous nephrolithotomy (PCNL) is an established and effective surgical procedure for the management of kidney stones. While PCNL has gained widespread popularity in developed countries, its application and challenges in developing countries require specific considerations. Limited resources, inadequate infrastructure, and economic constraints pose significant challenges in the implementation of PCNL in developing nations. However, despite these obstacles, PCNL continues to play a crucial role in the treatment of complex and large renal calculi. Factors such as patient selection, cost-effective instrumentation, and optimization of surgical techniques are discussed in the context of resource-limited settings. Training programs, skill development, and collaborative efforts to enhance surgical outcomes and expand the reach of PCNL in these regions are important areas covered along with the need for continuous improvement, knowledge sharing, and innovation to overcome the barriers and maximize the benefits of PCNL in resource-constrained environments. By understanding the unique challenges and experiences of PCNL in developing countries, healthcare providers and policymakers can work towards enhancing access to this effective treatment modality.
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Lezrek, M., Durutovic, O. (2023). PCNL in Developing Countries. In: Denstedt, J.D., Liatsikos, E.N. (eds) Percutaneous Renal Surgery. Springer, Cham. https://doi.org/10.1007/978-3-031-40542-6_27
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DOI: https://doi.org/10.1007/978-3-031-40542-6_27
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