Supine percutaneous nephrolithotomy : a new way of interpreting PNL
https://libcat.nshealth.ca/en/permalink/provcat33987
Cesare Marco Scoffone, Andras Hoznek, Cecilia Maria Cracco, editors.
--Heidelberg:
Springer
, c2014.
- Available Online
- View e-Book
- Location
- Online
PNL is the gold standard for the management of large and/or otherwise complex renal stones. Since its introduction in the seventies PNL has undergone considerable evolution, mainly driven by the improvement in access techniques, endoscopic instrument technology, lithotripsy devices and drainage management. The conventional prone position for PNL has been challenged in the last two decades by a variety of modifications, including the supine and Galdakao-modified supine Valdivia positions, which …
- Available Online
- View e-Book
- Other Authors
- Hoznek, A.
- Scoffone, Cesare Marco
- Cracco, Cecilia Maria
- Responsibility
- Cesare Marco Scoffone, Andras Hoznek, Cecilia Maria Cracco, editors
- Place of Publication
- Heidelberg
- Publisher
- Springer
- Date of Publication
- c2014
- Physical Description
- 1 online resource (xiii, 312 pages)
- ISBN
- 9782817804590 (electronic bk.)
- 9782817803593
- Subjects (MeSH)
- Kidney Calculi - surgery
- Nephrostomy, Percutaneous - methods
- Patient Positioning - methods
- Supine Position
- Ureteroscopy - methods
- Subjects (LCSH)
- Kidneys - Calculi - Endoscopic surgery
- Abstract
- PNL is the gold standard for the management of large and/or otherwise complex renal stones. Since its introduction in the seventies PNL has undergone considerable evolution, mainly driven by the improvement in access techniques, endoscopic instrument technology, lithotripsy devices and drainage management. The conventional prone position for PNL has been challenged in the last two decades by a variety of modifications, including the supine and Galdakao-modified supine Valdivia positions, which make simultaneous retrograde working access to the collecting system possible and have proven anesthesiological advantages. The Galdakao-modified supine Valdivia position allowed the development of ECIRS (Endoscopic Combined IntraRenal Surgery), a technique exploiting a combined antegrade and retrograde approach to the upper urinary tract, using both rigid and flexible endoscopes with the related accessories. The synergistic teamwork of ECIRS provides a safe and efficient, minimally-invasive procedure for the treatment of all kinds of urolithiasis.
- Contents
- 1. Introduction -- 2. The Early History of Percutaneous Nephrolithotomy (PNL) -- 3. The Evolution from Prone to Supine PNL and from Supine PNL to ECIRS: The Basque History of Endourology -- 4. PNL: Indications and Guidelines: Urolithiasis -- 5. PNL: Indications and Guidelines: Stenosis and Tumours -- 6. Anatomy for PNL -- 7. Imaging in Percutaneous Nephrolithotomy -- 8. Anaesthesia for Supine and Modified Supine PNL -- 9. Prone PNL: Is It Still the Gold Standard? Review and Results -- 10. Endoscopic Combined IntraRenal Surgery (ECIRS): Rationale -- 11. ECIRS: Patient Positioning and Organization of the Operating Room -- 12. Instruments and Accessories for ECIRS -- 13. ECIRS: Access Creation -- 14. Stone Fragmentation and Extraction -- 15. Kidney Drainage and Percutaneous Tract Closure -- 16. Supine and Supine Modified PNL in Special Situations -- 17. PNL in Paediatric Patients -- 18. Technical Aspects of Percutaneous Management of Ureteral Stenosis and Upper Urinary Tract Transitional Cell Carcinomas (UUT-TCC) -- 19. The Scrub Nurse’s Point of View on ECIRS (Endoscopic Combined IntraRenal Surgery) -- 20. Intraoperative Complications: How to Avoid Them? -- 21. Antibiotic Prophylaxis and Infectious Complications in PNL -- 22. Prone Versus Supine PNL: Results and Published Series -- 23. Micro-ECIRS: A Revolutionary New Tool in the Current Endourologic Armamentarium -- 24. Conclusions and Future Perspectives of PNL.
- Format
- e-Book
- Location
- Online
