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SYMPOSIUM
Year : 2010  |  Volume : 26  |  Issue : 3  |  Page : 389-394

New instrumentation in percutaneous nephrolithotomy


Department of Urology, University of Florida, Gainesville, FL, USA

Correspondence Address:
Benjamin K Canales
University of Florida, Department of Urology, 1600 SW Archer Road, PO Box-100247, Gainesville, FL 32610
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.70579

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Percutaneous nephrolithotomy (PCNL) is the procedure of choice for removing large, complex, and/or multiple renal calculi. Since its first description in 1976, PCNL techniques and equipment have evolved to maximize procedural efficacy, safety, and reproducibility. We reviewed current literature from January 2004 to November 2009 using Medline search regarding PCNL instrumentation and technology. Additional equipment discovered during the review process without published Medline evidence was summarized from manufacturer brochures and data. Included in this review are summaries of intracorporeal lithotriptors and accessory equipment, stone manipulation devices, PCNL tract sealants, and a digital rigid nephroscope. The evolution of these devices from their predecessors has increased the instrumentation options for the treating urologist and may represent more effective technology for the percutaneous treatment of large renal stones.


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