Is There Still a Place for Percutaneous Nephrolithotomy in Current Times?
Abstract
:1. Introduction
- - staghorn stones
- - infection stones
- - stones in retrogradely inaccessible calices
- - stones in patients with urinary diversions
- - stones in patients with skeletal malformations
- - stones in anomalous kidneys.
2. Materials and Methods
3. Results
3.1. Classic Indications of PCNL: Old but Gold
3.1.1. Staghorn Stones
3.1.2. Infection Stones
3.1.3. Lower Pole Inaccessible Calices and the Matryoshka Technique
3.2. Special Indications of PCNL
3.2.1. Skeletal Malformations
3.2.2. Stones in Urinary Diversions
3.2.3. Renal Abnormalities
4. Discussion
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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Stone Category | Study and Design | Success Rate | Complication Rate |
---|---|---|---|
Staghorn stones | Desai et al., 2011 [25]; prospective cohort | 56.9% | Not reported as overall datum, but a higher rate than in the case of the nonstaghorn stones |
Large et al., 2021 [35]; retrospective review | 81.8% | 18% | |
Al-Kohlany et al., 2005 [37]; prospective randomized study | 74.4% | 16.6% | |
Bai et al., 2017 [38]; meta-analysis | 87.92% | Not reported as overall datum, but a lower rate of single complications after PCNL than after laparoscopic pyelolithotomy | |
Stones in calyces with difficult retrograde access | Cabrera et al., 2020 [50]; meta-analysis | Higher stone-free rate after PCNL than after RIRS for lower pole stones | No significant differences in the complication rate after PCNL than after RIRS for lower pole stones |
Zanetti et al., 2021 [51]; retrospective study | 62.5% | 25% | |
Stones in patients with skeletal malformations | Montanari et al., 2010 [53]; retrospective study | 88.8% | 40% |
Izol et al., 2015 [63]; retrospective study | 93% | 31.2% | |
Symons et al., 2006 [64]; retrospective study | 62% | 35.9% | |
Wang et al., 2019 [61]; retrospective study | 89.9% | 36.1% | |
Stones in patients with urinary diversions | Zhong et al., 2018 [68]; retrospective study | 89.5% | 7.7% |
el-Nahas et al., 2006 [67]; retrospective study | 87.5% | 12.5% | |
Stones in horseshoe kidneys | Kartal et al., 2019 [73]; retrospective study | 90.5% | 38.1% |
Eryildirim et al., 2018 [71]; retrospective study | 84.2% | 50% | |
Vicentini et al., 2021 [74]; retrospective study | 54.7% | 17.5% | |
Stones in pelvic kidneys | Otaño et al., 2015 [78]; retrospective study | 88% | 23.1% |
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De Lorenzis, E.; Zanetti, S.P.; Boeri, L.; Montanari, E. Is There Still a Place for Percutaneous Nephrolithotomy in Current Times? J. Clin. Med. 2022, 11, 5157. https://doi.org/10.3390/jcm11175157
De Lorenzis E, Zanetti SP, Boeri L, Montanari E. Is There Still a Place for Percutaneous Nephrolithotomy in Current Times? Journal of Clinical Medicine. 2022; 11(17):5157. https://doi.org/10.3390/jcm11175157
Chicago/Turabian StyleDe Lorenzis, Elisa, Stefano Paolo Zanetti, Luca Boeri, and Emanuele Montanari. 2022. "Is There Still a Place for Percutaneous Nephrolithotomy in Current Times?" Journal of Clinical Medicine 11, no. 17: 5157. https://doi.org/10.3390/jcm11175157
APA StyleDe Lorenzis, E., Zanetti, S. P., Boeri, L., & Montanari, E. (2022). Is There Still a Place for Percutaneous Nephrolithotomy in Current Times? Journal of Clinical Medicine, 11(17), 5157. https://doi.org/10.3390/jcm11175157