Minimally Invasive Percutaneous Nephrolithotomy

ISBN-13: 9789811660009 / Angielski / Twarda / 2022

Opis

Urolithiasis is a common and ever-increasing problem all over the world. During the last few decades, percutaneous nephrolithotomy (PCNL) has become the preferred treatment method for moderate and large volume upper tract urinary calculi. In recent years, there have been groundbreaking advances in the field of percutaneous renal surgery in the form of minimally invasive percutaneous nephrolithotomy. Various techniques have been described over the years in the area, which have improved the results of percutaneous nephrolithotomy surgery while reducing the complication rate and morbidity.  This book provides a broad, state-of-the-art review in the field of minimally-invasive percutaneous nephrolithotomy. It serves as a valuable resource for Urologists, endourology fellows, and researchers interested in mini-percutaneous nephrolithotomy. The book reviews the latest data about percutaneous management of Urolithiasis from the world over, various classification systems for mini-percutaneous nephrolithotomy, armamentarium, different techniques, and multiple advances, plus the results including complications. This book serves as a valuable resource for urologists dealing with and interested in learning the newer advances in percutaneous renal surgery. It delivers a comprehensive summary of the current status of minimally-invasive percutaneous nephrolithotomy in the management of Urolithiasis. All the chapters have been written by experts in minimally invasive percutaneous nephrolithotomy and present the most recent scientific data. 

Spis treści

• Section 1: History and anatomical principles

- Surgical anatomy of Kidney with respect to PCNL

- History and evolution of minimally-invasive PCNL

- Classification of minimally-invasive techniques

- Diagnosis and Imaging before minimally-invasive PCNL

- How to reduce radiation exposure

• Section 2: Armamentarium

- Endoscopes & Access sheaths

- Accessories used in minimally-invasive PCNL

- Fragmentation devices: Lithotripters, Lasers and other advances

• Section 3: Anesthesia considerations and positioning

- Positioning for MIP

- Anesthesia considerations

• Section 4: Basic techniques of Access

- Fluoroscopic-guided Access and techniques

- Ultrasonography-guided access

- Newer advances in Access 

- Endoscopic-guided access

• Section 5: Tract dilation and nephroscopy

- Tract dilation techniques

- Nephroscopes

- Stone fragmentation and  retrieval

• Section 6: Exit Strategy 

- Large tube, Small tube, Tubeless or Totally Tubeless?

• Section 7: Supine & combination of Mini PCNL with other techniques

- Endoscopic Combined Intra-Renal Surgery (ECIRS)

- Simultaneous Bilateral Mini PCNL

• Section 8: Newer advances in Mini PCNL

- Ultra-mini PCNL

- Micro PCNL

- Super-mini PCNL 

- Flexible mini-Nephroscopy 

• Section 9: Special situations

- Tricks for failed access

- Secondary punctures

- Endopyelotomy

- Calyceal diverticulum

- Obese Patients / spinal deformities

- Horseshoe kidneys / Ectopic kidneys/ Pelvic kidneys

- Pediatric PCNL

• Section 10: Complications and management 

 

O autorze

Dr. (Prof) Madhu Sudan Agrawal is presently working as Director at Department of Urology, Center for Minimally-Invasive Endourology, Global Rainbow Healthcare, Agra, India.

Dr. Dilip Mishra is currently working as a Consultant Urologist at the Department of Urology, Pushpanjali Hospital and Research Center, Agra, UP, India.

Prof. Bhaskar Somani presently serves as a Professor and Consultant Urological Surgeon at the University Hospital Southampton, United Kingdom.