Percutaneous nephrolithotomy non-papillary puncture trends. A review of the literature

P. Kallidonis , A. Peteinaris , V. Tatanis , A. Vagionis , S. Faitatziadis , E. Liatsikos
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Abstract

Percutaneous nephrolithotomy (PCNL) is the gold standard of treatment for large renal calculi. Papillary puncture is the mainstay of treatment for large renal calculi, but the non-papillary has been introduced and gained some interest. The aim of this study is the investigation of trends of non-papillary access for PCNL over the years. A review of the literature took place and 13 publications were included in the study. Two experimental studies investigating the feasibility of non-papillary access were found. Five cohort prospective and 2 retrospective studies for non-papillary access and 4 comparative studies between papillary and non-papillary access were included. Non papillary access is a technique that has been proved as a safe and efficient solution that keeps up with the latest endoscopic trends. A wider use of this method could be expected in the future.

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经皮肾镜碎石术非毛细血管穿刺趋势。文献综述。
经皮肾镜碎石术(PCNL)是治疗大块肾结石的金标准。乳头穿刺是治疗大块肾结石的主要方法,但非乳头穿刺也被引入并引起了一些关注。本研究的目的是调查 PCNL 非毛细血管入路多年来的发展趋势。本研究对文献进行了回顾,共收录了 13 篇文献。其中有两项实验研究调查了非毛细血管入路的可行性。其中包括五项关于非乳头入路的前瞻性队列研究和两项回顾性研究,以及四项乳头入路和非乳头入路的比较研究。非乳头入路技术已被证明是一种安全、高效的解决方案,与最新的内窥镜发展趋势保持一致。这种方法有望在未来得到更广泛的应用。
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