Top
20
Doctor insights on: Percutaneous Nephrolithotomy

Share
1

1
What is pcnl (percutaneous nephrolithotomy)?

What is pcnl (percutaneous nephrolithotomy)?

PCNL: Minimally invasive surgery for removal of large kidney stone/s. Nephrostomy tube (catheter) is placed in kidney thru skin in back or flank, either under local anesthetic & with sedation or general anesthesia day before or day of procedure. Then nephroscope (kidney telescope) passed thru catheter channel, stone is visualized & broken up with laser or percussion "gun" & fragments are irrigated out. ...Read more

Percutaneous (Definition)

In surgery, percutaneous pertains to any medical procedure where access to inner organs or other tissue is done via needle-puncture of the skin, rather than by using an "open" approach where inner organs or tissue are exposed (typically with the use of a scalpel). The percutaneous approach is commonly used in vascular procedures. This involves a needle catheter getting access ...Read more


2

2
What is percutaneous nephrolithotomy?

What is percutaneous nephrolithotomy?

Via tube in kidney: Placement of nephrostomy tube through flank into kidney. Then passing a nephroscope (operating telescope for kidneys) through nephrostomy tube and breaking up or pulverizing kidney stone mechanically, by laser or ultrasound by a probe through the nephroscope. Procedure is performed under direct observation via a camera attached to the nephroscope telescope. ...Read more

3

3
Is lithotripsy better or percutaneous nephrolithotomy better?

Is  lithotripsy better or percutaneous nephrolithotomy better?

It depends: Larger (>20 mm or >10-15 mm in lower pole) stones are probably best treated via percutaneous approach (pcnl). Shockwave lithotripsy (swl) may be less invasive for smaller stones. Swl (and ureteroscopy) may be combined with pcnl to remove all stone material. Pcnl typically requires inpatient hospitalization, more pain, risk of bleeding, but is more likely to result in complete stone clearance. ...Read more

See 1 more doctor answer
4

4
How is a percutaneous nephrolithotomy done?

How is a percutaneous nephrolithotomy done?

Via tube in kidney: Placement of nephrostomy tube through flank into kidney. Then passing a nephroscope (operating telescope for kidneys) through nephrostomy tube and breaking up or pulverizing kidney stone mechanically, by laser or ultrasound by a probe through the nephroscope. Procedure is performed under direct observation via a camera attached to the nephroscope telescope. ...Read more

5

5
Is it better to have extracorporeal shock wave lithotripsy (eswl) or percutaneous nephrolithotomy (pcnl)?

Is it better to have extracorporeal shock wave lithotripsy (eswl) or percutaneous nephrolithotomy (pcnl)?

Stone size determine: Shockwave lithotripsy minimally invasive, but not very effective for stones larger than 1 cm in diameter, and can not be used for branching "staghorn" stones. Can be used for larger stones if infectious in origin because they break up more easier. Percutaneous is more invasive, but usually a "one shot" procedure to clean out all the stone material.Swl requires minimal to no skill, pcnl needs skill. ...Read more

See 1 more doctor answer
6

6
What is percutaneous transluminal coronary angioplasty (ptca)?

What is percutaneous transluminal coronary angioplasty (ptca)?

Heart vessel therapy: Percutaneous transluminal coronary angioplasty (PTCA) is the opening of blocked heart arteries with a balloon. An artery is stuck and a wire is passed in the system until reaching the heart arteries. A balloon is passed over the wire to the area of blockage and inflated. The blockage is flattened but it can return. So most patients actually get stents placed. Stents require blood thinners. ...Read more

See 1 more doctor answer
7

7
Complications from kidney stone operation stent?

Complications from kidney stone operation stent?

Burn with urination: The stent usually causes some urinary frequency and urgency. Once the stent is removed, these symptoms quickly resolve. ...Read more

9

9
How healthy is percutaneous cholecystostomy?

Why?: Percutaneous cholecystostomy is usually reserved for people too ill to have a laparoscopic cholecystectomy. Why can't you have surgery. ...Read more

See 1 more doctor answer
10

10
What is extracorporeal shockwave myocardial revascularisation" (esmr)?

What is extracorporeal shockwave myocardial revascularisation" (esmr)?

ESMR: http://www.mayoclinicproceedings.org/article/S0025-6196(13)01113-0/abstract This procedure is NOT proven but has evidence suggesting it MAY help END-STAGE coronary artery disease patients symptom state. ...Read more

14

14
Can you explain percutaneous transluminal coronary angioplasty?

Catheter based: A catheter is placed in an artery leg or arm a ballon expands and dilates the blood vessel to correct the narrowing. ...Read more

15

15
Staghorn kidney stone removal?

Staghorn kidney stone removal?

Nephrolithotomy: While smaller kidneys stones can often be passed, staghorn stones often form in the calyces or conduit between the kidney and the ureters. These are considered complicated stones and often will require percutaneous (through the skin) nephrolithotomy by a urologist. ...Read more

See 3 more doctor answers
17

17
Whats percutaneous cholecystectomy? Whats transhepatic biliary catheter? Whats biliary stent? Are they effective alternatives to a cholecystectomy?

Whats percutaneous cholecystectomy? Whats transhepatic biliary catheter? Whats biliary stent? Are they effective alternatives to a cholecystectomy?

Possibly: Percutaneous cholecystostomy is a tube placed through the skin into the gb for drainage. Thbc is a tube passed through the skin, the liver, and into the bile duct system, a form of biliary stent. Some stents can be passed into the lower duct using an endoscope through the stomach. Any may be necessary in some cases, but cholecystectomy would be the gold standard in most cases. Good luck. ...Read more

18

18
Is laproscopic tubectomy safer than surgical tubectomy?

Is laproscopic tubectomy safer than surgical tubectomy?

Depends. : This depends on many factors. The complications are not quite the same. For many patients laparoscopy is safer but this is not always the case. Laparoscopy generally has a quicker recovery. ...Read more

19

19
How much is extracorporeal shock wave lithotripsy for gall stones?

How much is extracorporeal shock wave lithotripsy for gall stones?

Who Cares?: Lithotripsy, though useful for large kidney stones, is pretty much useless for gallstones. The only effective way to treat gallstone disease and prevent recurrence of their symptoms is to have the gallbladder surgically removed as it is the source of gallstone formation. ...Read more

20

20
Can you tell me about (renal) stone surgeries having details of pcnl (percutaneous nephrolithotomy)?

See below: Please consult this site for information on this topic. http://www.mayoclinic.org/diseases-conditions/kidney-stones/basics/definition/con-20024829 ...Read more