Fluoroscopy guided percutaneous renal access in prone position

World Journal of Clinical Cases
Gyanendra R SharmaSakshi P Maheshwari

Abstract

Percutaneous nephrolithotomy is a very commonly done procedure for management of renal calculus disease. Establishing a good access is the first and probably the most crucial step of this procedure. A proper access is the gateway to success. However, this crucial step has the steepest learning curve for, in a fluoroscopy guided access, it involves visualizing a three dimensional anatomy on a two dimensional fluoroscopy screen. This review describes the anatomical basis of the renal access. It provides a literature review of all aspects of percutaneous renal access along with the advances that have taken place in this field over the years. The article describes a technique to determine the site of skin puncture, the angle and depth of puncture using a simple mathematical principle. It also reviews the common problems faced during the process of puncture and dilatation and describes the ways to overcome them. The aim of this article is to provide the reader a step by step guide for percutaneous renal access.

References

Oct 1, 1977·The Journal of Urology·A Karamcheti, W F O'Donnell
Jan 1, 1976·Scandinavian Journal of Urology and Nephrology·I Fernström, B Johansson
Dec 1, 1992·The Journal of Urology·F J SampaioL A Favorito
Mar 1, 1992·British Journal of Urology·W G BowsherH N Whitfield
Oct 1, 1974·The Journal of Urology·N K BissadaJ F Redman
Dec 1, 1984·The Journal of Urology·K W Kaye, D B Reinke
Jun 15, 1997·Spine·W R StevensD S Bradford
Jun 3, 1998·Urology·D B Lashley, E F Fuchs
Sep 3, 1998·Journal of Endourology·S G Stening, S Bourne
Jun 22, 1999·Academic Radiology·R J Zagoria, R B Dyer
Dec 1, 2000·The Urologic Clinics of North America·F J Sampaio
Dec 8, 2000·Journal of Endourology·P N MaheshwariM Bansal
Sep 13, 2001·Journal of Endourology·A Finelli, R J Honey
Nov 17, 2001·Urology·R Z GoharderakhshanM L Stoller
Mar 12, 2002·Telemedicine Journal and E-health : the Official Journal of the American Telemedicine Association·J BauerL R Kavoussi
Oct 25, 2002·Journal of Endourology·Li-Ming SuLouis R Kavoussi
Jan 25, 2003·Journal of Endourology·Ronald M YangGary C Bellman
Sep 11, 2003·Journal of Endourology·Vincent G BirdHoward N Winfield
Mar 12, 1955·Journal of the American Medical Association·W E GOODWINW WOOLF
Oct 21, 2003·Journal of Endourology·C Y BilenA F Yilmaz
Jan 10, 2004·The Journal of Urology·Courtney L LeeManoj Monga
Dec 8, 2004·European Urology·A SkolarikosJ J M C H de la Rosette
Dec 6, 2005·Urologia Internationalis·Monish AronNarmada P Gupta
Apr 8, 2006·The Journal of Urology·David S MorrisBrent K Hollenbeck
Apr 26, 2006·Urology·Ahmed R El-NahasHamdy A El-Kappany
Jul 11, 2006·The Urologic Clinics of North America·Sangtae Park, Margaret S Pearle
Aug 30, 2006·Medical Engineering & Physics·Niki AbolhassaniMehrdad Moallem
Jan 9, 2007·Journal of Endourology·Rajash K HandaLynn R Willis
Jan 19, 2007·European Urology·Orhan TanriverdiCengiz Miroglu
Jun 19, 2007·The Journal of Urology·Nicole L MillerJames E Lingeman
Jul 17, 2007·The Journal of Urology·Ahmed M El-AssmyHamdy A El-Kappany
Sep 11, 2007·Urology·Cenk Yücel BilenSaban Sarikaya
Sep 11, 2007·Urology·Raymond Ko, Hassan Razvi
Sep 18, 2007·Journal of Endourology·Hemendra Navinchandra ShahManish Bansal
Sep 28, 2007·International Urology and Nephrology·Sudhir SukumarBhat H Sanjay
Oct 10, 2007·BJU International·Raymond KoHassan Razvi
Nov 29, 2007·Journal of Endourology·Enrique MuesAchim M Loske

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Citations

Nov 12, 2015·Current Opinion in Urology·Cecilia Maria CraccoCesare Marco Scoffone
Jun 11, 2016·International Braz J Urol : Official Journal of the Brazilian Society of Urology·Pankaj N MaheshwariVinayak G Wagaskar
Oct 18, 2019·Indian Journal of Urology : IJU : Journal of the Urological Society of India·Gyanendra Ravindra Sharma, Bhojraj Luitel
Aug 4, 2020·Curēus·Danny DarlingtonKim J Mammen
Sep 10, 2018·Abdominal Radiology·Saskia WeltingsHossain Roshani

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