PCNL Surgery is the Safe Method Procedure in Renal Stone
DOI:
https://doi.org/10.47363/JSAR/2025(6)211Keywords:
PCNL , renal calculi, Surgery, kidney stones , cysteine nephrolithiasis, lower pole stones, endotracheal tube (ET), reinforced ET tube, intravenous pyelogram (IVP), DTPA (diethylene triamine pentaacetic acid) , nephrectomy, blood vesselsAbstract
Introduction: Percutaneous nephrolithoterpcy (PCNL), a minimally invasive method for removal of renal stone there has been an immense improvement in technique and various guidelines have been established for treatment of renal stones. Percutaneous nephrolithotomy (PCNL) is an established, minimally invasive procedure for removal of renal calculi more than 2 centimeters in size.
Method: It facilitates a direct approach to the calculus while the kidney and surrounding structures are subjected to lesser trauma as compared to the open approach, and hence a great deal of surgical expertise is required for percutaneous access to the kidney and stone removal. Currently, the indications for PCNL include large size renal calculi (>1.5–2 cm), staghound calculi, upper tract calculi not responding to other modalities of treatment, lower pole stones, cysteine nephrolithiasis, and stones in anatomically abnormal kidneys. Generally, two approaches are followed for PCNL.
Result: However, is the perfect method with doing expert surgeon may happen a few complications which can be attributed to surgical technique as well as anesthesia related complications. This surgery were had been than 2005 _2025 with 760 procedure by dr sohrab salehi at hospital of medical science university of Qazvin Iran. The few cases yielded than 20 patients accrue the different complications seen in this procedure.
Conclusion: the aim of this article is to describe the surgical procedure and a few complications associated with PCNL related to the safety treatment. The paper also described the advantages and drawbacks of the available options in surgery, that is, general and regional, both of which are employed for PCNL.
