Review: Second-look nephroscopy after percutaneous nephrolithotomy
Percutaneous nephrolithotomy (PCNL) is the standard of care for the management of large renal stone burdens. Residual stones after PCNL may be cleared with a second-look nephroscopy. Determining whether a patient should undergo a second-look procedure is based on both the intraoperative findings and...
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| Format: | Article |
| Language: | English |
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SAGE Publishing
2009-04-01
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| Series: | Therapeutic Advances in Urology |
| Online Access: | https://doi.org/10.1177/1756287209103973 |
| _version_ | 1819066969926664192 |
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| author | Bodo E. Knudsen |
| author_facet | Bodo E. Knudsen |
| author_sort | Bodo E. Knudsen |
| collection | DOAJ |
| description | Percutaneous nephrolithotomy (PCNL) is the standard of care for the management of large renal stone burdens. Residual stones after PCNL may be cleared with a second-look nephroscopy. Determining whether a patient should undergo a second-look procedure is based on both the intraoperative findings and the post-operative imaging. Aggressive intraoperative flexible nephroscopy, may reduce the need for routine second-look nephroscopy. Post-operative computed tomograpahy (CT) imaging is the most sensitive method for detecting residual stone fragments. When a clinically significant residual stone burden exists a second-look procedure may be performed in an effort to render the patient stone-free. In most instances the procedure can be performed in an ambulatory facility under conscious intravenous sedation. Future prospective study determining the threshold of fragment size after PCNL that warrants second-look nephroscopy is needed. |
| first_indexed | 2024-12-21T16:10:49Z |
| format | Article |
| id | doaj.art-a40d17b7a94c4d0180fcb40793f3ecbc |
| institution | Directory Open Access Journal |
| issn | 1756-2872 |
| language | English |
| last_indexed | 2024-12-21T16:10:49Z |
| publishDate | 2009-04-01 |
| publisher | SAGE Publishing |
| record_format | Article |
| series | Therapeutic Advances in Urology |
| spelling | doaj.art-a40d17b7a94c4d0180fcb40793f3ecbc2022-12-21T18:57:48ZengSAGE PublishingTherapeutic Advances in Urology1756-28722009-04-01110.1177/1756287209103973Review: Second-look nephroscopy after percutaneous nephrolithotomyBodo E. KnudsenPercutaneous nephrolithotomy (PCNL) is the standard of care for the management of large renal stone burdens. Residual stones after PCNL may be cleared with a second-look nephroscopy. Determining whether a patient should undergo a second-look procedure is based on both the intraoperative findings and the post-operative imaging. Aggressive intraoperative flexible nephroscopy, may reduce the need for routine second-look nephroscopy. Post-operative computed tomograpahy (CT) imaging is the most sensitive method for detecting residual stone fragments. When a clinically significant residual stone burden exists a second-look procedure may be performed in an effort to render the patient stone-free. In most instances the procedure can be performed in an ambulatory facility under conscious intravenous sedation. Future prospective study determining the threshold of fragment size after PCNL that warrants second-look nephroscopy is needed.https://doi.org/10.1177/1756287209103973 |
| spellingShingle | Bodo E. Knudsen Review: Second-look nephroscopy after percutaneous nephrolithotomy Therapeutic Advances in Urology |
| title | Review: Second-look nephroscopy after percutaneous nephrolithotomy |
| title_full | Review: Second-look nephroscopy after percutaneous nephrolithotomy |
| title_fullStr | Review: Second-look nephroscopy after percutaneous nephrolithotomy |
| title_full_unstemmed | Review: Second-look nephroscopy after percutaneous nephrolithotomy |
| title_short | Review: Second-look nephroscopy after percutaneous nephrolithotomy |
| title_sort | review second look nephroscopy after percutaneous nephrolithotomy |
| url | https://doi.org/10.1177/1756287209103973 |
| work_keys_str_mv | AT bodoeknudsen reviewsecondlooknephroscopyafterpercutaneousnephrolithotomy |