Percutaneous Nephrolithotomy Outcomes PNL is a safe procedure. Nevertheless complications include and but are not limited to infection, bleeding, need for transfusion (1 percent), risk of additional procedures to completely remove kidney stones and collapsed lung.

In the era of minimally invasive surgery, RIRS and PCNL are two major surgical techniques for removing large renal stones [3], and PCNL has become the standard treatment with which all other approaches should be compared.

Olympus OES Pro Percutaneous Nephroscopes combine the latest hybrid-lens technology with a high-flow sheath design, offering unsurpassed clear image quality. In addition, the extra long working length is suited for obese patients.

Your doctor may recommend PCNL surgery if you have a large, multiple or complex stones. The surgery lasts one to three hours and typically requires a hospital stay of one to two nights. You should be able to resume normal activities in one to two weeks.

Although there are different methods to manage staghorn stones, PCNL is less invasive than open surgery and now favored by most surgeons.

Overview. Percutaneous nephrolithotomy (nef-roe-lih-THOT-uh-me) is a procedure used to remove kidney stones from the body when they can’t pass on their own. A scope is inserted through a small incision in your back to remove the kidney stones.

What are the risks? Even minimally invasive surgeries, like percutaneous nephrolithotomy or nephrolithotripsy, carry risks of infection, bleeding, and other complications. The procedure creates a hole in the kidney that usually heals without other treatment.

This treatment is usually considered for larger kidney stones (2 cm or more), complex stones, or lower pole renal stones larger than 1 cm. Possible complications may include bleeding, infection, and injury to surrounding organs.

Typically, the length of the surgery is three to four hours. The surgery is performed by making a small 1 cm incision in the patient’s flank area (Figure 1). A tube is placed through the incision into the kidney under x-ray guidance.

It may be over in 20 minutes, or very occasionally it may take longer than 90 minutes.

How you prepare. Percutaneous nephrolithotomy is usually performed in the hospital under general anesthesia, meaning you will be asleep during the procedure and not feel any pain. Your doctor may prescribe antibiotics to reduce your chance of developing an infection after the procedure.

Exercise and sleeping Gentle exercise is fine. More strenuous exercise may cause pain and should therefore be avoided. Lying on the side of the tube may be uncomfortable so try the other side. If you have tubes in both kidneys, find a position that suits you.

Percutaneous nephrolithotomy is a procedure to remove kidney stones that are too large to pass on their own. Learn more from our experts. Percutaneous Nephrolithotomy. What is a percutaneous nephrolithotomy? Percutaneous nephrolithotomy is a procedure to remove problem kidney stones that are too large to pass on their own.

After that, you may return to regular activities. You may experience some blood in your urine and mild discomfort at your incision site during your recovery period. If you are concerned about any symptoms or pain management, please speak with your doctor after your procedure.

This is what the words mean: 1 Percutaneous means through the skin 2 Nephrolithotomy is a combination of the word roots nephro- (kidney), litho- (stone) and -tomy (removal) 3 Nephrolithotripsy is a combination of the word roots nephro- (kidney), litho (stone), and -tripsy (crushed) More

Before you undergo percutaneous nephrolithotomy, your doctor will perform several tests. Urine and blood tests check for signs of infection or other problems, and a computerized tomography (CT) scan determines where the stones are in your kidney.