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Inicio Actas Urológicas Españolas (English Edition) Percutaneous nephrolithotomy non-papillary puncture trends. A review of the lite...
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Vol. 48. Issue 1.
Pages 52-56 (January - February 2024)
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Vol. 48. Issue 1.
Pages 52-56 (January - February 2024)
Review article
Percutaneous nephrolithotomy non-papillary puncture trends. A review of the literature
Tendencias de punción extrapapilar en nefrolitotomía percutánea. Revisión de la literatura
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P. Kallidonisa,
Corresponding author
pkallidonis@yahoo.com

Corresponding author.
, A. Peteinarisa, V. Tatanisa, A. Vagionisa, S. Faitatziadisa, E. Liatsikosa,b
a Servicio de Urología, Hospital Universitario de Rion, Patras, Greece
b Hospital Universitario de Viena, Viena, Austria
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Table 1. Available data on non-papillary access studies.
Abstract

Percutaneous nephrolithotomy (PCNL) is the gold standard of treatment for large renal calculi. Papillary puncture is the mainstay of treatment for large renal calculi, but the non-papillary has been introduced and gained some interest. The aim of this study is the investigation of trends of non-papillary access for PCNL over the years. A review of the literature took place and 13 publications were included in the study. Two experimental studies investigating the feasibility of non-papillary access were found. Five cohort prospective and 2 retrospective studies for non-papillary access and 4 comparative studies between papillary and non-papillary access were included. Non papillary access is a technique that has been proved as a safe and efficient solution that keeps up with the latest endoscopic trends. A wider use of this method could be expected in the future.

Keywords:
Non-papillary
Percutaneous nephrolithotomy
Urolithiasis
Trends
Resumen

La nefrolitotomía percutánea (NLPC) es el tratamiento de referencia para los cálculos renales de gran tamaño. Aunque tradicionalmente la punción dirigida a la papila renal ha sido la piedra angular de este tratamiento, se han desarrollado tendencias de punción en sitios distintos de la papila renal que han despertado interés en este contexto. El objetivo de este estudio es investigar la evolución del acceso extrapapilar para la NLPC a lo largo de los años. Se realizó una revisión de la literatura y se incluyeron 13 publicaciones en el estudio. Se encontraron 2 estudios experimentales que investigaban la viabilidad del acceso extrapapilar, 5 estudios prospectivos de cohortes, 2 retrospectivos sobre el acceso extrapapilar y 4 estudios que comparaban el acceso papilar con el extrapapilar. La técnica de acceso extrapapilar ha demostrado ser una solución segura y eficaz capaz de adaptarse a las últimas tendencias endoscópicas. El uso generalizado de esta técnica es previsible en el futuro.

Palabras clave:
Extrapapilar
Nefrolitotomía percutánea
Urolitiasis
Tendencias

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