Abstract
A suitable, accurate and atraumatic percutaneous access is the key point for the success of any percutaneous nephrolithotomy, maximizing its effectiveness in terms of stone-free rates and its safety by reducing the risk of complications. The percutaneous renal access can be divided into five main steps, regardless of the patient’s positioning: personalized preoperative planning, puncture of the collecting system; insertion of the guidewire; dilation of the percutaneous tract; insertion of the working Amplatz sheath. There are several tips to optimize the aforementioned steps of the percutaneous renal access. Some of them are very general ones, a sort of forma mentis applicable in any position, others are exclusively related to the supine and supine-modified positions, mainly the Galdakao-modified supine Valdivia position in our experience.
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Scoffone, C.M., Cracco, C.M. (2017). Tips to Enter the Pelvicalyceal System in the Supine Position. In: Rané, A., Turna, B., Autorino, R., Rassweiler, J. (eds) Practical Tips in Urology. Springer, London. https://doi.org/10.1007/978-1-4471-4348-2_46
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DOI: https://doi.org/10.1007/978-1-4471-4348-2_46
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