Journal article

Renal track creation for percutaneous nephrolithotomy: the history and relevance of single stage dilation

Frank T D'Arcy, Nathan Lawrentchuk, Rustorn P Manecksha, David R Webb

Canadian journal of urology | CANADIAN J UROLOGY | Published : 2015

Abstract

INTRODUCTION: Percutaneous nephrolithotomy (PCNL) was described in the 1980s and revolutionized the treatment of stone disease. The crucial component to this surgery is satisfactory track creation. We examine how the development and production in the 1980s of a single stage dilator (SSD) subsequently modified for pediatric PCNL has become the ideal access tool for mini percutaneous nephrolithotomy (mPCNL) today. MATERIALS AND METHODS: The conception, production, scientific and clinical development of the original SSD is described. The pitfalls of track dilation in general according to method of dilation are also discussed and outlined. RESULTS: This study provides evidence clarifying commonl..

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