Navigation systems and 3D imaging in percutaneous nephrolithotripsy: improving outcomes and safety
Purpose of review - Percutaneous nephrolithotripsy (PCNL) is the first-line management option for large kidney stones (>2 cm). It remains, however, a demanding procedure with considerable morbidity. The present narrative review summarizes recent knowledge from original research studies investigat...
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| Main Authors: | , , , , , |
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| Format: | Article (Journal) |
| Language: | English |
| Published: |
March 2024
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| In: |
Current opinion in urology
Year: 2024, Volume: 34, Issue: 2, Pages: 105-109 |
| ISSN: | 1473-6586 |
| DOI: | 10.1097/MOU.0000000000001136 |
| Online Access: | Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1097/MOU.0000000000001136 Verlag, lizenzpflichtig, Volltext: https://journals.lww.com/co-urology/abstract/2024/03000/navigation_systems_and_3d_imaging_in_percutaneous.13.aspx 
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| Author Notes: | Athanasios Bouchalakis, Bhaskar Kumar Somani, Estevao Lima, Marie-Claire Rassweiler-Seyfried, Charalampos Mamoulakis, Theodoros Tokas |
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| 520 | |a Purpose of review - Percutaneous nephrolithotripsy (PCNL) is the first-line management option for large kidney stones (>2 cm). It remains, however, a demanding procedure with considerable morbidity. The present narrative review summarizes recent knowledge from original research studies investigating navigation systems/three-dimensional (3D) imaging in PCNL, particularly on publications during the past 12-18 months. - Recent findings - Navigation systems and 3D imaging are primarily used for preoperative planning, with few intra-operative applications. Patient management and residents’ training could benefit from their use. - Summary - Navigation systems and 3D imaging technology have emerged as a potential game-changer in PCNL. Even though available evidence is currently scarce/inconclusive, the safety/efficacy of navigation systems and 3D dimensional imaging use in PCNL appears promising. This advanced technology offers precise anatomical mapping, improved visualization, and surgical accuracy. Enabling a comprehensive preoperative evaluation and improving guidance, navigation systems, and 3D imaging technology may improve the safety and efficacy of PCNL. With continuous technological evolution, it is expected that improvements/innovations will offer further aid in such demanding procedures. Familiarization and cost reduction are necessary for widespread application, while larger-scale prospective studies and well designed randomized controlled trials are still needed. | ||
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