Percutaneous nephrolithotomy

Percutaneous Nephrolithotomy (PCNL) is a surgical procedure used to remove kidney stones from the kidneys. This procedure is typically used when the kidney stones are too large to be removed by less invasive methods.

Procedure

The procedure involves making a small incision in the patient's back and inserting a tube into the kidney. The stones are then broken up and removed through the tube. This procedure is performed under general anesthesia, and the patient is usually required to stay in the hospital for a few days after the surgery.

Indications

Percutaneous Nephrolithotomy is typically used when the kidney stones are too large to be removed by less invasive methods such as extracorporeal shock wave lithotripsy (ESWL) or ureteroscopy. It may also be used if the patient has a large number of stones, or if the stones are in a location that is difficult to reach with other methods.

Risks and Complications

As with any surgical procedure, there are risks associated with Percutaneous Nephrolithotomy. These may include infection, bleeding, damage to the kidney or surrounding organs, and the need for additional procedures if not all of the stones are removed. There is also a risk of complications from general anesthesia.

Recovery

Recovery from Percutaneous Nephrolithotomy typically involves a few days in the hospital, followed by several weeks of rest at home. The patient may also need to take medications to prevent infection and to help the kidney heal.

See Also

• Kidney stone
• Extracorporeal shock wave lithotripsy
• Ureteroscopy