PMID- 23416964
OWN - NLM
STAT- MEDLINE
DCOM- 20140108
LR  - 20211021
IS  - 1433-0563 (Electronic)
IS  - 0340-2592 (Linking)
VI  - 52
IP  - 5
DP  - 2013 May
TI  - [Simultaneous antegrade-retrograde therapy for renal calculi].
PG  - 686-90
LID - 10.1007/s00120-013-3131-7 [doi]
AB  - The current guidelines recommend percutaneous nephrolithotomy (PCNL) as the first 
      choice procedure for large stone masses. Complex stone situations, such as formed 
      stones or large peripheral stone masses, however, often necessitate several 
      access points and multiple stage procedures. In such cases open surgical stone 
      removal is often used. An alternative is simultaneous antegrade-retrograde stone 
      therapy in which PCNL is combined with flexible ureterorenoscopy (fURS). Both 
      procedures complement each other in that fURS allows access to narrow calyces and 
      PCNL the simple removal of buried concretions via the percutaneous shaft without 
      excessive disintegration. Even difficult stone situations can be resolved 
      simultaneously. Disadvantages are the high personnel and instrumental involvement 
      (two endoscopic procedures with two endoscope towers and two operators) which is 
      not adequately reflected in the diagnosis-related groups (DRG) remuneration 
      system. Additionally simultaneous stone treatment is normally carried out in the 
      supine lithotomy position so that even an experienced percutaneous surgeon is 
      confronted with a new situation and a certain learning curve. Our own experiences 
      and that of other working groups show, however, that the simultaneous approach 
      represents an attractive and effective addition to minimally invasive stone 
      therapy if the appropriate equipment and corresponding expertise are available.
FAU - Knoll, T
AU  - Knoll T
AD  - Urologische Klinik Sindelfingen, Klinikum Sindelfingen-Boblingen, 
      Arthur-Gruber-Strasse 70, 71065 Sindelfingen, Deutschland. 
      t.knoll@klinikverbund-suedwest.de
LA  - ger
PT  - English Abstract
PT  - Journal Article
TT  - Simultaneous antegrade-retrograde therapy for renal calculi [corrected].
PL  - Germany
TA  - Urologe A
JT  - Der Urologe. Ausg. A
JID - 1304110
SB  - IM
EIN - Urologe A. 2013 May;52(5):690
MH  - Combined Modality Therapy/methods
MH  - Endoscopy/*methods
MH  - Humans
MH  - Kidney Calculi/*pathology/*surgery
MH  - Nephrectomy/*methods
MH  - *Operative Time
MH  - Treatment Outcome
MH  - *Workload
EDAT- 2013/02/19 06:00
MHDA- 2014/01/09 06:00
CRDT- 2013/02/19 06:00
PHST- 2013/02/19 06:00 [entrez]
PHST- 2013/02/19 06:00 [pubmed]
PHST- 2014/01/09 06:00 [medline]
AID - 10.1007/s00120-013-3131-7 [doi]
PST - ppublish
SO  - Urologe A. 2013 May;52(5):686-90. doi: 10.1007/s00120-013-3131-7.