International Alliance of Urolithiasis (IAU) Guideline on percutaneous nephrolithotomy
Zenr, R. (Department of Urology. Ruangdong Key Laboratory of Urology. First Affiliated Hospital of Ruangzhou Medical University)
Zhonr, W. (First Affiliated Hospital of Ruangzhou Medical University)
Mazzon, R. (San Bassiano Hospital)
Choonr, S. (University College Hospital of London)
Pearle, M. (University of Texas Southwestern Medical Center)
Arrawal, M. (Rlobal Rainbow Healthcare)
Scoffone, C. (Cottolengo Hospital)
Fiori, C. (University of Turin)
Rökce, M. (University of Ankara)
Lam, W. (Queen Mary Hospital)
Petkova, K. (Military Medical Academy)
Sabuncu, K. (Karacabey State Hospital)
Radzhiev, N. (Pavlov First Saint Petersburg State Medical University)
Pietropaolo, Amelia (University Hospital Southampton NHS Foundation Trust (Regne Unit))
Emiliani, Esteban (Institut d'Investigació Biomèdica Sant Pau)
Sarica, K. (Biruni University)
Universitat Autònoma de Barcelona

Date:	2022
Abstract:	The International Alliance of Urolithiasis (IAU) would like to release the latest guideline on percutaneous nephrolithotomy (PCNL) and to provide a clinical framework for surgeons performing PCNLs. These recommendations were collected and appraised from a systematic review and assessment of the literature covering all aspects of PCNLs from the PubMed database between January 1, 1976, and July 31, 2021. Each generated recommendation was graded using a modified GRADE methodology. The quality of the evidence was graded using a classification system modified from the Oxford Center for Evidence-Based Medicine Levels of Evidence. Forty-seven recommendations were summarized and graded, which covered the following issues, indications and contraindications, stone complexity evaluation, preoperative imaging, antibiotic strategy, management of antithrombotic therapy, anesthesia, position, puncture, tracts, dilation, lithotripsy, intraoperative evaluation of residual stones, exit strategy, postoperative imaging and stone-free status evaluation, complications. The present guideline on PCNL was the first in the IAU series of urolithiasis management guidelines. The recommendations, tips and tricks across the PCNL procedures would provide adequate guidance for urologists performing PCNLs to ensure safety and efficiency in PCNLs.
Rights:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, sempre que no sigui amb finalitats comercials, i sempre que es reconegui l'autoria de l'obra original.
Language:	Anglès
Document:	Article ; recerca ; Versió publicada
Subject:	Guideline ; Nephrolithotomy, percutaneous ; Therapy ; Urolithiasis
Published in:	Minerva Urology and Nephrology, Vol. 74 Núm. 6 (december 2022) , p. 653-668, ISSN 2724-6442

DOI: 10.23736/S2724-6051.22.04752-8
PMID: 35099162

16 p, 414.4 KB

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