Five-Part Percutaneous Access Needle with Glidewire Technique for Percutaneous Nephrolithotomy: Our Experience of 315 Cases

Abstract

Introduction:

We evaluate the use of an innovative five-part percutaneous access needle with glidewire (5-PANG) in an attempt to make percutaneous nephrolithotomy tract establishment a fast, safe, and less cumbersome procedure. The video describes the technique in detail with the results and has a run time of 5 mins 1 sec.

Materials and Methods:

The 5-PANG needle was designed, fabricated, patented, and published by our institute. ¹ It reduces the need of repeated exchange of needles/dilators during a conventional percutaneous nephrolithotomy tract creation, without compromising the safety. Safety, advantages, and weaknesses were evaluated at the end of 315 cases.

Results and Conclusions:

The 5-PANG technique was used in 315 renal units, for all calyceal punctures, all kind of stones, renal anatomies, and for second-time surgeries. The mean time from a successful puncture till the placement of Alken's rod was 49.94 sec. No case had to be converted to conventional method or abandoned. There were no intraoperative or postoperative complications related to the 5-PANG. Our video elaborates the technique with its outcomes. The 5-PANG technique is safe, fast, effective, cheap, and easy to learn and master. We recommend this technique over the standard initial tract dilatation techniques.

No competing financial interests exist.

Runtime of video: 5 mins 1 sec