Percutaneous Renal Surgery

Percutaneous Renal Surgery will provide surgeons and urologists/nephrologists with a well-illustrated, full-colour expert guide to performing these complex and difficult surgical procedures safely and effectively.

Focus throughout is on percutaneous management of three major conditions: large renal calculi (percutaneous nephrolithotomy), transitional cell cancer (percutaneous resection of tumor) and renal cell cancer (percutaneous cryotherapy and radiofrequency ablation).

For each of these conditions, leading surgeons and urologists will cover:

1. Epidemiology of the disease
2. Evolution of evidence-based outcomes for percutaneous management
3. Patient selection and informed consent
4. Instrumentation
5. Surgical technique

Edited by
Manoj Monga
MD, FACS, Glickman Urological & Kidney Institute,
Cleveland Clinic, Cleveland, OH, USA

Abhay Rane
MS, FRCS(Urol), East Surrey Hospital, Redhill, UK

Contributor List, vii

Preface, xiii

About the Companion Website, xiv

Section 1: Introduction

1 Percutaneous Renal Access: A Historical Perspective, 3
Simpa S. Salami, Zeph Okeke, and Arthur D. Smith

2 Interventional Imaging and Radiation Safety, 7
Don C. Arnold II, Kirk M. Anderson, and D. Duane Baldwin

Section 2: Percutaneous Management of Large Renal Calculi (Percutaneous Nephrolithotomy)

3 Epidemiology of Large Renal Stones and Utilization Patterns of Percutaneous Nephrolithotomy, 23
Stephen Faddegon and Margaret S. Pearle

4 Evolution of Evidence-Based Outcomes for Percutaneous Nephrolithotomy, 31
Kirsten Foell and Kenneth T. Pace

5 Patient Selection and Informed Consent, 46
Nader Fahmy and John Denstedt

6 Instrumentation and Surgical Technique: Percutaneous Access, 59
Naeem Bhojani and James E. Lingeman

7 Instrumentation and Surgical Technique: Tract Dilation and Endoscopes, 64
Michael J. Metcalfe, Ryan Paterson, and Ben Chew

8 Instrumentation and Surgical Technique: Intracorporeal Lithotrites, 74
Abhishek P. Patel and Bodo E. Knudsen

9 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Prone, 84
Mantu Gupta and Doh Yoon Cha

10 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Supine, 95
Arvind Ganpule, Amit Doshi, and Mahesh R. Desai

11 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Prone-Flexed/Lateral, 106
Kirsten Foell and R. John D’A. Honey

12 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Endoscopic Guidance, 116
Farhan Khan, Ross Moskowitz, Joseph Graversen, Michael Ordon, Ralph V. Clayman, and Jaime Landman

13 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Mini-Percutaneous Nephrolithotomy, 126
Gunnar Wendt-Nordahl and Thomas Knoll

14 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Multiple Access, 134
Jessica N. Lange, Patrick W. Mufarrij, and Dean G. Assimos

15 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Tube or Tubeless Percutaneous Nephrolithotomy, 143
Andreas Neisius, Michael E. Lipkin, and Glenn M. Preminger

16 Instrumentation and Surgical Technique: Postoperative Imaging Following Percutaneous Nephrolithotomy, 152
Aditya Bagrodia and Margaret S. Pearle

17 Instrumentation and Surgical Technique: Step-by-Step Antegrade Ureteric Stenting, 161
Ravi Kulkarni

Section 3: Percutaneous Management of Transitional Cell Cancer (Percutaneous Resection of Tumor)

18 Epidemiology of Disease (Upper Tract Transitional Cell Cancer), 175
Matthew R. Hotston, Sunil Mathur, and Francis X. Keeley

19 Evidence-Based Outcomes for Percutaneous Management of Upper Tract Urothelial Carcinoma, 182
Eric R. Taylor and Marshall L. Stoller

20 Patient Selection and Informed Consent, 190
Michael Conlin and Nicholas Tadros

21 Percutaneous Treatment of Upper Tract Urothelial Carcinoma, 196
Steve Dong, Matthew Dunn, and Mihir Desai

Section 4: Percutaneous Ablation of Renal Cell Cancer (Thermal and Nonthermal)

22 Epidemiology and Biology of Small Renal Masses, 205
Paul L. Crispen and Steven C. Campbell

23 Evolution of Evidence-based Outcomes for Percutaneous Management, 215
Matthew J. O’Shaughnessy, David A. Leavitt, and J. Kyle Anderson

24 Patient Selection and Informed Consent, 224
Humberto Laydner and Jihad H. Kaouk

25 Instrumentation and Technique: Cryotherapy, 229
Achim Lusch, Jane Cho, Michael A. Liss, Joseph Graversen, and Jaime Landman

26 Instrumentation and Technique: Hyperthermal Ablation: Radiofrequency and Microwave Ablation, 237
Arturo Castro Jr, Lawrence Jenkins, Obi Ekwenna, John Shields, Nelson Salas, and Raymond Leveillee

27 Instrumentation and Technique: High-Intensity Focused Ultrasound, 253
Robert W. Ritchie, Tom Leslie, David Cranston, and Mark Sullivan

28 Instrumentation and Technique: Laser, 262
Ramakrishna Venkatesh, Jason R. Bylund, and Stephen E. Strup

29 Instrumentation and Technique: Irreversible Electroporation, 268
Chad R. Tracy and Jeffrey A. Cadeddu

30 Instrumentation and Techniques in Renal Radiosurgery, 276
Matthew J. Maurice, Gino J. Vricella, and Lee E. Ponsky

31 Instrumentation and Technique: Renal Histotripsy, 281
William W. Roberts

Index, 290

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