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P Percutaneous Renal Surgery e r c Edited by u Manoj Monga MD, FACS, Glickman Urological & Kidney Institute, t a Cleveland Clinic, Cleveland, OH, USA n Abhay Rane MS, FRCS(Urol), East Surrey Hospital, Redhill, UK e o Percutaneous renal procedures are highly complex and require a great deal of u surgical skill. Improve your patient care with this outstanding instruction manual from s the experts. R e Clinically-focused throughout, the three major conditions managed by percutaneous n renal surgery – large renal calculi, transitional cell cancer and renal cell cancer – are a expertly covered by the world’s leading surgeons and urologists. Well-illustrated with l over 100 top-quality surgical photos and with reference to the leading society S u guidelines in this area, inside you’ll find coverage of: r • Evidence-based outcomes for percutaneous management g e • Patient selection and informed consent r y • Preparing the patient for surgery • Instrumentation used in surgery M • Surgical technique and patient safety o n • Pre-and post-op counseling g a In addition, 10 high-quality videos offer an excellent visual guide to best practice and a surgical tips and tricks of the trade. n d Percutaneous Renal Surgery is the perfect multi-media teaching tool, providing R Percutaneous urologists, nephrologists and surgeons with the knowledge, confidence and clinical a n skills required to perform these complex and difficult surgical procedures safely and e effectively. Renal Surgery Of related interest Smith’s Textbook of Endourology, 3rd edition, Smith, ISBN 9781444335545 Top Tips in Urology, 2nd edition, McLoughlin, ISBN 9780470672938 This book is accompanied by a companion website: Edited by Manoj Monga and Abhay Rane www.wiley.com/go/monga/percutaneous The website includes: • 10 video clips www.wiley.com/go/medicine cover_9781118278734.indd 1 25/09/2013 18:36 Percutaneous Renal Surgery To our parents: Uma and Trilok Monga Snehalata and Murali Rane Percutaneous Renal Surgery EditEd by Manoj Monga MD, FACS Director Stevan B. Streem Center for Endourology and Stone Disease Glickman Urological and Kidney Institute Cleveland Clinic Cleveland, OH, USA Abhay Rane MS, FRCS(Urol) Professor of Urology East Surrey Hospital Redhill, UK This edition first published 2014 © 2014 by John Wiley & Sons, Ltd Registered Office John Wiley & Sons, Ltd, The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK Editorial Offices 9600 Garsington Road, Oxford, OX4 2DQ, UK The Atrium, Southern Gate, Chichester, West Sussex, PO19 8SQ, UK 111 River Street, Hoboken, NJ 07030-5774, USA For details of our global editorial offices, for customer services and for information about how to apply for permission to reuse the copyright material in this book please see our website at www.wiley.com/wiley-blackwell The right of the author to be identified as the author of this work has been asserted in accordance with the UK Copyright, Designs and Patents Act 1988. All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, except as permitted by the UK Copyright, Designs and Patents Act 1988, without the prior permission of the publisher. Designations used by companies to distinguish their products are often claimed as trademarks. All brand names and product names used in this book are trade names, service marks, trademarks or registered trademarks of their respective owners. The publisher is not associated with any product or vendor mentioned in this book. It is sold on the understanding that the publisher is not engaged in rendering professional services. If professional advice or other expert assistance is required, the services of a competent professional should be sought. The contents of this work are intended to further general scientific research, understanding, and discussion only and are not intended and should not be relied upon as recommending or promoting a specific method, diagnosis, or treatment by health science practitioners for any particular patient. The publisher and the author make no representations or warranties with respect to the accuracy or completeness of the contents of this work and specifically disclaim all warranties, including without limitation any implied warranties of fitness for a particular purpose. In view of ongoing research, equipment modifications, changes in governmental regulations, and the constant flow of information relating to the use of medicines, equipment, and devices, the reader is urged to review and evaluate the information provided in the package insert or instructions for each medicine, equipment, or device for, among other things, any changes in the instructions or indication of usage and for added warnings and precautions. Readers should consult with a specialist where appropriate. The fact that an organization or Website is referred to in this work as a citation and/or a potential source of further information does not mean that the author or the publisher endorses the information the organization or Website may provide or recommendations it may make. Further, readers should be aware that Internet Websites listed in this work may have changed or disappeared between when this work was written and when it is read. No warranty may be created or extended by any promotional statements for this work. Neither the publisher nor the author shall be liable for any damages arising herefrom. Library of Congress Cataloging-in-Publication Data Percutaneous renal surgery / [edited by] Manoj Monga, Abhay Rane. p. ; cm. Includes bibliographical references and index. ISBN 978-1-118-27873-4 (hardback : alk. paper) – ISBN 978-1-118-67090-3 – ISBN 978-1-118-67092-7 (pub) – ISBN 978-1-118-67093-4 (pdf) – ISBN 978-1-118-67095-8 (mobi) I. Monga, Manoj, editor of compilation. II. Ran?, Abhay, editor of compilation. [DNLM: 1. Kidney Diseases–surgery. 2. Kidney–surgery. 3. Nephrostomy, Percutaneous–methods. 4. Urologic Surgical Procedures–methods. WJ 368] RD575 617.4′61059–dc23 2013007101 A catalogue record for this book is available from the British Library. Wiley also publishes its books in a variety of electronic formats. Some content that appears in print may not be available in electronic books. Cover image: ©John Wiley & Sons Ltd. Cover design by OptaDesign.co.uk Set in 9/12pt Minion by SPi Publisher Services, Pondicherry, India 1 2014 Contents Contributor List, vii 10 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Supine, 95 Preface, xiii Arvind Ganpule, Amit Doshi, and About the Companion Website, xiv Mahesh R. Desai 11 Instrumentation and Surgical Technique: Section 1: Introduction Step-by-Step Percutaneous Nephrolithotomy: 1 Percutaneous Renal Access: A Historical Perspective, 3 Prone-Flexed/Lateral, 106 Simpa S. Salami, Zeph Okeke, and Arthur D. Smith Kirsten Foell and R. John D’A. Honey 2 Interventional Imaging and Radiation Safety, 7 12 Instrumentation and Surgical Technique: Don C. Arnold II, Kirk M. Anderson, and Step-by-Step Percutaneous Nephrolithotomy: D. Duane Baldwin Endoscopic Guidance, 116 Farhan Khan, Ross Moskowitz, Joseph Graversen, Michael Ordon, Ralph V. Clayman, Section 2: Percutaneous Management and Jaime Landman of Large Renal Calculi (Percutaneous Nephrolithotomy) 13 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: 3 Epidemiology of Large Renal Stones and Utilization Mini-Percutaneous Nephrolithotomy, 126 Patterns of Percutaneous Nephrolithotomy, 23 Gunnar Wendt-Nordahl and Thomas Knoll Stephen Faddegon and Margaret S. Pearle 14 Instrumentation and Surgical Technique: 4 Evolution of Evidence-Based Outcomes for Step-by-Step Percutaneous Nephrolithotomy: Percutaneous Nephrolithotomy, 31 Multiple Access, 134 Kirsten Foell and Kenneth T. Pace Jessica N. Lange, Patrick W. Mufarrij, 5 Patient Selection and Informed Consent, 46 and Dean G. Assimos Nader Fahmy and John Denstedt 15 Instrumentation and Surgical Technique: 6 Instrumentation and Surgical Technique: Step-by-Step Percutaneous Nephrolithotomy: Percutaneous Access, 59 Tube or Tubeless Percutaneous Naeem Bhojani and James E. Lingeman Nephrolithotomy, 143 7 Instrumentation and Surgical Technique: Tract Andreas Neisius, Michael E. Lipkin, and Dilation and Endoscopes, 64 Glenn M. Preminger Michael J. Metcalfe, Ryan Paterson, and Ben Chew 16 Instrumentation and Surgical Technique: 8 Instrumentation and Surgical Technique: Postoperative Imaging Following Percutaneous Intracorporeal Lithotrites, 74 Nephrolithotomy, 152 Abhishek P. Patel and Bodo E. Knudsen Aditya Bagrodia and Margaret S. Pearle 9 Instrumentation and Surgical Technique: Step-by-Step 17 Instrumentation and Surgical Technique: Percutaneous Nephrolithotomy: Prone, 84 Step-by-Step Antegrade Ureteric Stenting, 161 Mantu Gupta and Doh Yoon Cha Ravi Kulkarni v vi Contents Section 3: Percutaneous Management of 25 Instrumentation and Technique: Cryotherapy, 229 Transitional Cell Cancer (Percutaneous Achim Lusch, Jane Cho, Michael A. Liss, Joseph Resection of Tumor) Graversen, and Jaime Landman 18 Epidemiology of Disease (Upper Tract Transitional 26 Instrumentation and Technique: Hyperthermal Cell Cancer), 175 Ablation: Radiofrequency and Microwave Matthew R. Hotston, Sunil Mathur, and Francis Ablation, 237 X. Keeley Arturo Castro Jr, Lawrence Jenkins, Obi Ekwenna, John Shields, Nelson Salas, and Raymond Leveillee 19 Evidence-Based Outcomes for Percutaneous Management of Upper Tract Urothelial Carcinoma, 182 27 Instrumentation and Technique: High-Intensity Eric R. Taylor and Marshall L. Stoller Focused Ultrasound, 253 Robert W. Ritchie, Tom Leslie, David Cranston, 20 Patient Selection and Informed Consent, 190 and Mark Sullivan Michael Conlin and Nicholas Tadros 28 Instrumentation and Technique: Laser, 262 21 Percutaneous Treatment of Upper Tract Urothelial Ramakrishna Venkatesh, Jason R. Bylund, Carcinoma, 196 and Stephen E. Strup Steve Dong, Matthew Dunn, and Mihir Desai 29 Instrumentation and Technique: Irreversible Electroporation, 268 Section 4: Percutaneous Ablation of Renal Chad R. Tracy and Jeffrey A. Cadeddu Cell Cancer (Thermal and Nonthermal) 30 Instrumentation and Techniques in Renal 22 Epidemiology and Biology of Small Renal Masses, 205 Radiosurgery, 276 Paul L. Crispen and Steven C. Campbell Matthew J. Maurice, Gino J. Vricella, 23 Evolution of Evidence-Based Outcomes for and Lee E. Ponsky Percutaneous Management, 215 31 Instrumentation and Technique: Renal Histotripsy, 281 Matthew J. O’Shaughnessy, David A. Leavitt, William W. Roberts and J. Kyle Anderson 24 Patient Selection and Informed Consent, 224 Humberto Laydner and Jihad H. Kaouk Index, 290 Contributor List J. Kyle Anderson MD Jeffrey A. Cadeddu MD Associate Professor Professor of Urology Department of Urology The University of Texas Southwestern Medical Center University of Minnesota Dallas, TX, USA Minneapolis, MN, USA Steven C. Campbell MD, PhD Kirk M. Anderson MD Professor of Surgery Resident Center for Urologic Oncology Loma Linda University School of Medicine Glickman Urologic and Kidney Institute Loma Linda, CA, USA Cleveland Clinic Cleveland, OH, USA Don C. Arnold II MD Minimally Invasive Urologic Surgery Fellow Arturo Castro Jr MD Loma Linda University School of Medicine Research Fellow Loma Linda, CA, USA Division of Endourology Robotics, Laparoscopy and Minimally Invasive Surgery Dean G. Assimos MD Joint Bioengineering and Endourology Development Professor and Chairman Surgical Laboratory Department of Urology Department of Urology University of Alabama Birmingham Medical Center Miller School of Medicine, University of Miami Birmingham, AL, USA Miami, FL, USA Aditya Bagrodia MD Doh Yoon Cha MD Resident, Department of Urology Postdoctoral Clinical Fellow Jane and Charles Y. C. Pak Center for Mineral Metabolism Department of Urology The University of Texas Southwestern Medical Center Columbia University School of Medicine Dallas, TX, USA New York, NY, USA D. Duane Baldwin MD Ben Chew MD, MSc, FRCSC Professor of Urology Assistant Professor Endourology Program Director Department of Urologic Sciences Director of Urologic Research University of British Columbia Loma Linda University School of Medicine Vancouver, BC, Canada Loma Linda, CA, USA Jane Cho MD Naeem Bhojani MD Resident Endourology Fellow Department of Urology Indiana University School of Medicine University of California Irvine Indianapolis, IN, USA Orange, CA, USA Jason R. Bylund MD Ralph V. Clayman MD Endourology Fellow Professor Division of Urology Department of Urology University of Kentucky Dean, School of Medicine University of California Irvine Lexington, KY, USA Orange, CA, USA vii viii Contributor List Michael Conlin MD, FACS Obi Ekwenna MD Associate Professor Chief Resident in Urology Department of Urology Division of Endourology Portland VA Medical Center Robotics, Laparoscopy and Minimally Invasive Surgery Oregon Health and Sciences University Joint Bioengineering and Endourology Development Portland, OR, USA Surgical Laboratory Department of Urology David Cranston MB, ChB, MA, DPhil, FRCS Miller School of Medicine, University of Miami Consultant Urological Surgeon Miami, FL, USA Oxford University Hospitals NHS Trust; Clinical Director, Oxford HIFU Unit Stephen Faddegon MD Senior Lecturer, Nuffield Department of Surgical Sciences Fellow University of Oxford Department of Urology Oxford, UK The University of Texas Southwestern Medical Center Dallas, TX, USA Paul L. Crispen MD Assistant Professor of Surgery Nader Fahmy MD, PhD, FRCSC Division of Urology Fellow in Endourology University of Kentucky Division of Urology, Department of Surgery Lexington, KY, USA Schulisch School of Medicine & Dentistry John Denstedt MD, FRCSC, FACS The University of Western Ontario; London Health Sciences Centre; Richard Ivey Professor and Chair/Chief St Joseph’s Health Care London Department of Surgery London, ON, Canada Schulich School of Medicine & Dentistry The University of Western Ontario; London Health Sciences Centre; Kirsten Foell MD, FRCSC St Joseph’s Health Care London Endourology and Minimally Invasive Surgery Fellow London, ON, Canada St. Michael’s Hospital University of Toronto Mahesh R. Desai MD, MS, FRCS Toronto, ON, Canada Medical Director Muljibhai Patel Urological Hospital Arvind Ganpule MS, DNB(Urol) Nadiad, India Consultant Urologist Muljibhai Patel Urological Hospital Mihir Desai MD Nadiad, India Professor of Urology Keck School of Medicine Joseph Graversen MD University of Southern California Minimal Invasive Urology Fellow Los Angeles, CA, USA Department of Urology University of California Irvine Steve Dong MD Orange, CA, USA Fellow in Advanced Endourology, Laparoscopy, and Robotic Surgery Keck School of Medicine Mantu Gupta MD University of Southern California Associate Professor of Urology Los Angeles, CA, USA Department of Urology Amit Doshi MS(General Surgery) Columbia University School of Medicine New York, NY, USA Resident in Urology Muljibhai Patel Urological Hospital Nadiad, India R. John D’A. Honey MA, MB, BChir, FRCS(Eng), FRCSC Matthew Dunn MD Professor of Surgery Clinical Assistant Professor of Urology Director of Endourology Director of Endourology and Stone Disease St Michael’s Hospital Keck School of Medicine, University of Southern California University of Toronto Los Angeles, CA, USA Toronto, ON, Canada

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