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Minimizing radiation exposure during percutaneous nephrolithotomy.

Publication ,  Journal Article
Chen, TT; Preminger, GM; Lipkin, ME
Published in: Minerva Urol Nefrol
December 2015

Given the recent trends in growing per capita radiation dose from medical sources, there have been increasing concerns over patient radiation exposure. Patients with kidney stones undergoing percutaneous nephrolithotomy (PNL) are at particular risk for high radiation exposure. There exist several risk factors for increased radiation exposure during PNL which include high Body Mass Index, multiple access tracts, and increased stone burden. We herein review recent trends in radiation exposure, radiation exposure during PNL to both patients and urologists, and various approaches to reduce radiation exposure. We discuss incorporating the principles of As Low As reasonably Achievable (ALARA) into clinical practice and review imaging techniques such as ultrasound and air contrast to guide PNL access. Alternative surgical techniques and approaches to reducing radiation exposure, including retrograde intra-renal surgery, retrograde nephrostomy, endoscopic-guided PNL, and minimally invasive PNL, are also highlighted. It is important for urologists to be aware of these concepts and techniques when treating stone patients with PNL. The discussions outlined will assist urologists in providing patient counseling and high quality of care.

Duke Scholars

Published In

Minerva Urol Nefrol

EISSN

1827-1758

Publication Date

December 2015

Volume

67

Issue

4

Start / End Page

347 / 354

Location

Italy

Related Subject Headings

  • Urology & Nephrology
  • Urinary Calculi
  • Risk Factors
  • Radiation Exposure
  • Nephrostomy, Percutaneous
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Chen, T. T., Preminger, G. M., & Lipkin, M. E. (2015). Minimizing radiation exposure during percutaneous nephrolithotomy. Minerva Urol Nefrol, 67(4), 347–354.
Chen, T. T., G. M. Preminger, and M. E. Lipkin. “Minimizing radiation exposure during percutaneous nephrolithotomy.Minerva Urol Nefrol 67, no. 4 (December 2015): 347–54.
Chen TT, Preminger GM, Lipkin ME. Minimizing radiation exposure during percutaneous nephrolithotomy. Minerva Urol Nefrol. 2015 Dec;67(4):347–54.
Chen, T. T., et al. “Minimizing radiation exposure during percutaneous nephrolithotomy.Minerva Urol Nefrol, vol. 67, no. 4, Dec. 2015, pp. 347–54.
Chen TT, Preminger GM, Lipkin ME. Minimizing radiation exposure during percutaneous nephrolithotomy. Minerva Urol Nefrol. 2015 Dec;67(4):347–354.

Published In

Minerva Urol Nefrol

EISSN

1827-1758

Publication Date

December 2015

Volume

67

Issue

4

Start / End Page

347 / 354

Location

Italy

Related Subject Headings

  • Urology & Nephrology
  • Urinary Calculi
  • Risk Factors
  • Radiation Exposure
  • Nephrostomy, Percutaneous
  • Humans