Institute of Urology, Dhule, Maharastra, India.
Urology. 2010 May;75(5):1206-8. doi: 10.1016/j.urology.2009.11.027. Epub 2010 Feb 6.
To describe the use of an innovative 5-part Percutaneous Access Needle with Glidewire (5-PANG), a novel technique in an attempt to make percutaneous nephrolithotomy (PCNL-a routinely performed procedure) tract establishment a fast, safe, and less cumbersome procedure.
An access needle (5-PANG needle) was designed and fabricated at the Institute of Urology, Dhule, and used for percutaneous renal access during PCNL.
The 5-PANG technique was used in 55 cases (57 renal units). It was used for all calyceal punctures, all types of stones, renal anatomies, and for second-time surgeries (8 cases). The mean time required (from the stage of the successful puncture using the first 3 parts of the needle till the placement of Alken's rod) was 44.54 seconds. The radiation time was a mean of 3.34 seconds. Punctured calyx and tract size did not affect the results. Visual clarity was good in 85.9% cases. No case had to be converted to conventional method or abandoned. There were no intra- or postoperative complications related to the 5-PANG.
We find the 5-PANG technique safe, fast, effective, and inexpensive. It is easy to learn and master. We recommend this technique over the standard initial tract dilatation techniques.
描述一种创新的 5 部分经皮穿刺用针与 Glidewire（5-PANG）的使用，这是一种尝试使经皮肾镜碎石术（PCNL-一种常规手术）通道建立变得更快、更安全、更不繁琐的新技术。
在 Dhule 泌尿科研究所设计和制造了一种穿刺针（5-PANG 针），并在 PCNL 中用于经皮肾穿刺。
5-PANG 技术在 55 例（57 个肾脏单位）中使用。它用于所有肾盏穿刺、所有类型的结石、肾脏解剖和第二次手术（8 例）。所需的平均时间（从使用前 3 部分的针成功穿刺到放置 Alken 棒）为 44.54 秒。辐射时间平均为 3.34 秒。穿刺肾盏和通道大小不影响结果。85.9%的病例视觉清晰度良好。没有病例需要转换为常规方法或放弃。5-PANG 无相关的术中或术后并发症。
我们发现 5-PANG 技术安全、快速、有效且经济实惠。它易于学习和掌握。我们推荐这种技术优于标准的初始通道扩张技术。
