A novel 5-part Percutaneous Access Needle with Glidewire technique (5-PANG) for percutaneous nephrolithotomy: our initial experience.
OBJECTIVE
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.


METHODS
An access needle (5-PANG needle) was designed and fabricated at the Institute of Urology, Dhule, and used for percutaneous renal access during PCNL.


RESULTS
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.


CONCLUSIONS
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.
Patil
Ashish V
AV
Institute of Urology, Dhule, Maharastra, India. instituteofurology@gmail.com
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D004867:Equipment Design; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D009339:Needles; D009403:Nephrostomy, Percutaneous / Q000295:instrumentation*; D055815:Young Adult