Puncture in Supine PCNL, Tips and Tricks for an effective and safe procedure
COURSE DESCRIPTION
Dr. Marcos Cepeda, a leading expert in minimally invasive urology from the University of Valladolid, presents this step-by-step instructional video focusing on the puncture phase of supine PCNL (Percutaneous Nephrolithotomy). As PCNL is increasingly performed in the supine position due to its ergonomic and safety advantages, this video provides a deep dive into the nuances of renal access in this posture.
Through detailed explanations and live demonstrations, Dr. Cepeda shares essential tips and tricks that are key to performing the procedure efficiently while ensuring patient safety. Viewers will learn about the ideal patient positioning, needle insertion techniques, fluoroscopic guidance, and troubleshooting common challenges encountered during the puncture phase. The video also includes real-world case examples and discussions on how to avoid and manage complications.
This course is ideal for practitioners looking to refine their skills in supine PCNL, whether they are beginners or experienced professionals seeking advanced insights into this important procedure.
LEARNING OUTCOMES
The objective of this course is to equip healthcare professionals with advanced knowledge and practical skills necessary to:
- Understand the anatomical considerations and advantages of the supine PCNL position.
- Master key techniques for performing a precise and safe renal puncture.
- Identify potential complications and learn strategies to minimize risks.
- Implement evidence-based best practices for improving procedural outcomes in PCNL.
| Lesson1.1 | Endourology Academy Disclaimer |
| Lesson2.1 | Introduction | |
| Lesson2.2 | Anatomical puncture | |
| Lesson2.3 | Organ Injury | |
| Lesson2.4 | Patient position | |
| Lesson2.5 | OR setup | |
| Lesson2.6 | Renal puncture | |
| Lesson2.7 | Correction of puncture angle | |
| Lesson2.8 | Ultrasound guided puncture | |
| Lesson2.9 | Endoscopic guided puncture | |
| Lesson2.10 | Verification of needle position | |
| Lesson2.11 | If no urine comes out of needle |
| Lesson3.1 | How to avoid organ injury | |
| Lesson3.2 | How to avoid colon injury? | |
| Lesson3.3 | How to avoid liver injury? | |
| Lesson3.4 | How to avoid spleen injury? |
| Lesson4.1 | Multiple puncture |
| Lesson5.1 | Conclusion |
Instructor
Prof Dr. Marcos Cepeda
Dr. Marcos Cepeda, senior urologist in the Endourology and Laparoscopy Unit of the HURH since 2009, was born in 1979 in Valladolid, Spain. He completed his medical studies at the University of Valladolid (UVA) in 2003, where he obtained his MD. He finished his residency in Urology at the Río Hortega University Hospital (HURH) also in Valladolid in 2009 and obtained his PhD by the UVA in 2011. He had urology training at the Virginia Mason Medical Center in Seattle, USA, focusing on robotic surgery. His career has been centered in Endourology and Laparoscopy. He collaborates with the UVA Medical School Department of Surgery since 2013, and since 2018 he is professor of Urology at the same institution. In 2013, he took the European Board of Urology examination. He is author and co-author of over 25 chapters of textbooks, 30 publications, 200 communications and collaborates with different research projects. He has participated as lecturer in numerous national and international courses, including live surgery. He is an instructor in Endourology courses at HURH and at the Cáceres Jesús Usón Center of Minimally Invasive Surgery. His activities in the Spanish National Meeting Dr. Marcos Cepeda, senior urologist in the Endourology and Laparoscopy Unit of the HURH since 2009, was born in 1979 in Valladolid, Spain. He completed his medical studies at the University of Valladolid (UVA) in 2003, where he obtained his MD. He finished his residency in Urology at the Río Hortega University Hospital (HURH) also in Valladolid in 2009 and obtained his PhD by the UVA in 2011. He had urology training at the Virginia Mason Medical Center in Seattle, USA, focusing on robotic surgery. His career has been centered in Endourology and Laparoscopy. He collaborates with the UVA Medical School Department of Surgery since 2013, and since 2018 he is professor of Urology at the same institution. In 2013, he took the European Board of Urology examination. He is author and co-author of over 25 chapters of textbooks, 30 publications, 200 communications and collaborates with different research projects. He has participated as lecturer in numerous national and international courses, including live surgery. He is an instructor in Endourology courses at HURH and at the Cáceres Jesús Usón Center of Minimally Invasive Surgery. His activities in the Spanish National Meeting include 5 years teaching the course of retrograde intrarenal surgery and leading the percutaneous nephrolithotomy course. He is an affiliate member of the European Section of Urolithiasis (EULIS) and the European Section of Uro-Technology (ESUT). So far, he has been awarded 18 prizes and 3 grants for his contributions to Endourology and Laparoscopy. Since 2018, he is the Coordinator of Resident Tutoring and Quality Supervisor of his Department and he has started the Robot-Assisted Surgery Program.