{"id":12002,"date":"2025-08-01T12:41:23","date_gmt":"2025-08-01T16:41:23","guid":{"rendered":"https:\/\/www.rigicon.com\/glossary-term\/percutaneous-nephrolithotomy-pcnl-minimally-invasive-kidney-stone-removal\/"},"modified":"2025-08-01T12:41:23","modified_gmt":"2025-08-01T16:41:23","slug":"nefrolitotomia-percutanea-nlp-extraccion-minimamente-invasiva-de-calculos-renale","status":"publish","type":"glossary-term","link":"https:\/\/www.rigicon.com\/es\/glossary-term\/nefrolitotomia-percutanea-nlp-extraccion-minimamente-invasiva-de-calculos-renale\/","title":{"rendered":"Nefrolitotom\u00eda Percut\u00e1nea (NLP): Extracci\u00f3n M\u00ednimamente Invasiva de C\u00e1lculos Renales"},"content":{"rendered":"","protected":false},"excerpt":{"rendered":"","protected":false},"featured_media":0,"template":"","glossary-category":[112],"glossary-product":[],"class_list":["post-12002","glossary-term","type-glossary-term","status-publish","hentry","glossary-category-surgical-procedures"],"acf":{"gt-definition":"<p>Nefrolitotom\u00eda percut\u00e1nea (PCNL) es un procedimiento quir\u00fargico m\u00ednimamente invasivo que se utiliza para eliminar c\u00e1lculos renales del cuerpo cuando no pueden pasar por s\u00ed solos.<sup>1<\/sup> El t\u00e9rmino \"percut\u00e1neo\" significa a trav\u00e9s de la piel. El procedimiento crea un conducto desde la piel de la parte posterior hasta el ri\u00f1\u00f3n, donde el cirujano utiliza instrumentos especializados que se pasan a trav\u00e9s de un peque\u00f1o tubo para localizar y extraer c\u00e1lculos del ri\u00f1\u00f3n.<sup>1<\/sup> La NLPC est\u00e1 indicada principalmente para c\u00e1lculos m\u00e1s grandes (>2 cm), c\u00e1lculos coraliformes (c\u00e1lculos que ocupan m\u00faltiples ramas del sistema colector) o cuando los procedimientos menos invasivos, como la litotricia por ondas de choque o la ureteroscopia, no son posibles o requieren fall\u00f3.<sup>1,2<\/sup> Esta t\u00e9cnica ha reemplazado en gran medida a la cirug\u00eda abierta de c\u00e1lculos para la mayor\u00eda de los c\u00e1lculos renales complejos, ofreciendo una mayor tasa de \u00e9xito para la eliminaci\u00f3n completa de los c\u00e1lculos y minimizando el trauma quir\u00fargico.<sup>3<\/sup><\/p>","gt-synonyms":"PCNL, Nefrolitotricia percut\u00e1nea, Eliminaci\u00f3n percut\u00e1nea de c\u00e1lculos renales, Extracci\u00f3n percut\u00e1nea de c\u00e1lculos, Cirug\u00eda percut\u00e1nea de c\u00e1lculos renales","gt-citation":"[1] Mayo Clinic Staff. Percutaneous nephrolithotomy. Mayo Clinic. 2024. DOI: https:\/\/www.mayoclinic.org\/tests-procedures\/percutaneous-nephrolithotomy\/about\/pac-20385051\n\n[2] Johns Hopkins Medicine. Percutaneous Nephrolithotomy (PCNL). 2024. DOI: https:\/\/www.hopkinsmedicine.org\/health\/treatment-tests-and-therapies\/percutaneous-nephrolithonomy-pcnl\n\n[3] Khalil MAU, Patujo YH, Ullah F, et al. An Analysis of Percutaneous Nephrolithotomy (PCNL) Performed at the Institute of Kidney Disease, Pakistan: Stone Clearance and Complications. Cureus. 2024;16(12):e75430. DOI: https:\/\/doi.org\/10.7759\/cureus.75430\n\n[4] Zhang FBY, Lin WR, Yang S, et al. Outcomes of percutaneous nephrolithotomy versus open stone surgery for patients with staghorn calculi. Urological Science. 2017;28(2):97-100. DOI: https:\/\/doi.org\/10.1016\/j.urols.2017.02.001","gt-clinical-context":"<p>La nefrolitotom\u00eda percut\u00e1nea est\u00e1 cl\u00ednicamente indicada en varios escenarios, con criterios de selecci\u00f3n de pacientes espec\u00edficos y resultados esperados. El procedimiento generalmente se recomienda cuando los c\u00e1lculos renales miden m\u00e1s de 2 cm de di\u00e1metro, cuando los c\u00e1lculos forman un patr\u00f3n en cuerno de ciervo que bloquea m\u00faltiples ramas del sistema colector del ri\u00f1\u00f3n, cuando hay c\u00e1lculos grandes en el ur\u00e9ter (el tubo que conecta el ri\u00f1\u00f3n con la vejiga) o cuando otras terapias menos invasivas han fallado.<sup>1<\/sup><\/p>\n    \n    <p>El procedimiento quir\u00fargico implica varios pasos clave: Primero, se coloca al paciente bajo anestesia general. Se inserta una aguja especializada a trav\u00e9s de la piel hasta una c\u00e1mara de recolecci\u00f3n de orina del ri\u00f1\u00f3n (c\u00e1liz) bajo gu\u00eda por im\u00e1genes.<sup>1<\/sup> Esta ruta de la aguja se convierte en el pasaje para el resto del procedimiento. Se coloca un tubo (funda) a lo largo de este camino, a trav\u00e9s del cual se pasan instrumentos especializados para romper y eliminar los c\u00e1lculos.<sup>1<\/sup> En algunos casos, se puede dejar un tubo de nefrostom\u00eda en su lugar temporalmente para permitir el drenaje de orina directamente desde el ri\u00f1\u00f3n durante la recuperaci\u00f3n.<sup>1<\/sup><\/p>\n    \n    <p>Los criterios de selecci\u00f3n de pacientes incluyen la consideraci\u00f3n del tama\u00f1o, la ubicaci\u00f3n, la composici\u00f3n y el historial de tratamiento previo del c\u00e1lculo. Los pacientes con trastornos hemorr\u00e1gicos, infecciones activas del tracto urinario o anomal\u00edas anat\u00f3micas pueden requerir una consideraci\u00f3n especial.<sup>2<\/sup> El cronograma de recuperaci\u00f3n esperado generalmente implica una estad\u00eda en el hospital de 1 a 2 d\u00edas, evitando levantar objetos pesados y actividades extenuantes durante 2 a 4 semanas.<sup>1<\/sup> La mayor\u00eda de los pacientes pueden regresar al trabajo despu\u00e9s de aproximadamente una semana.<sup>1<\/sup><\/p>\n    \n    <p>Las tasas de \u00e9xito de la NLPC son generalmente altas, y los estudios informan tasas sin c\u00e1lculos del 75-80 % para los casos est\u00e1ndar.<sup>3<\/sup> Sin embargo, factores como la ubicaci\u00f3n de los c\u00e1lculos pueden afectar significativamente los resultados, ya que los c\u00e1lculos en el c\u00e1liz inferior muestran tasas de eliminaci\u00f3n reducidas (aproximadamente 50 %) en comparaci\u00f3n con los c\u00e1lculos en el c\u00e1liz superior o medio.<sup>3<\/sup> Las tasas de complicaciones son aproximadamente 15-20%, siendo la mayor\u00eda menores (Clavien-Dindo Grados I-II).<sup>3<\/sup> Las complicaciones mayores (Grados III-IV) ocurren en aproximadamente 4-5% de los casos.<sup>3<\/sup><\/p>","gt-related-evidence":null,"gt-featured":true,"gt-ai-referenced":false,"gt-view-count":90},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.7 (Yoast SEO v27.7) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Percutaneous Nephrolithotomy (PCNL): Kidney Stone Removal<\/title>\n<meta name=\"description\" content=\"La nefrolitotom\u00eda percut\u00e1nea es una t\u00e9cnica quir\u00fargica m\u00ednimamente invasiva para eliminar c\u00e1lculos renales grandes a trav\u00e9s de una peque\u00f1a incisi\u00f3n en...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" 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