Practical PCNL: From Access to Exit - A Hands-On Course - California (2018)
Because of the relative paucity of PCNL cases in training programs which are not high-volume centers, many residents do not gain enough practical experience to feel comfortable with obtaining percutaneous access and performing PCNL. Concerns over morbidity of the operation due to a lack of familiarity and ability to troubleshoot challenges or complications may lead surgeons to avoiding PCNL when it is the ideal surgical approach to a stone. Making the “rare” case into a “routine” one by enabling hands-on experience in all phases of the surgery will address the gap in practice, allowing more urologists to offer PCNL to their patients.
Target Audience
- Resident
- Urologist
Learning Objectives
After attending this course, participants will be able to:
- Obtain percutaneous access to the kidney using fluoroscopy in combination with ureteroscopic and/or ultrasound guidance.
- Perform prone flexible cystoscopy.
- Demonstrate the optimal methods for post-operative sealing or drainage of the percutaneous tract.
- Utilize flexible ureteroscopy and instrumentation in combination with PCNL to enhance renal access and stone treatment success.
- Routinely employ a ureteral access sheath during flexible ureteroscopy.
- Perform and review ultrasound imaging.
- Recognize and manage complications of PCNL.
- Apply knowledge gained in this course to develop a practice in which PCNL becomes an integral surgical procedure in the treatment of stone disease.
Saturday, February 24, 2018
7:00 – 7:05 a.m | Welcome | Ralph V. Clayman, MD and Jamie Landman, MD |
7:05 – 7:15 a.m. | Pre-test | Ralph V. Clayman, MD and Jamie Landman, MD |
7:15 – 7:30 am | Pre-procedural Planning and 3D CT Imaging | Ben H. Chew, MD, MSc, FRCSC |
7:30 – 7:50 am | Renal Anatomy for Percutaneous Stone Removal |
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7:50 – 8:05 am | Patient Preparation: Prep, Drape, and Positioning (Prone, Supine, and Lateral) | Matthew D. Dunn, MD |
8:05 – 8:25 am | Fundamentals of Fluoroscopy and Radiation Safety | Duane D. Baldwin, MD |
8:25 – 8:40 am | Fluoroscopy Guided Percutaneous Access: “Bull’s Eye” and “Drift Down” | Jamie Landman, MD |
8:40 – 9:00 am | Fundamentals of Renal Ultrasound | Chandana Lall, MD |
Break | ||
9:15 – 9:35 am | Ultrasound-guided Percutaneous Access | Thomas Chi, MD |
9:35 – 9:50 am | Endoscopic-guided Percutaneous Access: Prone Cystoscopy/Ureteral Access Sheath | Roshan M. Patel, MD |
9:50 - 10:05am | Inside-Out Access: Endoscopic guided Lawson Rocket Wire | Kamaljot Kaler, MD, FRCSC |
10:05 – 10:25 am | Dilation of the Nephrostomy Tract: Technique and Avoidance of Complications | Thomas Chi, MD |
Break | ||
10:45 – 11:05 am | Lithotripsy: Pneumatic, Ultrasound and Laser | Jamie Landman, MD |
11:05 – 11:15 am | Stone Fragment Evacuation: Instrumentation and MIP | Roshan M. Patel, MD |
11:15 – 11:25 am | Flexible Nephroscopy: Tips and Tricks | Ben H. Chew, MD, MSc, FRCSC |
11:25 – 11:45 am | Ending the Procedure: Tube and Tubeless Techniques | Matthew D. Dunn, MD |
11:45 am – 12:15 pm | Better than Live: Putting it All Together (Video Session) | Ralph V. Clayman, MD |
Lunch | ||
1:00 – 5:15 pm | Surgical Skills Lab |
Sunday, February 25, 2018
8:00 - 8:30 am | Challenges of PCNL: Tips and Tricks (Horseshoe Kidney, Calyceal Diverticulum, Pelvic Kidney, Spinal Abnormalities) | Matthew D. Dunn, MD |
8:30 – 9:00 am | PCNL: Complications of PCNL/URS: Prevention, Recognition, and Resolution | Thomas Chi, MD |
9:00 – 9:20 am | Follow-up: Imaging, Laboratory Studies, Postoperative Visits, Quality of Life Issues and Management of Stent Pain | Ramy F. Youseef-Yaacoub, MD |
9:20 - 9:50 am | Medical Management of Kidney Stones: Stone: Trees | Ralph V. Clayman, MD |
Break | ||
10:10 – 10:30 am | Billing in the Age of ICD-10 | Michael A. Ferragamo, MD, FACS |
10:30 – 11:10 am | Panel Session: PCNL Cases (Instructive and Problematic) | Moderator: Jaime Landman |
11:10 – 11:40 am | PCNL Start to Finish: Rapid Fire Review and Questions: What’s the Next Step | Ralph V. Clayman, MD |
11:40 am – 12:00 pm | Post-test/Questions | Ralph V. Clayman, MD and Jamie Landman, MD |
Adjourn |
Name | Company | Role | Financial |
Duane D. Baldwin, MD | Cook Urological, Inc. | Meeting Participant or Lecturer | Yes |
Olympus Corporation | Consultant or Advisor | Yes | |
Bard Medical Division | Consultant or Advisor | Yes | |
DARRT | Leadership Position | Yes | |
StepLite | Leadership Position | Yes | |
Pfizer | Investment Interest | Yes | |
Ben H. Chew, MD, MSc, FRCSC | Boston Scientific Corporation | Consultant or Advisor | Yes |
Cook Urological | Consultant or Advisor, Meeting Participant or Lecturer, Scientific Study or Trial | No | |
Olympus-ACMI | Consultant or Advisor | Yes | |
ADVA- Tec | Consultant or Advisor, Scientific Study or Trial | Yes | |
Urotech | Consultant or Advisor | Yes | |
Bard Medical | Consultant or Advisor, Meeting Participant or Lecturer | Yes | |
Auris Surgical Robotics | Consultant or Advisor, Scientific Study or Trial, Investment Interest | Yes | |
Thomas Chi , MD | Bard | Meeting Participant or Lecturer | Yes |
Boston Scientific Corporation | Consultant or Advisor | Yes | |
Auris | Consultant or Advisor | No | |
Ralph V. Clayman, MD | Applied Urology | Investment Interest | Yes |
MizuhOSI | Other | Yes | |
Cook Urological | Other | Yes | |
Auris Inc. | Consultant or Advisor, Scientific Study or Trial | Yes | |
Karl Storz, Inc | Scientific Study or Trial | Yes | |
Matthew D. Dunn, MD | Boston Scientific | Consultant or Advisor, Scientific Study or Trial | Yes |
Michael A. Ferragamo, MD, FACS | Nothing to disclose | ||
Kamaljot Kaler, MD, FRCSC | Cook Medical | Meeting Participant or Lecturer | Yes |
Karl Storz | Scientific Study or Trial | Yes | |
Minimally Invasive Force Sensor and Monitoring System | Owner, Product Development | Yes | |
Chandana Lall, MD | Nothing to disclose. | ||
Jaime Landman, MD | Cook Urological | Consultant or Advisor, Owner, Product Development | No |
Galil Medical | Consultant or Advisor | Yes | |
CONMED | Consultant or Advisor | Yes | |
Auris | Consultant or Advisor, Investment Interest | Yes | |
Allergan | Scientific Study or Trial | Yes | |
Zhamshid H. Okhunov, MD | Nothing to disclose. | ||
Roshan M. Patel, MD | Nothing to disclose. | ||
Ramy F. Youssef-Yaacoub,MD | Nothing to disclose. |
Accreditation: The American Urological Association (AUA) is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.
Credit Designation:
- Full Course: The American Urological Association designates this live activity and enduring material for a maximum of 13.00 AMA PRA Category 1 Credits™. Physicians should only claim credit commensurate with the extent of their participation in the activity.
- Didactic Only: The American Urological Association designates this live activity for a maximum of 9.00 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Other Learners: The AUA is not accredited to offer credit to participants who are not MDs or DOs. However, the AUA will issue documentation of participation that states that the activity was certified for AMA PRA Category 1 Credit™.
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- Divestiture of the relationship by faculty
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Available Credit
- 13.00 AMA PRA Category 1 Credit™
- 13.00 Non-Physician Participation