UCI Annual PCNL Course

Registration, Continental Breakfast

Welcome
Ralph V. Clayman, MD and Jaime Landman, MD

Pre-course/Questions: Kahoots
Ralph V. Clayman, MD and Jaime Landman, MD

Renal Anatomy for Percutaneous Stone Removal
Kymora Scotland, MD

Imaging the Stone: CT, 3D CT, and iVR for Pre-procedural PCNL Planning
Jaime Landman, MD

Fluoroscopy: Fundamentals and Radiation Safety
D. Duane Baldwin, MD

Ultrasonography: Fundamentals and Knobology
Rony Kampalath, MD

To the OR - First Things First: Patient Preparation (Prone, Supine, and Lateral)
Roger Sur, MD

Questions and Answers

Break

Prone Fluoroscopy Guided Percutaneous Access: “Bull’s Eye” and “Triangulation”
Peggy Pearle, MD

Prone Ureteroscopy-assisted Percutaneous Access: Fluoroscopic and Ultrasonic
Ralph V. Clayman, MD

Prone and Supine Ultrasound-guided Percutaneous Access
Thomas Chi, MD

Supine Fluoroscopic Access
Matthew D. Dunn, MD

Nuances of Nephrostomy Tract Dilation
Ramy Yaacoub, MD

Questions and Answers

AM Split into Groups A, B, C, and D
(Groups A and B remain in lecture)
(Groups C and D go to the laboratory)

Percutaneous Access: Does Size Matter – Macro, Mini, Ultramini, Micro, Nano, or Pico?
Pengbo Jiang, MD

Rigid Nephroscopy: Endoscopes and Accessories
Tom Chi, MD

Lithotripsy: Pneumatic, Ultrasound and Lasers
Peggy Pearle, MD

Flexible Nephroscopy: Tips and Tricks
Ralph V. Clayman, MD

Ending the Procedure: Tube and Tubeless Techniques
Matt Dunn, MD

Questions/Answers

11:00 AM - 1:00 PM

Laboratory Simulation Session 1: Groups C and D
(4 Stations) Group C laboratory rotation 1,2,3,4
Group D laboratory rotation 3,4,1,2

1. Renal Ultrasound: The Basics ("live" models)
Rony Kampalath, MD; and Laura Rojas (ultrasound tech) – 30 minutes
2. Renal ultrasound: Percutaneous access (ex vivo pig kidneys or other ultrasound model)
Roger Sur, MD – 30 minutes
3. Fluoroscopic Access: VR Viewing and Simulator Training
Robert Sweet, MD (assisted by Kalon Morgan) – 30 minutes
4. Flexible Endoscopy (prone cystoscopy with one cadaver) and flexible ureteroscopy with ex vivo pig kidney
D. Duane Baldwin, MD (assisted by Rohit Bhatt) – 30 minutes

Lunch for Groups A and B

Group A and B Transition from Podlich to SEC and change into "greens"

Lunch for Groups C and D

Laboratory Cadaver Session 1: Groups C and D
Group C and D: Endoscopic/Fluoroscopic/Ultrasound Cadaver PCNL: Start to Finish (Station 1)

4 cadavers available with complete PCNL equipment set-up / 4 persons per cadaver. After the first hour, the participants would rotate to a new cadaver table.

Table 1: PCNL with fluoroscopy – prone: Jaime Landman, MD and Ramy Yaacoub, MD
Table 2: PCNL with fluoroscopy – supine: Peggy Pearle, MD and UCI resident
Table 3: PCNL with ultrasound – prone: Roshan Patel, MD and Sohrab Ali, MD
Table 4: PCNL with ultrasound – supine: Tom Chi, MD and P. Jiang, MD

Laboratory Simulation Session 2: Groups A and B
(4 Stations) Group A laboratory rotation 1,2,3,4
Group B laboratory rotation 3,4,1,2

1. Renal Ultrasound: The Basics ("live" models)
Rony Kampalath, MD; and Laura Rojas (ultrasound tech) – 30 minutes (Group C)
2. Renal ultrasound: Percutaneous access (ex vivo pig kidneys or other ultrasound model) (Group C)
Roger Sur, MD
3. Fluoroscopic Access: VR Viewing and Simulator Training
Robert Sweet, MD (assisted by Kalon Morgan) – 30 minutes
4. Flexible Endoscopy (prone cystoscopy with one cadaver) and flexible ureteroscopy with ex vivo pig kidney
D. Duane Baldwin, MD (assisted by Rohit Bhatt) – 30 minutes

Break

Laboratory Cadaver Session 2: Groups A and B
Group A and B: Endoscopic/Fluoroscopic/Ultrasound Cadaver PCNL: Start to Finish

4 cadavers available with complete PCNL equipment set-up / 4 persons per cadaver. After the first hour, the participants would rotate to a new cadaver table.

Table 1: PCNL with fluoroscopy – prone: Jaime Landman, MD and Ramy Yaacoub, MD
Table 2: PCNL with fluoroscopy – supine: Peggy Pearle, MD and UCI resident
Table 3: PCNL with ultrasound – prone: Roshan Patel, MD and Sohrab Ali, MD
Table 4: PCNL with ultrasound – supine: Tom Chi, MD and P. Jiang, MD

Percutaneous Access: Does Size Matter – Macro, Micro, Mini, Ultramini, Nano, Pico and Zero?
Robert Sweet, MD

Rigid Nephroscopy: Access, Choice of Endoscopes, MIP, and Accessories
Duane Baldwin, MD

Lithotripsy: Pneumatic, Ultrasound and Lasers
Roger Sur, MD

Flexible Nephroscopy: Tips and Tricks
Ralph V. Clayman, MD

Ending the Procedure: Tube and Tubeless Techniques
Matthew D. Dunn, MD

Questions and Answers

Adjourn

Continental Breakfast

Ureteral Access Sheaths: Yes or No? (Benefits, Concerns, and Guidance) Sohrab Ali, MD

PCNL: Complications of PCNL/URS: Prevention, Recognition, and Resolution
Peggy Pearle, MD

Panel Session: My Way - PCNL Start to Finish
Moderator: Jaime Landman, MD
Panelists: Thomas Chi, MD; Peggy Pearle, MD, Matthew D. Dunn, MD

Stone Trees: Medical Management of Urolithiasis Made Simple
Ralph V. Clayman, MD

Follow-up: Imaging, Laboratory Studies, Postoperative Visits, Quality of Life Issues and Management of Stent Pain
Roshan Patel, MD

Billing PCNL in the Age of ICD-10 and 2020 CPT
Michael Ferragamo, MD

Questions and Answers

Break

AUA Guidelines on Urolithiasis: Consensus and Controversy
Pengbo Jiang, MD

Panel Session: Great Googlimoogli’s… Help me Rhonda! Now What?
Moderator: Ralph V. Clayman, MD
Panelists: Robert Sweet, MD, FACS; D. Kymora Scotland, MD; Duane Baldwin, MD; Roger Sur, MD

Post-course/Questions: Kahoots
Ralph V. Clayman, MD and Jaime Landman, MD

Adjourn

Welcome
Roshan M. Patel, MD and Jaime Landman, MD

Pre-Test
Roshan M. Patel, MD

Imaging the Stone: CT, 3D CT, and iVR for Pre-Procedural PCNL Planning
Jaime Landman, MD

Supine PCNL: Tips and Tricks
Ruslan Korets, MD

Questions and Answers

Fluoroscopy Guided Percutaneous Access: “Bull’s Eye” and “Triangulation”
Amy Krambeck, MD

Questions and Answers

Ultrasound-Guided Percutaneous Access
Thomas Chi, MD

Questions and Answers

Endoscopic-Guided Fluoroscopic Percutaneous Access: Prone
Cystoscopy/Ureteral Access Sheath/Amplatz Sheath Placement
Ralph V. Clayman, MD

Questions and Answers

Updates on Laser Technology and Outcomes
Olivier Traxer, MD

PCNL: Complications of PCNL/URS: Prevention, Recognition, and Resolution
Manoj Monga, MD, FACS

Post-Test
Roshan M. Patel, MD

12:00 – 12:30 p.m.

Breakout Sessions (participants can choose which room to join)
Group 1: Medical Management of Urolithiasis by Ralph V. Clayman, MD
Group 2: PCNL in Challenging Anatomy by Jaime Landman, MD
Group 3: PCNL Billing and Coding byRoshan M. Patel, MD
Group 4: Nuances of Nephrostomy Tract Dilation by Ramy Yaacoub, MD
Group 5: Mini PCNL by Pengbo Jiang, MD
Group 6: Lithotripsy: Pneumatic, Ultrasound, and Laser by Zhamshid Okhunov, MD

Adjourn