Miniaturised percutaneous nephrolithotomy: Its role in the treatment of urolithiasis and our experience
| Autor: | Wayne Lam, Guohua Zeng, Wei Zhu |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2018 |
| Předmět: |
Novel technique
medicine.medical_specialty Percutaneous business.industry medicine.medical_treatment 030232 urology & nephrology Review lcsh:Diseases of the genitourinary system. Urology lcsh:RC870-923 Irrigation-suction sheath Surgery Super-mini-percutaneous nephrolithotomy 03 medical and health sciences 0302 clinical medicine Mini-percutaneous nephrolithotomy 030220 oncology & carcinogenesis medicine Percutaneous nephrolithotomy Mini percutaneous nephrolithotomy business |
| Zdroj: | Asian Journal of Urology, Vol 5, Iss 4, Pp 295-302 (2018) Asian Journal of Urology |
| ISSN: | 2214-3882 |
| Popis: | Miniaturized percutaneous nephrolithotomy (PCNL) procedures have gained increased popularity in recent years. They aim to reduce percutaneous tract size in order to lower complication rates, while maintaining high stone-free rates. Recently, miniaturized PCNL techniques have further expanded, and can currently be classified into mini-PCNL, minimally invasive PCNL (MIP), Chinese mini-PCNL (MPCNL), ultra-mini-PCNL (UMP), micro-PCNL, mini-micro-PCNL, and super-mini-PCNL (SMP). However, despite its minimally-invasive nature, its potential superiority in terms of safety and efficacy when compared to conventional PCNL is still under debate. The aim of this review is to summarise different available modalities of miniaturized PCNL, details of instruments involved, and their corresponding safety and efficacy. In particular, this article highlights the role of the SMP and our experience with this novel technique in management of urolithiasis. Overall, miniaturized PCNL techniques appear to be safe and effective alternatives to conventional PCNL for both adult and pediatric patients. Well-designed, randomized studies are required to further investigate and identify specific roles of miniaturized PCNL techniques before considering them as standard rather than alternative procedures to conventional PCNL. Keywords: Percutaneous nephrolithotomy, Mini-percutaneous nephrolithotomy, Super-mini-percutaneous nephrolithotomy, Irrigation-suction sheath |
| Databáze: | OpenAIRE |
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