Percutaneous nephrolithotomy (PCNL) remains the treatment of choice for large and complex renal stones. The technological advances over the past several decades gave birth to different varieties of minimally invasive PCNLs, including the mini-PCNL, ultra-mini PCNL, super mini-PCNL, and micro-PCNL, with indications being extended to stones even larger than 20 mm. This article provides an update of all these available techniques of miniaturized PCNL along with its anatomic and physiologic impact. This should assist urologists in providing a personalized approach to the patient based on various patient- and stone-related factors to provide the best of all available technology for treatment.
Download full-text PDF |
Source |
|---|---|
| http://dx.doi.org/10.1016/j.ucl.2021.08.003 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Endourological Management of Renal Stones: A Systematic Review, Bayesian Network Meta-Analysis and Meta-Regression.
Urology
December 2024
Scott Department of Urology, Baylor College of Medicine, Houston, TX 77030. Electronic address:
Objectives: To compare stone-free rates (SFRs), operative times, and transfusion rates of various endoscopic techniques for kidney stone management.
Methods: A systematic review was performed, identifying studies comparing the different endoscopic techniques in patients with renal stones. Studies were grouped by location and size of stones (lower pole, 1-2 cm, and >2 cm).
Massive gastrointestinal hemorrhage and iodine-125 seed migration due to hepatogastric fistula: a case report and literature review.
Transl Cancer Res
November 2024
Mini-invasive Intervention Center, The Third Affiliated Hospital of the Naval Medical University, Shanghai, China.
Background: Hepatogastric fistula (HGF) is an uncommon occurrence that can be associated with various medical conditions. The primary causes typically involve peptic ulcer disease, infections (such as pyogenic, amoebic or tuberculosis), or iatrogenic factors (like post transarterial chemoembolization or radiotherapy). Massive gastrointestinal hemorrhage following HGF is extremely rare, with iodine-125 (I) seed migration to the stomach through HGF not previously documented.
View Article and Find Full Text PDFMini-endoscopic combined intrarenal surgery (mini-ECIRS) for complex urolithiasis.
World J Urol
December 2024
Department of Urology, Hospital Aleman, Buenos Aires, Argentina.
Introduction: To miniaturize endourological procedures, mini-Endoscopic Combined Intrarenal Surgery (mini-ECIRS) has emerged as a promising alternative in the treatment of complex kidney and ureteral stones. To date, some data available in the literature have shown good outcomes regarding effectiveness and safety. This study aimed to evaluate the results and postoperative complications of mini-ECIRS in our series.
View Article and Find Full Text PDFSecondary prevention therapies following percutaneous coronary intervention or acute coronary syndrome in patients with diabetes mellitus.
Front Cardiovasc Med
November 2024
Department of Cardiology, Geneva University Hospitals, Geneva, Switzerland.
Diabetes mellitus (DM) promotes atherosclerosis, leading to increased risk for cardiovascular morbidity and mortality. Diabetics represent a challenging subset of patients undergoing percutaneous coronary intervention (PCI) or who have experienced an acute coronary syndrome (ACS), a subset characterized by higher rates of recurrent ischemic events compared with non-diabetics. These events are caused by both patient-related accelerated atherosclerotic disease progression and worse stent-related adverse clinical outcomes translating into a higher risk for repeat revascularization.
View Article and Find Full Text PDFCharacteristics of Kidney Stones that Lead to High Stone-Free Rates in Supine Ultra-Mini Percutaneous Nephrolithotomy.
Arch Esp Urol
November 2024
Department of Urology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, 05355 Seoul, Korea.
Article Synopsis
- - The study investigates the effectiveness of ultra-mini percutaneous nephrolithotomy (UMP) for treating kidney stones, noting an increase in diagnoses due to more frequent health checkups.
- - Conducted on 100 patients, results showed a 66% stone-free rate one month post-surgery, which was lower than the desired 87%, but identified the best candidates as those with single calcium oxalate or uric acid stones under 3 cm.
- - The findings suggest UMP is a suitable first-line treatment for specific types of kidney stones, with minimal complications observed during the procedures.
Want AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!