Related Experiment Videos
[Percutaneous renal surgery with minimal access: miniperc]
German de la Torre1, Walter De Bonis, Horacio Rey
1División Urología, Departamento de Cirugía, Hospital Gral, de agudos C.G.Durand, Buenos Aires, Argentina. megafi@infovia.com.ar
Archivos Espanoles De Urologia
|April 26, 2005
Summary
Minimal access percutaneous nephrolithotomy (miniperc) offers a minimally invasive option for kidney stone removal. This technique demonstrates low morbidity, reduced hospital stays, and high success rates for patients.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Nephrolithiasis Treatment
Context:
- Percutaneous nephrolithotomy (PCNL) is a standard treatment for large renal calculi.
- Traditional PCNL involves larger access tracts, potentially leading to increased morbidity.
- There is a need for less invasive techniques for kidney stone management.
Purpose:
- To describe the technique of minimal access percutaneous nephrolithotomy (miniperc).
- To analyze the outcomes of miniperc in adult patients with renal stones.
- To evaluate the safety and efficacy of the miniperc procedure.
Summary:
- Forty-two miniperc procedures were performed using a 14Fr Amplatz sheath and pneumatic lithotripsy for stones ranging from 1.5-3.5 cm.
- Average operative time was 75.2 minutes, with all patients discharged within 24 hours.
- A stone-free rate of 95.2% was achieved at one month, with minimal hematocrit drop and no postoperative nephrostomy tubes.
Impact:
- Miniperc represents a viable, minimally invasive approach for renal stone elimination.
- The procedure is associated with low morbidity, shorter hospital stays, and minimal analgesic requirements.
- No blood transfusions were necessary, highlighting the safety profile of miniperc.