Current role of microperc in the management of small renal calculi

Sabnis, Ravindra; Ganesamoni, Raguram; Ganpule, Arvind; Mishra, Shashikant; Vyas, Jigish; Jagtap, Jitendra; Desai, Mahesh

doi:10.4103/0970-1591.117282

Cited by 47 publications

(52 citation statements)

References 27 publications

(50 reference statements)

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“…The acceptable criteria on stone burden of the miniaturized PCNL has been medium‐sized renal stones <3.0–3.5 cm, and ultraminiperc or microperc might be suitable for stones <1.5 cm . Miniaturized PCNL can be considered when there are diverticular stones, and pediatric medium‐sized stones as well (LE:4) .…”

Section: Clinical Questions and Answersmentioning

confidence: 99%

“…The acceptable criteria on stone burden of the miniaturized PCNL has been medium-sized renal stones <3.0-3.5 cm, and ultraminiperc or microperc might be suitable for stones <1.5 cm. [179][180][181][182] Miniaturized PCNL can be considered when there are diverticular stones, and pediatric medium-sized stones as well (LE:4). 179,180,183 Miniaturized PCNL has shown comparable surgical outcomes to conventional PCNL in terms of SFRs with lower probability of complications; 184,185 however, it seems to have longer operative times and higher intrarenal pressure than conventional PCNL during surgery.…”

Section: Commentarymentioning

confidence: 99%

“…The summarized flow chart for treatment algorithm is shown in Figure 3. 166,[174][175][176][177][178][179][180][181]184,185,188,189,[191][192][193][194][195][196][197][198][199][200][201][202][203][204][205][206]. What is an algorithm for treatment of adult patients with ureteral stones?…”

Section: Commentarymentioning

confidence: 99%

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The Urological Association of Asia clinical guideline for urinary stone disease

Taguchi

Cho

et al. 2019

Int J of Urology

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The Urological Association of Asia, consisting of 25 member associations and one affiliated member since its foundation in 1990, has planned to develop Asian guidelines for all urological fields. The field of stone diseases is the third of its guideline projects. Because of the different climates, and social, economic and ethnic environments, the clinical practice for urinary stone diseases widely varies among the Asian countries. The committee members of the Urological Association of Asia on the clinical guidelines for urinary stone disease carried out a surveillance study to better understand the diversity of the treatment strategy among different regions and subsequent systematic literature review through PubMed and MEDLINE database between 1966 and 2017. Levels of evidence and grades of recommendation for each management were decided according to the relevant strategy. Each clinical question and answer were thoroughly reviewed and discussed by all committee members and their colleagues, with suggestions from expert representatives of the American Urological Association and European Association of Urology. However, we focused on the pragmatic care of patients and our own evidence throughout Asia, which included recent surgical trends, such as miniaturized percutaneous nephrolithotomy and endoscopic combined intrarenal surgery. This guideline covers all fields of stone diseases, from etiology to recurrence prevention. Here, we present a short summary of the first version of the guideline – consisting 43 clinical questions – and overview its key practical issues.

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Section: Clinical Questions and Answersmentioning

confidence: 99%

Section: Commentarymentioning

confidence: 99%

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The Urological Association of Asia clinical guideline for urinary stone disease

Taguchi

Cho

et al. 2019

Int J of Urology

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“…Mini-microperc is a recent modification of micro PCNL [Sabnis et al 2013b]. As the microperc is such narrow calibre, with a propensity to bend during manipulation and stone treatment, an 8Fr metallic sheath was introduced, which allows passage of an ultrasonic or lithoclast probe with suction.…”

Section: Mini-micro Pcnl [Sabnis Et Al 2013b]mentioning

confidence: 99%

‘Mini, ultra, micro’ – nomenclature and cost of these new minimally invasive percutaneous nephrolithotomy (PCNL) techniques

Wright

Rukin

Smith

et al. 2015

Therapeutic Advances in Urology

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“…The micro-percutaneous nephrolithotomy (microperc) is a recently described technique in which percutaneous renal access and lithotripsy are performed in a single step. Microperc has been found to be safe and effective in removing small renal calculi in the adult and pediatric populations with a high stone-free rate and lower complication rate [8]. Despite all the new approaches, shock wave lithotripsy (SWL) remains the first line treatment modality that is widely used for renal, ureteral and intermediate-size renal calculi [9][10][11].…”

Section: Introductionmentioning

confidence: 99%

Efficacies of Various Surgical Regimens in the Treatment of Renal Calculi Patients: a Network Meta-Analysis in 25 Enrolled Controlled Clinical Trials

Wang

Cui

Song

et al. 2018

Kidney Blood Press Res

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Background/Aims: Renal calculi, or kidney stones, are masses made of crystals that affect people of all geographical, cultural, and racial groups. We conduct this study with the aim of comparing the efficacy of various surgical methods in the treatment of renal calculi. Methods: Controlled clinical trials (CCTs) related to different surgical treatment approaches for renal calculi were included in this study by retrieving them from electronic English databases. The odds ratios (OR), the weighted mean difference (WMD), 95% confidence intervals (95% CI) and surface under the cumulative ranking curves (SUCRA) were evaluated, followed by a cluster analysis. Results: Compared with the extracorporeal shockwave lithotripsy (SWL), minimally invasive percutaneous nephrolithotomy (mini-PCNL), retrograde intrarenal surgery (RIRS), standard percutaneous nephrolithotomy (standard PCNL), ureterorenoscopy (URS) and micro-percutaneous nephrolithotomy (microperc) regimens, the open anatrophic nephrolithotomy (Open AN), URS + RIRS and laparoscopic pyelolithotomy (LP) surgical procedures all presented with a higher stone-free rate in renal calculi. Lower auxiliary procedures were found in the URS + RIRS treatment approach compared with SWL, RIRS, URS and microperc regimens. In addition, the SWL regimen indicated a lower stone-free rate than the mini-PCNL, standard PCNL, Open AN, URS + RIRS and LP regimens. Finally, the RIRS regimen presented with the shortest in-patient stay compared to the mini-PCNL, standard PCNL, Open AN, URS, URS + RIRS and LP regimens. Conclusion: This meta-analysis demonstrated that the URS + RIRS surgical procedure has the best stone-free rate and the lowest number of auxiliary procedures. The RIRS and Microperc both have the shortest hospital stay and operative time.

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Current role of microperc in the management of small renal calculi

Cited by 47 publications

References 27 publications

The Urological Association of Asia clinical guideline for urinary stone disease

The Urological Association of Asia clinical guideline for urinary stone disease

‘Mini, ultra, micro’ – nomenclature and cost of these new minimally invasive percutaneous nephrolithotomy (PCNL) techniques

Efficacies of Various Surgical Regimens in the Treatment of Renal Calculi Patients: a Network Meta-Analysis in 25 Enrolled Controlled Clinical Trials

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