[Minimally invasive PCNL (mini-perc). Alternative treatment modality or replacement of conventional PCNL?]. / Minimal-invasive PCNL (Mini-Perc). Alternative oder Ersatz für konventionelle PCNL?
Urologe A
; 47(5): 563-8, 2008 May.
Article
em De
| MEDLINE
| ID: mdl-18373077
ABSTRACT
Extracorporeal shock wave lithotripsy (SWL) is the current treatment modality of choice for upper urinary tract calculi. For stones with a diameter >2 cm and in lower calyceal stones and diverticular stones, the stone-free rate of SWL is rather poor. In these cases, conventional percutaneous nephrolithotomy (PCNL) leads to an increased stone-free rate, but morbidity with conventional PCNL is significant higher than in SWL. With the invention of miniaturized nephroscopes (mini-perc), new treatment options are available. The experience based on hundreds of treatments using mini-perc show comparable results of mini-perc to conventional PCNL and a complication rate comparable to that for SWL. These favorable results are independent of stone size, stone location, and patient age. In summary, mini-perc can be recommended as a primary approach to stones of the upper urinary tract exceeding 1 cm, larger lower-pole stones, and calyceal diverticular stones. Mini-perc can be regarded as an alternative treatment modality to conventional PCNL.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Nefrostomia Percutânea
/
Cálculos Renais
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Cálculos Ureterais
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Procedimentos Cirúrgicos Minimamente Invasivos
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Miniaturização
Tipo de estudo:
Etiology_studies
Limite:
Adolescent
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Adult
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Aged
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Child
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Female
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Humans
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Male
/
Middle aged
Idioma:
De
Ano de publicação:
2008
Tipo de documento:
Article