Micropercutaneous nephrolithotripsy: initial experience

Erkan Ölçücüoğlu; Yusuf Kasap; Esin Ölçücüoğlu; Mehmet Emin Şirin; Eymen Gazel; Sedat Taştemur; Öner Odabas

doi:10.5114/wiitm.2015.54223

!!!NEW!!! CLINICAL FORUM !!!NEW!!!
to make the quarterly livelier and more beneficial for doctors and scientists !!!

On June the 1st, 2021 VSJ launches a new discussion platform in the journal.

We invite all MIS surgeons to rapidly submit for publication:
- small forms describing unusual clinical situations related to their practice,
- short clinical comments relating to any publications in VSJ, including the clinical situations described above
- brief communications of original studies deserving fast publication
- your personal opinions as part of a larger discussion on the VSJ publication
- letters concerning the topics described above

Clinical Forum gives you a means of rapid presentation of your findings in the medical databases, scientific citations on the international forum, and also an Impact Factor!

For further details, see: Instructions for Authors

eISSN: 2299-0054
ISSN: 1895-4588

Videosurgery and Other Miniinvasive Techniques

Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Subscription Contact Instructions for authors Ethical standards and procedures

Editorial System

Submit your Manuscript

Editorial Policies

Sarajevo Declaration on Integrity and Visibility of Scholarly Publications

3/2015
vol. 10

Send email

Copy url:

abstract:

Original paper

Micropercutaneous nephrolithotripsy: initial experience

Erkan Ölçücüoğlu

,

Yusuf Kasap

,

Esin Ölçücüoğlu

,

Mehmet Emin Şirin

,

Eymen Gazel

,

Sedat Taştemur

,

Öner Odabas

Videosurgery Miniinv 2015; 10 (3): 368–372

DOI: https://doi.org/10.5114/wiitm.2015.54223

Online publish date: 2015/09/16

View full text Get citation

PlumX metrics:

Introduction: For small renal calculi (< 2 cm) the currently available treatment options include extracorporeal shockwave lithotripsy (ESWL), retrograde intrarenal surgery (RIRS) and standard/mini percutaneous nephrolithotomy (PNL). A new method, microperc, has therefore been developed, in which a smaller tract size and smaller instruments were used. The aim of microperc is to reduce the tract size, as this decreases morbidity.

Aim: To present our clinical experiences with micropercutaneous nephrolithotripsy (microperc) in the treatment of small renal calculi.

Material and methods: We retrospectively evaluated patients with small renal calculi who underwent microperc between February and June 2013. A 4.8 Fr ‘all-seeing needle’ was used to achieve percutaneous renal access with the C-arm fluoroscopy guidance in the prone position. Holmium: YAG laser 272 µm fiber was used for stone fragmentation.

Results: A total of 20 patients underwent the microperc procedure. The mean age of the patients was 46.5 ±13.8 years. The mean stone size was 13 ±3 mm. The stone-free rate (SFR) was 90% (18/20). Two patients had clinically significant residual fragments (≥ 4 mm). The mean operation and fluoroscopy times were 107.5 ±37 min and 45 ±40 s respectively. The mean postoperative drop in hemoglobin was 1.2 ±0.9 g/dl, and 1 patient required blood transfusion. The patients were discharged after an average hospitalization of 1.4 ±0.8 days. Two complications, urinary tract infection and blood loss requiring blood transfusion, were observed in 2 patients postoperatively.

Conclusions: We suggest that microperc should be considered for the treatment of small renal stones.

keywords:

Micropercutaneous nephrolithotripsy: initial experience

Erkan Ölçücüoğlu , Yusuf Kasap , Esin Ölçücüoğlu , Mehmet Emin Şirin , Eymen Gazel , Sedat Taştemur , Öner Odabas

renal, stone, micropercutaneous

Erkan Ölçücüoğlu

,

Yusuf Kasap

,

Esin Ölçücüoğlu

,

Mehmet Emin Şirin

,

Eymen Gazel

,

Sedat Taştemur

,

Öner Odabas