V01-06 MINIPERC: YES, PLEASE!

You have accessJournal of UrologyEndourology & Nephrolithiasis (V01)1 Apr 2019V01-06 MINIPERC: YES, PLEASE! Moises Rodriguez-Socarras*, Silvia Proietti, Giuseppe Saitta, Vincent De Coninck, Guglielmo Mantica, Davide De Marchi, Piera Bellinzoni, Franco Gaboardi, and Guido Giusti Moises Rodriguez-Socarras*Moises Rodriguez-Socarras* More articles by this author , Silvia ProiettiSilvia Proietti More articles by this author , Giuseppe SaittaGiuseppe Saitta More articles by this author , Vincent De ConinckVincent De Coninck More articles by this author , Guglielmo ManticaGuglielmo Mantica More articles by this author , Davide De MarchiDavide De Marchi More articles by this author , Piera BellinzoniPiera Bellinzoni More articles by this author , Franco GaboardiFranco Gaboardi More articles by this author , and Guido GiustiGuido Giusti More articles by this author View All Author Informationhttps://doi.org/10.1097/01.JU.0000555078.01662.91AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVES: In an effort to reduce PCNL related morbidity, some urologists have progressively introduced the mini-perc technique in paediatric endourology. There was initial skepticism about its potential owing to the lack of a dedicated armamentarium. But the development of miniaturised nephroscopes, the understanding of the physics behind the vacuum cleaner effect together with the increased efficacy of modern holmium laser generators and the skill of surgeons led to widespread dissemination of the technique. The aim of this video is to describe the outcomes of our series of patients who underwent mini-nephrolithotomy (MINIPERC) and to show step by step the details of the technique. METHODS: A prospective analysis of 157 consecutive patients who underwent MINIPERC at our institution between September 2016 and September 2018, was performed. Intraoperative and postoperative outcomes were assessed. Abdominal noncontrast computerized tomography (NCCT) scan was performed in all cases preoperatively and 1-month postoperatively. Patients were reported to be stone free if there were no residual fragments. Peri/postoperative complications were reported according Clavien-Dindo classification system. The primary endpoint of the study was stone free rate (SFR) and the secondary endpoints were Clavien-Dindo complications grade 1 or higher. RESULTS: The outcomes are reported in the Table 1. CONCLUSIONS: MINIPERC is an effective and safe technique for treating medium-size renal stones that represents a reasonable a middle ground between standard perc and flexible ureteroscopy. Dedicated modern highly technological armamentarium is the key to succeed. Source of Funding: None Milan, Italy© 2019 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 201Issue Supplement 4April 2019Page: e87-e87 Advertisement Copyright & Permissions© 2019 by American Urological Association Education and Research, Inc.MetricsAuthor Information Moises Rodriguez-Socarras* More articles by this author Silvia Proietti More articles by this author Giuseppe Saitta More articles by this author Vincent De Coninck More articles by this author Guglielmo Mantica More articles by this author Davide De Marchi More articles by this author Piera Bellinzoni More articles by this author Franco Gaboardi More articles by this author Guido Giusti More articles by this author Expand All Advertisement PDF downloadLoading ...