Druskin Sasha C, Ziemba Justin B
Department of Urology, Brady Urological Institute, Johns Hopkins Medical Institutions, Baltimore, MD, USA.
Johns Hopkins School of Medicine, Brady Urological Institute, 600 North Wolfe Street, Baltimore, MD, 21287, USA.
Curr Urol Rep. 2016 Apr;17(4):30. doi: 10.1007/s11934-016-0591-5.
Minimally invasive endoscopic procedures are often employed for the surgical removal of kidney stones. Traditionally, large stones are removed by (standard) percutaneous nephrolithotomy (SPCNL). Although effective for the clearance of large stone burdens, SPCNL is associated with significant morbidity. Therefore, in an effort to reduce this morbidity, while preserving efficacy, mini-PCNL (MPCNL) with a smaller tract size (<20 French) was developed. Several studies suggest that MPCNL has a comparable stone-free rate to SPCNL. However, the question of lower morbidity with MPCNL remains unanswered. In this review, we describe the equipment, indications, and efficacy of MPCNL with particular attention to its value over traditional minimally invasive stone removal techniques.
微创内镜手术常被用于外科切除肾结石。传统上，大的结石通过（标准）经皮肾镜取石术（SPCNL）来清除。尽管SPCNL在清除大的结石负荷方面有效，但它会带来显著的发病率。因此，为了在保持疗效的同时降低这种发病率，人们开发了通道尺寸更小（<20法式）的迷你经皮肾镜取石术（MPCNL）。多项研究表明，MPCNL的结石清除率与SPCNL相当。然而，MPCNL发病率较低这一问题仍未得到解答。在这篇综述中，我们描述了MPCNL的设备、适应症和疗效，并特别关注其相对于传统微创结石清除技术的价值。
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