Zhu Wei, Huang Zhicong, Zeng Guohua
Department of Urology and Guangdong Key Laboratory of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China.
Asian J Urol. 2023 Jul;10(3):275-280. doi: 10.1016/j.ajur.2023.01.003. Epub 2023 Feb 7.
To summarize recent advancements in mini-percutaneous nephrolithotomy (mini-PCNL) in surgical technique, stone removal strategy, lithotripsy, and surgical model from the current literature.
We conducted a narrative review of relevant English-language articles up to October 2022 using the PubMed and Web of Science databases. The following keywords were used in the search: "percutaneous nephrolithotomy", "minimally invasive percutaneous nephrolithotomy", "mini-PCNL", "mini-perc", "mPCNL", and "miniaturization".
A series of new progress has been made in many aspects of mini-PCNL, such as further reduction of tract size-needle perc and further improvement of robotic-assisted PCNL-artificial intelligence-powered robotic devices.
Many studies and trials have been conducted to reduce morbidity and increase the safety and effectiveness of mini-PCNL. It is crucial to realize that miniaturization of PCNL requires not only a smaller percutaneous tract size, but also an adjustment strategically in renal access, stone removal, lithotripsy, and surgical model in general. More large-scale prospective research needs to be carried out to further validate and optimize the safety and effectiveness of mini-PCNL.
从当前文献中总结微创经皮肾镜取石术（mini-PCNL）在手术技术、结石清除策略、碎石术和手术模式方面的最新进展。
我们使用PubMed和Web of Science数据库对截至2022年10月的相关英文文章进行了叙述性综述。搜索中使用了以下关键词：“经皮肾镜取石术”、“微创经皮肾镜取石术”、“mini-PCNL”、“mini-perc”、“mPCNL”和“小型化”。
mini-PCNL在许多方面取得了一系列新进展，如进一步减小通道尺寸——针状穿刺，以及进一步改进机器人辅助PCNL——人工智能驱动的机器人设备。
已经进行了许多研究和试验以降低发病率并提高mini-PCNL的安全性和有效性。必须认识到，PCNL的小型化不仅需要更小的经皮通道尺寸，还需要在肾脏穿刺入路、结石清除、碎石术以及总体手术模式方面进行战略性调整。需要开展更多大规模前瞻性研究以进一步验证和优化mini-PCNL的安全性和有效性。
