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Minimal-Invasive PCNL (Mini-PCNL)

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Percutaneous Nephrolithotomy

Abstract

Forty years ago conventional PCNL was introduced as a very effective stone treatment modality, which shows excellent stonefree rates. But conventional PCNL is associated with significant complications, such as a high transfusion rate of 10%. In order to minimize the complication rate of a conventional PCNL but to preserve the excellent stonefree, rate the minimally invasive percutaneous nephrolithotomy (Mini-PCNL) in adults was established in 2001. Mini-PCNL is done by means of a miniaturized nephroscope up to 12 F and a small caliber Amplatz sheath (up to 18 F). Although the underlying principle of the Mini-PCNL is similar to the conventional PCNL, there are some significant differences. Stone removal in Mini-PCNL is achieved without any forceps or baskets. Due to the particular relation of the length and diameter of the Amplatz sheath in Mini-PCNL, the so-called vacuum-cleaner takes all stone fragments automatically out of the calyceal system. Mini-PCNL can be applied in almost all stone patients with stones of the upper urinary tract exceeding 2 cm. Even staghorn stones can be successfully treated by a multi-tract Mini-PCNL approach. Recently various modifications of Mini-PCNL were presented, such as Micro-PCNL, Ultra-Mini-PCNL, Perfect Perc and Super-Mini-PCNL. It can be said today that Mini-PCNL is an indispensable treatment modality in endourological stone treatment.

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Authors and Affiliations

  1. Department of Urology, Goldstadt Private Clinic, Pforzheim, Germany

    Sven Lahme

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  1. Sven Lahme
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Correspondence to Sven Lahme .

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Editors and Affiliations

  1. Department of Urology and Guangdong Key Laboratory of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, Guangdong, China

    Guohua Zeng

  2. Department of Urology, Biruni University Medical School, Istanbul, Turkey

    Kemal Sarica

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Lahme, S. (2020). Minimal-Invasive PCNL (Mini-PCNL). In: Zeng, G., Sarica, K. (eds) Percutaneous Nephrolithotomy. Springer, Singapore. https://doi.org/10.1007/978-981-15-0575-1_16

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  • DOI: https://doi.org/10.1007/978-981-15-0575-1_16

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-15-0574-4

  • Online ISBN: 978-981-15-0575-1

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