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dc.contributor.authorTroy, Andrew-
dc.contributor.authorWebb, David-
dc.contributor.otherHennessey, Derek-
dc.contributor.otherKinnear, Ned-
dc.contributor.otherAngus, David-
dc.contributor.otherBolton, Damien-
dc.identifier.citationBJU Int. 2017 May;119 Suppl 5:39-46en_US
dc.description.abstractOBJECTIVE: To evaluate the minimally invasive percutaneous nephrolithotomy (MIP) system for renal calculi. PATIENTS AND METHODS: Consecutive patients undergoing mini-percutaneous nephrolithotomy (mPCNL) procedures with the MIP system were enrolled. Patient position, American Society of Anesthesiologists classification, puncture location, stone clearance, postoperative drainage and complications were recorded, and features unique to MIP were noted. RESULTS: In all, 30 patients underwent 32 mPCNL procedures. The mean stone size was 17 (10.75-21.25) mm and the mean number of stones was 1 (1-2). The median stone clearance rate was 96.5 (95-100)%. The complication rate was 9.3%. No patient required a transfusion. In addition to these outcomes, we noted that the MIP system has many advantages over conventional PCNL (cPCNL). It is easy to learn and can be performed in both supine and prone positions. It is safe for supracostal puncture, provides excellent access to nearly all calyces and upper ureter, has multiple stone treatment options, can be used as an adjunct to cPCNL, and can be performed as a tubeless procedure. CONCLUSION: Our experience with the MIP system has shown several advantages over cPCNL. mPCNL with the MIP system has several features that suggest it should be considered as an alternative or adjunct to cPCNL, ureteroscopy and extracorporeal shockwave lithotripsy.en_US
dc.subjectMinimally Invasive PCNLen_US
dc.subjectMini-Percutaneous Nephrolithotomyen_US
dc.subjectConventional PCNLen_US
dc.subjectKidney Calculien_US
dc.subjectMinimally Invasive Percutaneous Nephrolithotomy Systemen_US
dc.subjectMinimally Invasive Surgical Proceduresen_US
dc.subjectPostoperative Complicationsen_US
dc.subjectTreatment Outcomeen_US
dc.subjectEpworth Freemasons Hospital , Melbourne, Victoria, Australiaen_US
dc.subjectUroRenal, Vascular Clinical Institute, Epworth HealthCare, Victoria, Australiaen_US
dc.titleMini PCNL for renal calculi: does size matter?en_US
dc.typeJournal Articleen_US
dc.identifier.journaltitleBJU Internationalen_US
dc.description.affiliatesDepartment of Urology, Austin Health, Heidelberg, Vic., Australia.en_US
dc.description.affiliatesWarringal Private Hospital, Heidelberg, Vic., Australia.en_US
dc.type.studyortrialProspective Studyen_US
Appears in Collections:UroRenal, Vascular

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