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Artículo Tomo 70, Número. 1, Ene/Feb 2017

Archivos Españoles de Urología

MicroPerc: Fashion or reality.

Authors: Marcos Cepeda y JosÚ H. Amˇn.

Arch. Esp. Urol. 2017; 70 (1): 217-225

Vol. 70, Number. 1, Jan/Feb 2017

Miniaturization in percutaneous surgery has seen its zenith in microperc. Technological advances have enabled us to treat renal lithiasis through a 4.8 Ch. caliper percutaneous access. According to published literature, the technique is reproducible and when applied to small and medium size renal lithiasis has a high success rate keepin a low complication rate.

Its main advantage is the absence of tract dilatation, diminishing the bleeding risk inherent to percutaneous access, postoperative pain and hospital stay. Nevertheless, it presents a series of technical limitations: low maneuverability and versatility, impossible extraction of significant fragments, limited vision and high intrarenal pressure. Does microperc have a place among proven techniques such as SWL, flexible ureteroscopy or minipercutaneous surgery? In our article we try to answer this question by reviewing the available literature, and review all technical features, advantages and limitations of the procedure at the same time.


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