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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