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10 years of micropercutaneus nephrolithotripsy: evolution ofmethod DOI: 10.29188/2222-8543-2021-14-2-64-69
https://doi.org/10.29188/2222-8543-2021-14-2-64-69
- Popov S.V. – Dr. Sc., head physician, St. Luke Clinic State Budgetary Health Institution of St. Petersburg; Saint-Petersburg, Russia; https://orcid.org/0000-0003-2767-7153
- Orlov I.N. – PhD, head of the urology department No. 1, St. Luke Clinic State Budgetary Health Institution of St. Petersburg; Saint-Petersburg, Russia; https://orcid.org/0000-0001-5566-9789
- Pazin I.S. – urologist, St. Luke Clinic State Budgetary Health Institution of St. Petersburg; Saint-Petersburg, Russia; https://orcid.org/0000-0001-6443-9846
- Sytnik D.A. – urologist, St. Luke Clinic State Budgetary Health Institution of St. Petersburg; Saint-Petersburg, Russia; https://orcid.org/0000-0001-6085-5594
- Zubkov I.V. – PhD, urologist, Federal State Budgetary Educational Institution of Higher Education «Kirov State Medical University» of the Ministry of Healthcare of the Russian Federation; Kirov, Russia
- Stetsik E.O. – urologist, City State Multidisciplinary Hospital No.2; Saint-Petersburg, Russia; stetsik8@mail.ru; https://orcid.org/0000-0001-5300-5479
- Gorelik M.L. – resident-urologist, St. Luke Clinic State Budgetary Health Institution of St. Petersburg; Saint-Petersburg, Russia; https://orcid.org/0000-0003-0118-9194
- Perfil’ev M.A. – resident-urologist, St. Luke Clinic State Budgetary Health Institution of St. Petersburg; Saint-Petersburg, Russia; https://orcid.org/0000-0002-3723-8157
604 Introduction. This review describes experience of using micropercutaneous nephrolithotripsy by various authors, history of the development this technology, modern indications, steps of the operation and its modifications, outcomes and comparison with other techniques.
Materials and methods. We analyzed the original articles on the following databases: Pubmed, Scopus, Medline in the period from 2011 to 2020, dedicated to microcutaneous nephrolithotripsy. Results. Microperc is the preferred method for kidney stones up to 1.5 cm in size because it is associated with less blood loss, shorter fluoroscopy and hospitalization times, and with a higher rate of nephrostomy-free management.
Conclusion. Over the 10 years since the introduction of the practice, micro-percutaneous nephrolithotripsy has been able to evolve from a situational, auxiliary method for the treatment of small stones and / or difficult localization, into the potentially most promising method for removing medium and large sizes stones while minimizing operational risks. However, required further modernization and improvement of the technique to using it into routine practice for the treatment of stones more than 1.5 cm.
Conflict of interest. The authors declare no conflict of interest.
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