Resumen

LA TORRE, German de; DE BONIS, Walter; REY, Horacio  y  FREDOTOVICH, Norberto. Cirugía renal percutánea con acceso mínimo: Miniperc. Arch. Esp. Urol. [online]. 2005, vol.58, n.2, pp.145-150. ISSN 0004-0614.

OBJECTIVES: To describe the technique of the minimal access percutaneous nephrolithectomy, miniperc, and to analyze the results obtained with this treatment in adult patients. METHODS: We performed 42 minipercs between august 2002 and December 2003. Mean patient age was 48 years (19-62). The procedure was undertaken using a 14Fr Amplatz sheath. Stone size varied from 1.5-3.5 cm in longest diameter (1.5-7 cm²). Lithofragmentation was performed by pneumatic lithotripsy. RESULTS: Average procedure time was 75.2 min. (range from 60 to 120). All patients were discharged within 24 hours. Only three patients (7.1%) have a hematocrit descent over 2 points. No nephrostomy tube was left for the postoperative time. 95.2% of the patients were stone free 1 month after surgery. CONCLUSIONS: Our results make us consider the minimal access percutaneous nephrolithectomy (Miniperc) a minimal option for the elimination of renal stones, with low morbidity, diminishment of the hospital stays, very low analgesic demand, and no transfusion requirements.

Palabras clave : Renal stones; Minimal access; Mini perc.

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