title: Outcome-Based Comparison of Percutaneous Procedures for Urinary Lithiasis with Calibre of Instrumentation less than 12Fr.
abstract: Renal stone disease is becoming increasingly prevalent globally. With a rise in stone disease worldwide, there is also a relative increase in the rates of surgical intervention. Technological advances have allowed a move towards minimising the complications rates and length of stay with a reduction in invasiveness and size of instruments. A trend for minimising the percutaneous tract size has been noted in percutaneous nephrolithotomy (PCNL) for renal stones. The management has shifted from open surgery to standard PCNL, mini-PCNL and the latest ultra-mini and micro-PCNL techniques. There is a need to compare outcomes for the ever-advancing technologies, such as the smaller calibre of instruments, to assess risk-benefit in practice. This review looks at outcome-based comparison of percutaneous procedures for urinary lithiasis with instruments <12Fr in size.
authors.affiliation: University Hospital Southampton NHS Trust, Southampton, UK.
authors.forename: H
authors.initials: H
authors.lastname: Wells
authors.forename: N
authors.initials: N
authors.lastname: Rukin
authors.forename: A
authors.initials: A
authors.lastname: Wright
authors.forename: B K
authors.initials: BK
authors.lastname: Somani
mesh_terms: D006801:Humans; D007669:Kidney Calculi / Q000601:surgery*; D007902:Length of Stay; D009403:Nephrostomy, Percutaneous / Q000295:instrumentation* / Q000379:methods; D011183:Postoperative Complications; D016896:Treatment Outcome