微通道经皮肾镜取石术用于不同类型肾结石的临床应用进展

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Abstract In order to reduce the complications associated with standard channel percutaneous nephrolithotomy (PCNL), miniaturized percutaneous nephrolithotomy (MPCNL) has been used for the treatment of kidney stones since 2001. MPCNL not only reduces the channel size, but also comes equipped with kits that allow it to reduce complications while maintaining efficient stone removal rates. As MPCNL technology continues to improve and mature, its indications continue to expand. In this paper, the application of MPCNL in the treatment of different types of kidney stones is briefly reviewed. Compared with other treatment methods for kidney stones, MPCNL has certain advantages in the treatment of 1-2 cm single kidney stone, especially lower calyceal kidney stone, and tends to gradually replace standard PCNL in the treatment of 2-3 cm single kidney stone. In the treatment of complex or special types of kidney stones, single-channel MPCNL often has the limitation of small channel, while multi-channel MPCNL or multi-mirror combination can improve the stone clearing rate under the premise of ensuring safety. Therefore, MPCNL-based treatment is expected to become an important means for the treatment of all types of kidney stones.

Key words： Miniaturized percutaneous nephrolithotomy Kidney stones Channel establishment Complex calculus Multiple mirror joint

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	XIONG Zhuang CHENG Fan▲

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XIONG Zhuang CHENG Fan▲. Progress in the clinical application of miniaturized percutaneous nephrolithotomy for different types of kidney stones#br#[J]. 中国医药导报, 2022, 19(4): 57-61.

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https://www.yiyaodaobao.com.cn/EN/ OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I4/57

[1] Kyriazis I，Panagopoulos V，Kallidonis P，et al. Complications in percutaneous nephrolithotomy [J]. World J Urol，2015，33（8）：1069-1077.
[2] Jones P，Elmussareh M，Aboumarzouk OM，et al. Role of Minimally Invasive （Micro and Ultra-mini） PCNL for Adult Urinary Stone Disease in the Modern Era：Evidence from a Systematic Review [J]. Curr Urol Rep，2018，19（4）：27-35.
[3] Khadgi S，El-Nahas AR，Darrad M，et al. Safety and efficacy of a single middle calyx access（MCA）in mini-PCNL [J]. Urolithiasis，2020，48（6）：541-546.
[4] Jackman SV，Hedican SP，Peters CA，et al. Percutaneous nephrolithotomy in infants and preschool age children：experience with a new technique [J]. Urology，1998，52（4）：697-701.
[5] Jackman SV，Docimo SG，Cadeddu JA，et al. The “mini-perc” technique：a less invasive alternative to percutaneous nephrolithotomy [J]. World J Urol，1998，16（6）：371-374.
[6] Lahme S，Bichler KH，Strohmaier WL，et al. Minimally invasive PCNL in patients with renal pelvic and calyceal stones [J]. Eur Urol，2001，40（6）：619-624.
[7] Srivastava A，Singh S，Dhayal IR，et al. A prospective randomized study comparing the four tract dilation methods of percutaneous nephrolithotomy [J]. World J Urol，2017， 35（5）：803-807.
[8] Pietropaolo A，Reeves T，Aboumarzouk O，et al. Endourologic Management （PCNL，URS，SWL） of Stones in Solitary Kidney：A Systematic Review from European Association of Urologists Young Academic Urologists and Uro-Technology Groups [J]. J Endourol，2020，34（1）：7-17.
[9] Dorantes-Carrillo LA，Basulto-Martínez M，Suárez-Ibarrola R，et al. Retrograde Intrarenal Surgery Versus Miniaturized Percutaneous Nephrolithotomy for Kidney Stones >1cm：A Systematic Review and Meta-analysis of Randomized Trials [J]. Eur Urol Focus，2021，S2405-4569（21）00051-1.
[10] 林方优，程帆，饶婷，等.不同穿刺路径经皮肾通道与肾脏血管损伤的关系[J].中华泌尿外科杂志，2020，41（8）：624-628.
[11] Jiao B，Luo Z，Huang T，et al. A systematic review and meta-analysis of minimally invasive vs. standard percutaneous nephrolithotomy in the surgical management of renal stones [J]. Exp Ther Med，2021，21（3）：213-226.
[12] Abdelhafez MF，Amend B，Bedke J，et al. Minimally invasive percutaneous nephrolithotomy：a comparative study of the management of small and large renal stones [J]. Urology，2013，81（2）：241-245.
[13] Abdelhafez MF，Wendt-Nordahl G，Kruck S，et al. Minimally invasive versus conventional large-bore percutaneous nephrolithotomy in the treatment of large-sized renal calculi：Surgeon’s preference? [J]. Scand J Urol，2016，50（3）：212-215.
[14] Fan J，Wan S，Liu L，et al. Predictors for uroseptic shock in patients who undergo minimally invasive percutaneous nephrolithotomy [J]. Urolithiasis，2017，45（6）：573-578.
[15] Ganpule AP，Naveen KRM，Sudharsan SB，et al. Multitract percutaneous nephrolithotomy in staghorn calculus [J]. Asian J Urol，2020，7（2）：94-101.
[16] Huang J，Zhang S，Huang Y，et al. Is multiple tract percutaneous nephrolithotomy a safe approach for staghorn calculi? [J]. World J Urol，2020，39（6）：2121-2127.
[17] Zhao Z，Yin S，Zhu H，et al. The feasibility of multiple-tract mini-percutaneous nephrolithotomy as an overnight surgery for the treatment of complex kidney stones [J]. Urolithiasis，2021，49（2）：167-172.
[18] 王祥涛，王玉芬，魏巍.超声引导标准通道联合mini-PCNL治疗鹿角形肾结石的疗效及安全性研究[J].海南医学，2020，31（18）：2350-2353.
[19] 阳旭明，马子芳，资小龙，等.标准通道辅助微通道经皮肾镜取石术联合EMS治疗鹿角形肾结石合并脓肾的经验总结[J].中国内镜杂志，2017，23（12）：106-110.
[20] 李瑞鹏，齐隽，刘建河.F16单通道微创经皮肾镜联合输尿管软镜治疗复杂鹿角形肾结石[J].中国微创外科杂志，2015（2）：115-117，125.
[21] 占雄，汪丹，朱建国，等.超微通道与微通道经皮肾镜取石术治疗小儿肾结石的临床对比研究[J].中华小儿外科杂志，2020，41（3）：248-251.
[22] 石博文，徐科.经皮肾镜取石术在儿童肾结石中的应用及进展[J].临床小儿外科杂志，2017，16（6）：617-621.
[23] Pelit ES，Atis G，Kati B，et al. Comparison of Mini-percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery in Preschool-aged Children [J]. Urology，2017， 101：21-25.
[24] El-Nahas AR，Shokeir AA，El-Assmy AM，et al. Post-percutaneous nephrolithotomy extensive hemorrhage：a study of risk factors [J]. J Urol，2007，177（2）：576-579.
[25] Huang Z，Fu F，Zhong Z，et al. Chinese minimally invasive percutaneous nephrolithotomy for intrarenal stones in patients with solitary kidney：a single-center experience [J]. PLoS One，2012，7（7）：e40577.
[26] Imam TH，Patail H，Patail H. Medullary Sponge Kidney：Current Perspectives [J]. Int J Nephrol Renovasc Dis，2019，12：213-218.
[27] Sun H，Zhang Z，Yuan J，et al. Safety and efficacy of minimally invasive percutaneous nephrolithotomy in the treatment of patients with medullary sponge kidney [J]. Urolithiasis，2016，44（5）：421-426.
[28] Chen H，Chen G，Pan Y，et al. No Wound for Stones <2 cm in Horseshoe Kidney：A Systematic Review of Comparative Studies [J]. Urol Int，2019，103（3）：249-255.
[29] Kartal I，?覶akici M，Selmi V，et al. Retrograde intrarenal surgery and percutaneous nephrolithotomy for the treatment of stones in horseshoe kidney；what are the advantages and disadvantages compared to each other? [J]. Cent European J Urol，2019，72（2）：156-162.
[30] 黄伟，周凤其，庄建，等.后腹腔镜肾盂切开取石术和经皮肾镜碎石取石术治疗老年患者肾盂结石的临床效果比较[J].中国医药，2021，16（8）：1227-1230.
[31] 黄水通.经皮肾镜取石术治疗肾结石疗效分析[J].中国医药科学，2020，10（7）：239-242.
[32] 刘江，郭丽辉，缪晓红，等.微创经皮肾镜取石术联合输尿管软镜治疗复杂肾结石的临床研究[J].中国当代医药，2021，28（10）：120-122，126.
[33] Wu W，Zhao Z，Zhu H，et al. Safety and efficacy of minimally invasive percutaneous nephrolithotomy in treatment of calculi in horseshoe kidneys [J]. J Endourol，2014，28（8）：926-929.
[34] 高学林，郑万祥，郭凡，等.微通道经皮肾镜联合输尿管软镜治疗马蹄肾下盏结石的临床疗效[J].现代泌尿外科杂志，2020，25（11）：1011-1014.