International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy
Zhong, Wen (First Affiliated Hospital of Guangzhou Medical University)
Gupta, M. (Mount Sinai Health System)
Seitz, Christian (Medical University of Vienna)
Bernardo Lambrich, Noemí (Hospital de Clinicas Jose de San Martin)
Fiori, C. (San Luigi Gonzaga Hospital)
Angerri Feu, Oriol (Institut de Recerca Sant Pau)
Pearle, M. (University of Texas Southwestern Medical Center)
Shrestha, S. (Nepal Medical College Teaching Hospital)
Sarica, K. (Biruni University)
Zeng, Guo-Hua (First Affiliated Hospital of Guangzhou Medical University)
Mazzon, Giorgio (San Bassiano Hospital)
Zhu, Wei (First Affiliated Hospital of Guangzhou Medical University)
Lahme, Sven (Siloah St. Trudpert Hospital)
Khadgi, Sanjay (Vayodha Hospital)
Desai, Janak (Muljibhai Patel Urological Hospital)
Agrawal, Madhu (Global Rainbow Healthcare)
Schulsinger, David (Stony Brook University School of Medicine)
Montanari, Emanuele (University of Milan)
Martinez, Juan Manuel Lopez (Hospital Clínic i Provincial de Barcelona)
Almousawi, Shabir (Sabah Al Ahmad Urology Centre)
Malonzo, Vincent Emanuel F. (Veterans Memorial Medical Center)
Sriprasad, Seshadri (Darent Valley Hospital)
Durutović, Otas (University of Belgrade)
Arumuham, Vimoshan (University College London Hospitals NHS Foundation Trust)
Ferretti, Stefania (University of Parma)
Kamal, Wissam (King Fahd Hospital)
Xu, Ke-Wei (Sun Yat-Sen University)
Cheng, Fan (Renmin Hospital of Wuhan University)
Gao, Xiao-Feng (Shanghai Changhai Hospital)
Cheng, Ji-Wen (Affiliated Tumor Hospital of Guangxi Medical University)
Somani, Bhaskar K. (University Hospital Southampton NHS Foundation Trust (Regne Unit))
Duvdevani, Mordechai (Hadassah Hebrew University Hospital)
Git, Kah Ann (Pantai Hospital)
Ibrahim, Tarek Ahmed Amin (Hamad Medical Corporation)
Aquino, Albert (Jose R. Reyes Memorial Medical Center)
Yasui, Takahiro (Nagoya City University Graduate School of Medical Sciences)
Knoll, Thomas (University of Tuebingen)
Papatsoris, Athanasios (National and Kapodistrian University of Athens)
Gadzhiev, Nariman K. (Saint-Petersburg State University Hospital)
Zhanbyrbekuly, Ulanbek (Astana Medical University)
Ramos, Hugo Lopez (San Ignacio University Hospital)
Saltirov, Iliya (Military Medical Academy (Sofia, Bulgària))
Moussa, Mohamad (Al Zahraa Hospital University Medical Center and Lebanese University)
Giusti, Guido (Istituto di Ricovero e Cura A Carattere Scientifico (IRCCS))
Vicentini, Fabio (University of Sao Paulo Medical School)
Suarez, Edgar Beltran (National Medical Center of the Mexican Institute of Social Security)
Preminger, Glenn M. (Duke University Medical Center)
Wu, Qing-Hui (National University Hospital)
Ghani, Khurshid (University of Michigan)
Maroccolo, Marcus (Hospital de Base of the Federal District)
Brehmer, Marianne (Karolinska University Stockholm Sweden and Aarhus University Hospital)
Osther, Palle J. (University of Southern Denmark)
Zawadzki, Marek (St. Anna Hospital)
Tursunkulov, Azimdjon N. (Akfa Medline Hospital)
Kytaibekovich, Monolov Nurbek (DOC University Clinic)
Abuvohidov, Abdusamad Abdukakhorovich (Tajik State Medical University)
Lara, Cesar Antonio Recalde (Tte. Ettiene 215)
Noori, Zamari (Aria Apollo Hospital)
Zanetti, Stefano Paolo (University of Milan)
de la Rosette, Jean (Istanbul Medipol University)
Denstedt, John (Western University)
Ye, Zhang-Qun (Tongji Medical College)
Choong, Simon (University College Hospital of London)
Universitat Autònoma de Barcelona. Departament de Medicina

Data:	2024
Resum:	Over the past three decades, there has been increasing interest in miniaturized percutaneous nephrolithotomy (mPCNL) techniques featuring smaller tracts as they offer potential solutions to mitigate complications associated with standard PCNL (sPCNL). However, despite this growing acceptance and recognition of its benefits, unresolved controversies and acknowledged limitations continue to impede widespread adoption due to a lack of consensus on optimal perioperative management strategies and procedural tips and tricks. In response to these challenges, an international panel comprising experts from the International Alliance of Urolithiasis (IAU) took on the task of compiling an expert consensus document on mPCNL procedures aimed at providing urologists with a comprehensive clinical framework for practice. This endeavor involved conducting a systematic literature review to identify research gaps (RGs), which formed the foundation for developing a structured questionnaire survey. Subsequently, a two-round modified Delphi survey was implemented, culminating in a group meeting to generate final evidence-based comments. All 64 experts completed the second-round survey, resulting in a response rate of 100. 0%. Fifty-eight key questions were raised focusing on mPCNLs within 4 main domains, including general information (13 questions), preoperative work-up (13 questions), procedural tips and tricks (19 questions), and postoperative evaluation and follow-up (13 questions). Additionally, 9 questions evaluated the experts' experience with PCNLs. Consensus was reached on 30 questions after the second-round survey, while professional statements for the remaining 28 key questions were provided after discussion in an online panel meeting. mPCNL, characterized by a tract smaller than 18 Fr and an innovative lithotripsy technique, has firmly established itself as a viable and effective approach for managing upper urinary tract stones in both adults and pediatrics. It offers several advantages over sPCNL including reduced bleeding, fewer requirements for nephrostomy tubes, decreased pain, and shorter hospital stays. The series of detailed techniques presented here serve as a comprehensive guide for urologists, aiming to improve their procedural understanding and optimize patient outcomes.
Drets:	Aquest document està subjecte a una llicència d'ús Creative Commons. Es permet la reproducció total o parcial, la distribució, la comunicació pública de l'obra i la creació d'obres derivades, fins i tot amb finalitats comercials, sempre i quan es reconegui l'autoria de l'obra original.
Llengua:	Anglès
Document:	Article ; recerca ; Versió publicada
Matèria:	Expert consensus ; Kidney stone ; Miniaturized PCNL (mPCNL) ; Operation ; Percutaneous nephrolithotomy (PCNL)
Publicat a:	Military Medical Research, Vol. 11, Num. 1 (December 2024) , p. 70, ISSN 2054-9369
Obra relacionada:	Zeng, GH., Zhong, W., Mazzon, G. et al. Correction: International Alliance of Urolithiasis (IAU) consensus on miniaturized percutaneous nephrolithotomy. Military Med Res 11, 79 (2024). https://doi.org/10.1186/s40779-024-00579-8 https://doi.org/10.1186/s40779-024-00579-8

Correcció de l'article: https://intern-ddd.uab.cat/admin/publications/322310
DOI: 10.1186/s40779-024-00562-3
PMID: 39465407

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