50º Congreso Internacional del Colegio Mexicano de Urología Profesores Guohua Zeng & Jorge Gutierrez hablando de las ventajas e importancia de guiar el acceso percutaneo con Ultrasonido #Ultrasound #PCNL #SMP #MiniPerc

🎯 Workshop on #supine #MiniPerc and #TFL at #HURH - US & fluoro - miniECIRS - upper calyx 👏 Always a pleasure to share knowledge, discuss techniques and keep learning together 🙏 Thanks to Coloplast for the support! 💪 Proud of my team! #PCNL #RIRS #endourology #teamwork

youtu.be/2LNUTIGrQYE?si=IAMu… (10 mins Unedited Video Miniperc in Pediatric) Sometimes, even in small children, stones <1 cm can be effectively managed with Mini-PCNL, especially when the family wants to avoid multiple procedures. Sharing a 9 mm upper ureteric stone case where Mini-Perc was done safely with all precautions. A perfect puncture and smooth dilatation up to 12 Fr can be completed in <10 minutes. Cost-effective, efficient, and very useful in low socioeconomic settings where repeated sessions become a burden. 💫 #MiniPerc #PCNL #PediatricUrology #Endourology #Urology #StoneDisease #MinimallyInvasiveSurgery #Preeti Urology & Kidney Hospital #Dr Chandra Mohan youtu.be/2LNUTIGrQYE?si=IAMu…

What an honor to debate with a giant of #endourology such as @DrJohnDenstedt about #FANS vs #MINIPERC during @smumexico session within #aua26 with the moderation of my ex fellow @mariobasulto It’s been fun in an usual friendly atmosphere thanks Mexican friends for the trust !

Incredible debate today during the plenary #aua26 about the best treatment for 2cm renal stone with great opponents dr. Yuen @PabloNContreras dr. Zampini @shah_ojas under the charismatic lead of @MattBultitude I supported #MINIPERC but #FANS WON! Congrats Stefy: now it’s time for younger colleagues to be in the limelight! Thanks to @AmerUrological , to my co-panelist and to Matt for being part of it!

Miniperc, minicomplications! @GuidoGiusti #AUA26

#US_PCNL Curso de Nefrolitotomía Percutánea guiada por Ultrasonido en @HospitalCivil Fray Antonio Alcalde Muy agradecido con Edgar Chávez @Drdeuss82 por la invitación así como su jefe de servicio, adscritos y residentes, fue un gusto y un honor #Ultrasound #PCNL #MiniPerc

How do you know that your percutaneous renal access is safe during #PCNL #pcnl #minipnl #miniperc #renalstones #kidneystones #endourology #stonesurgery #stonetreatment

Challenging for pronPcnl I will start with trial of miniperc if failed 😞 I will switch to fURS Good luck 👍🍀 for you

Always a pleasure to be back in Barcelona #UROFORUM hosted by @AntonioAlcarazA & @UroDrLopez @UniBarcelona for a nice live demonstration of a 30min #miniperc supplied by @OlympusUrology & @ClearpetraL ® aspirating sheath: bottom line? There is still room for #PCNL! Many thanks to all local team for the support!

🔹Workshop on supine #MiniPerc and #TFL at #HURH - US & fluoro-guided puncture - multiple renal stones - mini-ECIRS 🙏Thanks to @EspanaIu for the support! 💪Proud of my team! @CoralManso @Amaladerr #PilarBueno #PCNL #RIRS #endourology #kidneystones #teaching #training #teamwork

#US_PCNL Visit our Full access video about the Pure ultrasound guided MiniPerc technique: Super Mini Percutaneous Nephrolithotomy: Totally Ultrasound-Guided with a Two-Step Tract Dilation Technique - Enrique Pulido-Contreras, et al, 2024 journals.sagepub.com/doi/ful…

A privilege to be once more part of live surgery session #EAU26 @Uroweb in London showcasing the features of #THULIO laser by @DornierMedTech in #MINIPERC where a combination of dusting & fragmentation is key! Thanks to my entire team for the effort. @sproietti81 @axelhernandezmd

Cirugía renal mini percutánea con láser de HOLMIO en litiasis coraliforme, duración 1 hora 10 min. #laserdeholmio #litiasisrenal #MiniPerc #laser \@clinicayunes instagram.com/reel/DOyo0QmAO…

Patient with bilateral incomplete duplex system. 🔹 Already had right-side 2× PCNL 1× fURS – cleared accessible stones. Today: 🔹 Left prone mini-PCNL (18Fr, suction sheath) 🔹 Access: lower moiety middle calyx puncture 🔹 Most stone burden in lower moiety cleared with laser dusting suction evacuation 🔹 Stones in accessible upper moiety calyces also fragmented & removed 🔹 DJ stent placed for possible second look (flexible URS vs repeat mini-PCNL, pending imaging) ✅ Complex anatomy, stepwise clearance, safe outcome. #Urology #PCNL #MiniPerc #Endourology #StoneSurgery

Lady with persistent UTI and left partial staghorn stone 🔹 Stone burden ~2.5 × 2.5 × 2 cm 🔹 Involvement of lower calyx and branching into renal pelvis 🔹 Antibiotics coverage → Supine mini-PCNL (15Fr) 🔹 Middle calyx puncture 🔹 Stone fragmented using pneumatic , fragments evacuated by suction 🔹 All reachable calyces inspected — no residual fragments 🔹 Scope time: ~40 min 🔹 Retrograde DJ stent placed (positive culture case) Patient recovered well, discharged stone-free post op day 1 Dj removed in after 2 weeks #Urology #PCNL #MiniPerc #Endourology #StoneSurgery #SupinePCNL

miniperc y minibeth, va a llorar.

It took little more than 150 min from the 1st access to lower calyx until DJ stent in the end. No nephrostomy tube. To take care about surgical time is crucial to prevent complications but number of tracts (never more than 2 standard), reduce tract size (use smaller standard 24/26 or miniperc) and improve lithotripsy tools (trilogy saves time!). Otherwise is safer to split surgery as you say to prevent complications. I always use flexible ureteroscopy in this cases (PCNL = ECIRS for me!!)

#US_PCNL in Supine MiniPerc 16Fr w Suction Tips for Access in Upper Calyx ✅Hold the Probe between ribs ✅Increase lateralization for more posterior access ✅Needle in the other side of the probe ✅Irrigation w rigid ureteroscope to increase the artificial Hydronephrosis

Left complete staghorn stone with a large lower pole cyst vs dilated calyx 🔹 Supine super-mini PCNL (20Fr) 🔹 Access via middle calyx puncture 🔹 Secondary stones extracted 🔹 Trilogy pneumatic lithotripsy used for middle > renal pelvis > lower calyceal stones 🔹 Upper calyx clear 🔹 One calyx inaccessible → antegrade DJ stent placed for second look 🔹 Scope time: 60 min 🔹 >85% clearance achieved in a single puncture Challenging anatomy, excellent clearance, one safe tract. #Urology #PCNL #MiniPerc #Endourology #StoneSurgery #SupinePCNL