MINI ENDOSCOPIC COMBINED INTRA-RENAL SURGERY (MiniECIRS) WITH ENDOVIEW PUNCTURE IN A 12 MONTH BOY. A SAFE BUT CHALLENGING PROCEDURE

Introduction Associating minipercutaneous nephrolithotomy and retrograde flexible ureteroscopy (fURS) is called Mini Endoscopic Combined Intra-Renal Surgery (miniECIRS). It’s a safe and efficient technique, also in children. Material And Methods The video describes miniECIRS in a 12 month-old boy with an infectious pelvic left stone (16mm) and multiple caliceal stones. The UAS used was a 10FR and the percutaneous access was a 14Fr with Clear-Petra® sheath. Results The operative time was 180 minutes and blood losses were virtually absent. There were no intra- or post-operative complications and the patient was discharged at the 5th day. After 1 month, double J was removed having a stone free status. Conclusions MiniECIRS with endoview puncture is a safe and efficient technique when performed by experienced hands. Therefore, it is an alternative to consider for the treatment of complex lithiasis in the pediatric population.