Comparison of outcomes of tubed versus tubeless percutaneous nephrolithotomy in children: A single center study

Iqbal, Nadeem; Assad, Salman; Hussain, Ijaz; Hassan, Yassir M.; Khan, Hafsa; Farooq, Muhammad Armaghan; Akhter, Saeed

doi:10.5152/tud.2018.19616

Cited by 15 publications

(13 citation statements)

References 22 publications

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“…In our study, no difference was there in the longevity of hospital stay between the two groups. Similar findings were also reported in the study conducted by Iqbal et al [19]. In addition, the mean operative time in children is shorter than in adults.…”

Section: Discussionsupporting

confidence: 90%

Comparison of Outcomes of Percutaneous Nephrolithotomy (PCNL) Between Adults and Pediatrics Population: A Single-Center Retrospective Study

Umer¹,

Basta²,

Djossi³

et al. 2022

Cureus

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Section: Discussionsupporting

confidence: 90%

Comparison of Outcomes of Percutaneous Nephrolithotomy (PCNL) Between Adults and Pediatrics Population: A Single-Center Retrospective Study

Umer¹,

Basta²,

Djossi³

et al. 2022

Cureus

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“…For those authors, the mean operative time was 156±38.7 min for nephrolitholapaxia with a nephrostomy drainage and 160±41.1 min for the group without the nephrostomy. 40 Our mean operative time for nephrolitholapaxia is comparable to that of some of the referred authors -150±33.4 min. Our longer operative time is most likely due to our initial experience in performing the minimally invasive technique.…”

Section: Discussionsupporting

confidence: 84%

Initial experience in the field of pediatric percutaneous nephrolitholapaxia in Bulgaria

Dorosiev

Minova

Pelov

et al. 2021

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Introduction: Pediatric urolithiasis is a very specific and challenging problem in the field of modern urology. Currently, there are three major methods for kidney stone removal: the extracorporeal shock wave lithotripsy (ESWL), the retrograde intrarenal surgery (RIRS), and the percutaneous nephrolithotomy (PCNL), the latter one proving to be an efficient and safe monotherapy of stones even with larger burden. Different sizes of nephroscopes are used (standard, mini, micro), where smaller size is logically correlated with safer profile, especially in pediatric population.Aim: To analyze the initial experience in using PCNL in children for the treatment of kidney concrements – rates of successful stone removal and registered complications.Materials and methods: Twenty-six PCNL procedures of 25 children were performed – both standard and mini. The age ofpatients, size of the stones, operating time, changes in hemoglobin levels, duration of hospital stay, and the postoperative complications were recorded, analyzed and compared to data reported in current relevant literature.Results: The mean age of patients was 9±5.2 years (15 boys and 10 girls). The average size of concrements subjected to nephrolitholapaxia was 16±0.7 mm, most of the cases being single stones. The average operative time was 150±33.4 min, and the average hospital stay was 4.1±1.5 days. The percentage of stone free children postoperatively was 94%. Complications included blood loss requiring transfusion in 1 patient (4%), postoperative urinary tract infection and fever (2 patients), and self-limiting hematuria in 16%.Conclusions: PCNL is an effective and safe alternative in the management of nephrolithiasis in children. It is a method of choice for the treatment of concretions not suitable to treat with extracorporeal lithotripsy and after a qualitative selection of patients.

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“…In the present study, the success rate or complete stone removal in tubeless PCNL was signi cantly higher than standard PCNL which was consistent to the results of researches conducted by Aghamir et al 17 and the retrospective study by Bilen et al 18 . In the study by Iqbal et al 19 and the meta-analysis by Xun et al 20 and Nouralizadeh et al 21 no signi cant difference was observed between standard PCNL and tubeless considering the success rate.…”

Section: Discussionmentioning

confidence: 93%

“…Due to the results of researchers performed, kidney stone surgery in children and adults by tubeless PCNL method reduces the length of hospital stay after surgery 20,23 . In a study conducted by Mousavi Bahar et al in 2006, the average hospital stay was 48 hours 24 .…”

Section: Discussionmentioning

confidence: 99%

The comparison of standard and tubeless percutaneous nephrolithotomy (PCNL) in children up to 18 years old

Mousavi-Bahar

Amirhasani

Kiani

et al. 2022

Preprint

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Background The Percutaneous nephrolithotomy (PCNL) is an endourological method applied as the standard or tubeless method for kidney stones treatment. Material and Methods In a retrospective study, 88 surgery units involving 75 children up to 18 years old with kidney stones who underwent the surgery for 8 years with one of the two methods of standard or tubeless PCNL were evaluated and compared considering the success rate of operation, hemoglobin, and hematocrit drop, medications, transfusion, duration of surgery and the length of hospital stay. Results Among the 88 patients, 47 cases were operated with the standard PCNL and 41 cases by tubeless method. In children whom operated by standard and tubeless PCNL, the complete success rate of operation was 87.2% and 100% (P = 0.006), the need for blood transfusion was 2.1% and 0% (P = 1.00), the need for opioids was 27.7% and 14.6% (P = 0.134), the decrease in hemoglobin was -1.82±0.94 and -1.30±0.98 mg/dl (P = 0.024), the decrease in hematocrit was -5.40±2.66 and -3.52 ± 3.11 mg/dL (P = 0.003), mean surgery duration was 109.30±53.27 and 101.46±31.92 minutes (P = 0.414), the duration of postoperative hospitalization was 3.38±1.76 and 2.46±1.27 days (P = 0.007) and the frequency of fever was 23.4% and 7.3% (P = 0.04), respectively. Conclusion The success rate of kidney stone surgery in children with the tubeless PCNL is higher than the standard method, and its complications are lower.

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Comparison of outcomes of tubed versus tubeless percutaneous nephrolithotomy in children: A single center study

Cited by 15 publications

References 22 publications

Comparison of Outcomes of Percutaneous Nephrolithotomy (PCNL) Between Adults and Pediatrics Population: A Single-Center Retrospective Study

Comparison of Outcomes of Percutaneous Nephrolithotomy (PCNL) Between Adults and Pediatrics Population: A Single-Center Retrospective Study

Initial experience in the field of pediatric percutaneous nephrolitholapaxia in Bulgaria

The comparison of standard and tubeless percutaneous nephrolithotomy (PCNL) in children up to 18 years old

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