Percutaneous Management of Renal Calculi: Experience With Percutaneous Nephrolithotomy in 60 Children

Badawy, Hesham; Salama, A.E.; Eissa, Marwa Sayed Abdel Latif; Kotb, Eissa; Moro, Hashem; Shoukri, Ismail

doi:10.1016/s0022-5347(05)68220-1

Cited by 87 publications

(44 citation statements)

References 9 publications

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“…The age-renal size nomogram gives the size of the kidney for the present age group as 6.5-7.8 cm [15], and thus assessing the present stone burden in relation to this renal size suggests that the load was indeed enormous. In contrast, the stone size reported in other series was 1.2-3.7 cm in children aged up to 16 years [6,12]. Using a Pearson correlation two-tailed test there was a significant correlation between stone size and the stone-free rate after PCNL in these studies, but there was no influence of stone type on the stone-free rate in the present series.…”

Section: Discussioncontrasting

confidence: 92%

“…The tract can be formed by an interventional radiologist or urologist; at our centre it is done by the urologist. A smaller calibre nephroscope is thought to be less injurious to nephrons [6]. From the same perspective, Jackman et al [8] used a 7 F rigid cystoscope over an 11 F 'peel-away' vascular access sheath.…”

Section: Discussionmentioning

confidence: 99%

“…The first paediatric PCNL series was reported in 1985 [7], and included seven children with a mean (range) age of 14 (5)(6)(7)(8)(9)(10)(11)(12)(13)(14)(15)(16)(17)(18) years, treated using instruments for adults and with no significant complications. Since then much work has been done on paediatric urolithiasis, but few centres have reported their experience of PCNL in infants and very young children [6,8]. We report a series of PCNL in children before school age ( < 5 years), which as far as we are aware is the largest reported in children of this age, to determine its efficacy and safety in this age group.…”

Section: Introductionmentioning

confidence: 99%

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Percutaneous nephrolithotomy in children before school age: experience of a Pakistani centre

Zaidi

2004

BJU International

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RESULTSThere were 30 renal units in 29 children (median age 3.8 years, range 1.4-5). Because of poor growth the mean ( SD ) body weight of the children was only 12.2 (2.8) kg, which is near the 50th percentile for children of mean age 3.5 years. The median (range) stone burden was 2.35 (1.3-6) cm; 60% of the patients had single stones while 28% had more than five. There were five staghorn stones. All PCNL was primary and with one puncture, using a 17 F angled nephroscope; stones were fragmented using a pneumatic lithoclast. After PCNL stones were completely cleared in 60% of the renal units, which increased to 100% after combining it with extracorporeal shockwave lithotripsy. The median (range) follow-up was 24.9 (4-51) months; the overall complication rate was 6%. In the long follow-up hypertension was not detected in any child and isotopic renograms in 17 kidneys detected no new scarring or loss of renal function. CONCLUSIONPCNL is a safe and effective for treating renal stones in very young children. KEYWORDS PCNL, renal stones, pre-school children OBJECTIVETo review our experience of percutaneous nephrolithotomy (PCNL) in children before school age, and determine its efficacy and safety in this age group. PATIENTS AND METHODSThe records of children aged £ 5 years undergoing PCNL were reviewed. Variables assessed included stone number, size, location and type. The PCNL puncture site and number were also recorded. We reviewed stone clearance with PCNL, ancillary procedures used, complication rates and follow-up status of the children.

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Section: Discussioncontrasting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Percutaneous nephrolithotomy in children before school age: experience of a Pakistani centre

Zaidi

2004

BJU International

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“…Although maximum changes occurring in serum sodium varied from a fall of 16 meq/l to a rise of 17 meq/l, the mean values at 30 min following start of irrigation and in the post-operative period did not differ significantly from the baseline values. These results are in concordance with those of some other studies [6][7][8]. Koroglu et al [6] monitored all the variables at 10-min intervals, but compared values before, during and after irrigation and found no significant difference.…”

Section: Discussionsupporting

confidence: 92%

Haemodynamic, electrolyte and metabolic changes during percutaneous nephrolithotomy

et al. 2007

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“…[1][2][3][4][5][6][7] It is also suggested that the incidence of stone diseases is growing in children due to dietary and environmental factors. analysis, urine culture and sensitivity, complete haemogram, coagulation tests, renal parameters, X-ray KUB, ultrasonography of abdomen and Intravenous urography.…”

Section: Introductionmentioning

confidence: 99%

Safety and Efficacy of Percutaneous Nephrolithotomy in Children

Dongol

Limbu

2017

J Nepal Health Res Council

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Background: Renal stone disease is a common problem in children in developing countries. Its prevalence in children varies from 5% to 15%. It is suggested that anatomic abnormalities, recurrent urinary tract infections, metabolic disturbances, dietary and environmental factors are the predisposing factors.The aim of this study is to evaluate the safety and efficacy of percutaneous nephrolithotomy in children.Methods: Between May 2012 and Dec 2016, 25 children with renal stone diseases underwent percutaneous nephrolithotomy and were evaluated for stone free rate, complications, blood transfusion rate, sandwich therapy, etc.Results: The mean age of children was 9.3 years (7-15 years) and the mean size of the stone was 20 mm (13-27 mm). The anatomical location of stone was important in terms of stone clearance. Three patients needed blood transfusion. The overall stone free rate was 88% before discharge. Three patients had residual stones and were treated with extracorporeal shockwave lithotripsy. Complications included fever, haematuria, ileus and urine leak. No major complications were noted. There were no significant differences in haemoglobin and creatinine levels before and 12 hours after the surgery.Conclusions: Percutaneous nephrolithotomy (PCNL) can be considered a safe, effective and feasible modality of treatment for children with an average of 2 cm sized renal stones.

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Percutaneous Management of Renal Calculi: Experience With Percutaneous Nephrolithotomy in 60 Children

Cited by 87 publications

References 9 publications

Percutaneous nephrolithotomy in children before school age: experience of a Pakistani centre

Percutaneous nephrolithotomy in children before school age: experience of a Pakistani centre

Haemodynamic, electrolyte and metabolic changes during percutaneous nephrolithotomy

Safety and Efficacy of Percutaneous Nephrolithotomy in Children

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