Percutaneous nephrolithotomy in children

Nerli, Rajendra B; Ghagane, Shridhar C; Mungarwadi, Amit; Patil, Shital

doi:10.1007/s00383-021-04901-6

Cited by 10 publications

(5 citation statements)

References 25 publications

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“…In the current study the stone free rate (SFR) was 89.67% which was higher than the study of Baydilli et al which was 80.6% 14. Our SFR is comparable to Ahmad et al which was 86.6 % 15 . In contrast Nerli et al, reported 94.5 % SFR which was much higher than our study 16 . In our study supracostal access was obtained in 127 (56.62%) and subcostal access in 86 (40.38%) of the patients.…”

Section: Discussioncontrasting

confidence: 99%

Safety and Efficacy of Mini Percutaneous Nephrolithotomy in Paediatric age Patients: Paving the Way Towards Minimally Invasive Techniques in Resources Limited Areas

Ahmad¹,

Asif²,

Khan³

et al. 2022

PJMHS

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Objectives: To assess the safety and effectiveness of mini-percutaneous nephrolithotomy (PCNL) in paediatric age patients. Materials and Methods: This descriptive case series study was conducted in the Department of Paediatric Urology, Institute of Kidney Diseases, Hayatabad Medical Complex, Peshawar, Pakistan from June 2017 to June 2020. Children < 14 years, diagnosed with renal stone > 1cm in size on non-contrast CT of Kidney Ureter and Urinary Bladder (KUB) and having negative urine culture were enrolled in the study. Patients having abnormal renal functions and bleeding diathesis were omitted from the study. Informed written consent was taken from the parents of all the children. Children with no stone fragments in the kidney or ipsilateral ureter on non-contrast CT KUB at one month were labelled as stone free. Results: A total of 213 children who underwent mini-PCNL were analyzed. 130 (61.03%) of the stones were 10-15 mm and 83 (38.97%) were > 15 mm in size. The mean operation time was 56.02 + 7.82 (40-81) minutes .The mean hospital stay was 2.22 + 0.67 (2-7) days. The mean decrease in haemoglobin was 1.30 + 0.67 (0.2-4.0) gm/dL. No major intraoperative complication was observed. 24 (11.27%) of the patients developed post-operative complications including 10.33 % minor and 0.94 % major complications which were statistically insignificant. As a monotherapy mini-PCNL achieved complete stone clearance at one month in 191 (89.67%) of the patients. Retreatment was required in 22 (10.33%) of the patients including extracorporeal shock wave lithotripsy (ESWL) in 7 (3.29%), ureteroscopy (URS) in 10 (4.69%) and Re-PCNL in 5 (2.35%) patients. Conclusion: This study concludes that mini-PCNL in a paediatric population is safe and effective for renal stones > 10 mm with acceptable stone clearance and complications. Keywords: Kidney calculi, Pediatrics, Percutaneous, Children, Urolithiasis

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Section: Discussioncontrasting

confidence: 99%

Safety and Efficacy of Mini Percutaneous Nephrolithotomy in Paediatric age Patients: Paving the Way Towards Minimally Invasive Techniques in Resources Limited Areas

Ahmad¹,

Asif²,

Khan³

et al. 2022

PJMHS

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“…This specific study by Roberson N et al published in 2018 studied 69 patients and reported ultrasound to have high specificity but moderate sensitivity with reported false negatives. 19 Relating to paediatric patients, CT provides an excellent diagnostic modality to provide all the above-mentioned parameters before proceeding with an intervention 20,21 . Especially, PCNL requires eliciting delineation of renal anatomy before proceeding.…”

Section: Discussionmentioning

confidence: 99%

Assessment of CT-KUB as A Diagnostic Tool for Renal Stone Assessment in the Pediatric Population

Ali,

Azad

2024

biosight

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Introduction Pakistan possesses a larger stone burden in paediatric patients. In the paediatric population, proper and timely diagnosis of renal stones to get the best stone-free rates is essential. This study aims to assess CT-KUB as a diagnostic tool for renal stones in the paediatric population before PCNL. Methodology This is a retrospective, cross-sectional study. Patients between 1 – 15 years with a diagnosis of renal stones were included in the study. Radiological investigations including Ultrasound KUB, X-ray KUB, and before the procedure, CT-KUB were documented. Pre-operative, per-operative, and postoperative complications are used to assess the success of the procedure. The statistical package of Social Sciences 22 was used to enter, sort, and analyze the data. Variables were analyzed in mean ± standard deviation and frequency and percentages. The chi-square test was used to assess the significance of mean differences keeping the p-value as ≤ 0.05. Results The mean age was 4.7 ± 3.8 years with a range of 1 -14 years. After the procedure, 104 (86.6%) were rendered stone-free after the first setting. Only 1 (0.8%) was converted to an open case (Pyelolithotomy). The mean stone size encountered was 1.3 ± 0.7 cm in greatest dimension as measured on the CT scan. Postoperatively, there was a hemoglobin drop of 2.3 ± 0.5 g/dl noted, mean operative time was 94.8 ± 17.4 minutes. Conclusion CT KUB proves to be an important and accurate preoperative diagnostic tool in assessing patients with renal stones in the paediatric population.

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“…Because of its large size, the complications rates, mainly bleeding and the need for blood transfusion, were higher [33]. However, with the continued miniaturization of endoscopic instruments used for PCNL, the safety of the procedure improved, leading to increased utilization of PCNL in the paediatric population [34,35].…”

Section: Percutaneous Nephrolithotomymentioning

confidence: 99%

Paediatric stone management: innovations and standards

Quhal

Faddagh

Sılay³

et al. 2022

Current Opinion in Urology

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Purpose of reviewThe aim of this study was to discuss current trends and recent developments in the surgical management of paediatric urolithiasis. Recent findingsMedical expulsive therapy (MET) is considered as an option for the treatment of children with ureter stones. Extracorporeal shockwave lithotripsy (SWL) remains as a first option for majority of kidney stones and upper ureter stones. Advances in endourology have led to increased adoption of retrograde intrarenal surgeries (RIRS) and percutaneous nephrolithotomy (PCNL/mini-PCNL/ultra-mini-PCNL/micro-PCNL).

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Percutaneous nephrolithotomy in children

Cited by 10 publications

References 25 publications

Safety and Efficacy of Mini Percutaneous Nephrolithotomy in Paediatric age Patients: Paving the Way Towards Minimally Invasive Techniques in Resources Limited Areas

Safety and Efficacy of Mini Percutaneous Nephrolithotomy in Paediatric age Patients: Paving the Way Towards Minimally Invasive Techniques in Resources Limited Areas

Assessment of CT-KUB as A Diagnostic Tool for Renal Stone Assessment in the Pediatric Population

Paediatric stone management: innovations and standards

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