The management of staghorn calculi in children

Horuz, Rahim; Sarıca, Kemal

doi:10.1016/j.aju.2012.03.005

Cited by 8 publications

(7 citation statements)

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“…Technological development and miniaturisation of equipment enabled the procedure to be minimaly invasive. The endourology and ESWL have pushed open and laparoscopic procedures into secondary position, leaving them for the most complicated cases [11,12]. Open pyelolithotomy with endoscopic stone disintegration is one of these procedures.…”

Section: Discussionmentioning

confidence: 99%

Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report

Wajszczuk

Szymanek-Szwed

Samotyjek

et al. 2019

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Urolithiasis is a disease unit more common in adult patients. However in the pediatric population it is also an important clinical problem due to high risk of recurrence in the patient's life among others. Hyperkalciuria, hyperuricemia, hyperoxaluria and cystinuria secondary to metabolic disorders promote stone formation. The aim of this study is the presentation of a case of a girl with multiple congenital anomalies, bilateral staghorn urolithiasis and bladder stones developing in the course of hypercalcemia. The patient was diagnosed with urolithiasis at the age of 2 months. The course of the disease in her case is characterized by extremely frequent recurrences and numerous urinary tract infections of various aetiology, including high-resistant bacterial strains. These infections were often turbulent and required hospitalization. Due to the extent of urolithiasis, invasive treatment was necessary, both in the lower and upper urinary tract. Endoscopic techniques (transurethral cystolithotrypsy and ureterorenoscopy) were used in urinary bladder and ureter urolithiasis. Renal deposits were removed by the use of open access surgery (pyelolithotomy with intrarenal lithotrypsy). Although the ongoing development technology and miniaturization of equipment have allowed and popularized minimally invasive treatment of urolithiasis, some exceptional cases still require surgical treatment with open surgery. The research was carried out in accordance with the principles of the Helsinki Declaration. The study protocol was approved by the Local Ethics Committee (LEC) of all institutions. No conflict of interest was declared by the authors.

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Section: Discussionmentioning

confidence: 99%

Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report

Wajszczuk

Szymanek-Szwed

Samotyjek

et al. 2019

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“…This might also help in gathering the landmark papers in paediatric Endourology or in identifying self-citations and potential articles that were most cited in the literature [22] . Decreasing cost of procedures and improved training in Endourology will also help in the wider uptake of these procedures, whilst miniaturisation of the procedures will continue to improve its safety and efficacy [23] , [24] , [25] , [26] , [27] .…”

Section: Discussionmentioning

confidence: 99%

Trends of intervention for paediatric stone disease over the last two decades (2000–2015): A systematic review of literature

Pietropaolo

Proietti²,

Jones

et al. 2017

Arab Journal of Urology

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ObjectiveTo ascertain the publication trends of interventions for paediatric kidney stone disease (KSD) we conducted a systematic review of literature over the last 16 years.Patients and methodsWith a rise of paediatric KSD and related interventions, a systematic review using PubMed was done over the last 16 years for all published papers on ‘Paediatric stone disease intervention – ureteroscopy (URS), shockwave lithotripsy (SWL), percutaneous nephrolithotomy (PCNL), open stone surgery, and laparoscopic stone surgery’. The search was limited to English language articles with a published abstract, whilst case reports, animal and laboratory studies, were excluded. We also analysed the data in two time periods, period-1 (2000–2007) and period-2 (2008–2015).ResultsDuring the last 16-years, 339 papers were published on paediatric stone disease intervention on PubMed. This included papers on URS (95), PCNL (97), SWL (102), open stone surgery (34) and laparoscopic stone surgery (11). During period-1 and period-2 there were 30 and 65 papers on URS, 16 and 81 papers on PCNL, 33 and 60 papers on SWL, nine and 25 papers on open surgery, respectively. When comparing the two periods, there were 92 published papers for all interventions in period-1 and this had risen almost threefold to 247 papers in period-2.ConclusionsOur systematic review shows that intervention for KSD in the paediatric age group has risen over the last 8 years. Whilst URS, SWL, open surgery and laparoscopic surgery have all doubled, PCNL has risen fivefold reflecting an increase in the new minimally invasive PCNL techniques.

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“…In total, we included 41 patients (35 boys and 6 girls), with mean age 7.4 ± 3.1 years (range: [2][3][4][5][6][7][8][9][10][11][12][13][14][15] …”

Section: Resultsmentioning

confidence: 99%

“…Therefore, PCNL is increasingly being used as monotherapy or in combination with SWL to treat staghorn stones in children. 11 Aron and colleagues found complete clearance of staghorn stones in 89% of preschool children using PCNL. 8 Kumar and colleagues reported stone clearance in 92% of pediatric patients with staghorn stones.…”

Section: Discussionmentioning

confidence: 99%

Percutaneous nephrolithotomy versus open surgery for treatment of staghorn stones in pediatric patients

El-Nahas

Shokeir

Shoma

et al. 2014

CUAJ

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Cite as: Can Urol Assoc J 2014;8(11-12):e906-9. http://dx.doi.org/10.5489/cuaj.1994 Published online December 15, 2014. AbstractIntroduction: We compare percutaneous nephrolithotomy (PCNL) and open surgery in the treatment of staghorn stones in children. Methods: We retrospectively reviewed the electronic records of children who underwent treatment for staghorn stones between September 2000 and August 2013. They were divided between Group 1 (patients who underwent PCNL) and Group 2 (patients who underwent open surgery). We compared stone-free and complications rates, need for multiple procedures, and hospital stay. Results: The study included 41 patients (35 boys and 6 girls), with mean age 7.4 ± 3.1 years (range: 2-15). Of these 41 patients, 26 had unilateral renal stone and 15 had bilateral renal stones. The total number of treated renal units was 56: 28 underwent PCNL and 28 underwent open surgery. The complication rate was comparable for both groups (32% for open surgery vs. 28.6%, p = 0.771). Multiple procedures were more needed in PCNL group (60.7% vs. 32% in open surgery, p = 0.032). The stone-free rate was 71.4% after PCNL and 78.6% after open surgery (p = 0.537). A significant difference was observed in shorter hospital stay after PCNL (5 vs. 8.8 days, p < 0.001). Our study's limitations include its retrospective design and relatively small sample size. Conclusions: For the treatment of staghorn stones in children, PCNL was comparable to open surgery in complication and stone-free rates. PCNL had the advantage of a shorter hospital stay and open surgery showed a decreased need for multiple procedures.

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The management of staghorn calculi in children

Cited by 8 publications

References 50 publications

Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report

Urolithiasis – a chronic and recurrent disease in a girl with multiple congenital anomalies and cerebral palsy– case report

Trends of intervention for paediatric stone disease over the last two decades (2000–2015): A systematic review of literature

Percutaneous nephrolithotomy versus open surgery for treatment of staghorn stones in pediatric patients

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