Ultra-Mini-Percutaneous Nephrolithotomy in Flank-Free Modified Supine Position <i>vs</i> Prone Position in Treatment of Pediatric Renal Pelvic and Lower Caliceal Stones

Desoky, Esam; Sakr, Ahmed; Elsayed, Ehab R.; Ali, Maged M

doi:10.1089/end.2021.0557

Cited by 14 publications

(10 citation statements)

References 27 publications

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“…One of the advantages of simultaneous 12/19 (63.1%) retrograde access (ECIRS) in the supine position appears to be higher stone collection. In a study by Desoky et al conducted with 55 patients, no signi cant difference was observed between the two groups in terms of the SFR (89.3% vs. 88.9%) [11]. Similar SFRs were achieved in our study, with the SFR value being higher in Group S (88% vs 83.3%), without any statistically signi cant difference when compared to Group P. The rate of ECIRS was 24% in Group S, and 100% SFR was achieved in these patients.…”

Section: Discussionmentioning

confidence: 86%

“…However, there are authors who have associated PCNL performed in the supine position with a decrease in the incidence of urosepsis, attributing this to the horizontal orientation of the tract, which allows for effective drainage of irrigation uid and a decrease in pelvicalyceal system pressure [25]. In a study by Desoky et al, a 13 Fr access diameter was used in all patients, and the rates of complications, including transient fever, were found to be 21.4% and 18.5% in the supine and prone groups, respectively, with no statistically signi cant difference [11]. The mean length of hospital stay was also similar (3.53 vs. 4.1 days).…”

Section: Discussionmentioning

confidence: 99%

“…In addition, the airway is easily accessible during the administration of anesthesia, minimizing the risk of injury to adjacent organs during surgery [6,10]. However, the number of studies comparing supine and prone positions in the pediatric age group in MPCNL in terms of surgical success and complications is quite limited [10,11]. The current study aimed to compare the e cacy and safety of MPCNL performed in the supine and prone positions in the pediatric population.…”

Section: Introductionmentioning

confidence: 99%

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A comparative analysis of the efficacy and safety of mini-percutaneous nephrolithotomy performed in the supine and prone positions for the treatment of pediatric kidney stones: a single-center experience

Bitkin,

Özlü,

Ekşi

et al. 2023

Urolithiasis

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AimMini-percutaneous nephrolithotomy (MPCNL), which has a smaller tract size (14-20 Fr) than conventional percutaneous nephrolithotomy, has been shown to be safe and effective in pediatric patients with large and complex upper urinary tract stones. This study aimed to compare the e cacy and safety of MPCNL between the supine and prone positions in a pediatric population. MethodThe data of pediatric patients who underwent MPCNL at our center between January 2010 and March 2023 were retrospectively analyzed. According to the surgical position, the patients were divided into the prone (Group P) and supine (Group S) groups. In both groups, dilatation was performed using 14-18Fr metallic dilators. The two groups were compared in terms of perioperative data, postoperative stone-free rates (SFRs), and complications. ResultsThere were 36 (59%) patients in Group P and 25 (41%) patients in Group S. Stones were mostly located in the pelvis (49.2%) and second most frequently in the lower pole (27.9%). Fluoroscopy time was shorter in Group S but did not statistically signi cantly differ compared to Group P (p = 0.181). However, operation time was statistically signi cantly shorter in Group S (73.8 ± 35 vs. 99.8 ± 37.4 min, p = 0.008). Although there was no signi cant difference, relatively higher SFR were detected in Group S (88% vs. 83%, p = 0.725). Endoscopic combined intrarenal surgery (ECIRS) was performed on six (24%) patients in Group S, and the SFR was 100% among these patients. There was no signi cant difference between the two groups in terms of the presence of complications (16.7% vs. 16%, p = 0.945). ConclusionBoth supine and prone MPCNL appear to be safe and effective in the pediatric age group, with similar stone-free and complication rates. In the supine procedure, the operation time is shortened compared to the prone. In addition, simultaneous retrograde access has the potential to increase the overall success rate of surgery.

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Section: Discussionmentioning

confidence: 86%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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A comparative analysis of the efficacy and safety of mini-percutaneous nephrolithotomy performed in the supine and prone positions for the treatment of pediatric kidney stones: a single-center experience

Bitkin,

Özlü,

Ekşi

et al. 2023

Urolithiasis

View full text Add to dashboard Cite

show abstract

“…The supine PCNL has been successfully performed in the pediatric population, which may improve the airway access and discomfort position of the children ( 41 , 100 ). According to recent reports, tubeless and totally tubeless PCNL have gradually become recognized by urologists ( 101 ).…”

Section: Literature Searchmentioning

confidence: 99%

Minimally invasive surgery for pediatric renal and ureteric stones: A therapeutic update

Tao

Hongcai

et al. 2022

Front. Pediatr.

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The incidence of pediatric urolithiasis (PU) is growing worldwide. The corresponding therapeutic methods have become a research hot spot in pediatric urology. PU has the characteristics of abnormal metabolism, easy recurrence, and immature urinary system development, which make its treatment different from that of adults. Pediatric urologists should select the optimal treatment modality to completely remove the stones to prevent recurrence. Currently, the curative treatments of PU include extracorporeal shock wave lithotripsy (ESWL), ureteroscopy, retrograde intrarenal surgery, percutaneous nephrolithotomy (PCNL), laparoscopic, robot-assisted laparoscopic, and open surgery. This review aims to conduct a therapeutic update on the surgical interventions of both pediatric renal and ureteric stones. It accentuates that pediatric surgeons or urologists should bear in mind the pros and cons of various minimally invasive surgical treatments under different conditions. In the future, the treatment of PU will be more refined due to the advancement of technology and the development of surgical instruments. However, a comprehensive understanding of the affected factors should be taken into account by pediatric urologists to select the most beneficial treatment plan for individual children to achieve precise treatment.

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“…As posições supina modificada livre de flanco e posição prona foram avaliadas quanto à segurança e a eficácia no manejo de cálculos renais dos pacientes. Foi observado que o tempo de operação no grupo de pacientes na posição FFMS foi menor em comparação ao grupo na posição prona, mas que não se obteve diferença significativa entre as posições quanto à taxa geral de complicações, dor pós-operatória ou internações hospitalares, sendo ambas consideradas viáveis, seguras e eficazes no tratamento de cálculos renais pediátricos (DESOKY et al, 2022).…”

Section: Terapêutica Não Invasivaunclassified

Novas evidências na abordagem terapêutica da Nefrolitíase em pacientes pediátricos: uma revisão integrativa

Cavalcante¹,

Freire²,

Souza³

et al. 2022

Braz. J. Hea. Rev.

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A nefrolitíase possui prevalência mundial situada entre 5% e 15%, além de recorrência em adultos de até 75% em 20 anos entre os pacientes que sofrem recidivas. Já em crianças, a nefrolitíase é relativamente infrequente, com prevalência que varia entre 2 a 2,7%, sendo o tratamento dividido entre medidas farmacológicas e medidas não farmacológicas. O presente estudo de revisão buscou avaliar novas evidências na abordagem terapêutica da nefrolitíase em pacientes pediátricos, documentados por meio de estudos clínicos e randomizados. Trata-se de uma pesquisa de revisão integrativa realizada por meio da base de dados PubMed, que levou em consideração os seguintes critérios de inclusão: ensaios clínicos e testes controlados e aleatórios; artigos publicados nos últimos quatro anos; que possuíam texto completo disponível e que abordassem acerca da terapêutica da nefrolitíase na população pediátrica. Ficou constatado que no âmbito do tratamento farmacológico, o lumasiran se mostrou útil na diminuição da taxa de eventos provocados por cálculos em crianças com hiperoxalúria tipo 1. No que se refere à terapêutica não invasiva, estudos apontaram as frequências intermediárias como as melhores a serem utilizadas durante a LECO em crianças, além do aumento da eficácia deste procedimento quando feito após hidronefrose artificial. Quanto à terapêutica invasiva, foi atestado o aumento da eficácia da NLPC quando feito sob a técnica de dilatação de passo único em crianças com nefrolitíase. Ainda sobre a NLPC, foi observado não haver diferença significativa de complicações ou dor pós-operatória da cirurgia em relação à posição da criança.

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Ultra-Mini-Percutaneous Nephrolithotomy in Flank-Free Modified Supine Position vs Prone Position in Treatment of Pediatric Renal Pelvic and Lower Caliceal Stones

Cited by 14 publications

References 27 publications

A comparative analysis of the efficacy and safety of mini-percutaneous nephrolithotomy performed in the supine and prone positions for the treatment of pediatric kidney stones: a single-center experience

A comparative analysis of the efficacy and safety of mini-percutaneous nephrolithotomy performed in the supine and prone positions for the treatment of pediatric kidney stones: a single-center experience

Minimally invasive surgery for pediatric renal and ureteric stones: A therapeutic update

Novas evidências na abordagem terapêutica da Nefrolitíase em pacientes pediátricos: uma revisão integrativa

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