Minipercutaneous nephrolithotomy in infants: a single-center experience in an endemic region in Turkey

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dc.authoridTR151475en_US
dc.authoridTR134200en_US
dc.authoridTR207509en_US
dc.authoridTR111448en_US
dc.authoridTR152916en_US
dc.contributor.authorBodakçı, Mehmet Nuri
dc.contributor.authorDaggulli, Mansur
dc.contributor.authorSancaktutar, Ahmet Ali
dc.contributor.authorSöylemez, Haluk
dc.contributor.authorHatipoğlu, Namık Kemal
dc.contributor.authorUtangaç, Mehmet Mazhar
dc.contributor.authorPenbegül, Necmettin
dc.contributor.authorZiypak, Tevfik
dc.contributor.authorBozkurt, Yaşar
dc.date.accessioned2014-11-10T13:00:49Z
dc.date.available2014-11-10T13:00:49Z
dc.date.issued2014
dc.department0-Belirleneceken_US
dc.description.abstractThe objective of the study is to evaluate the effectiveness and safety of miniaturized percutaneous nephrolithotomy (mini-PNL) method in infantile patients < 3 years of age diagnosed with renal stones. We studied 48 renal units in 40 patients of infantile patients < 3 years of age who underwent mini-PCNL at our institute. The mean age of the patients was 24.02 (5-36) months. The mean diameter of the stones was 22.3 mm (11-45 mm). Intrarenal access was achieved under fluoroscopic (n = 43) or ultrasonographic (n = 5) guidance under general anesthesia. A 20 Fr peel-away sheath, a 17 Fr rigid nephroscope and a pneumatic intracorporeal lithotripsy were used. Mean operative time for PNL was 85 (25-135) min. Mean fluoroscopy time was estimated as 3.7 min. The mean hospital stay was 4.3 days (2-10). Mean hemoglobin loss was 0.89 g/L (11.56-10.67) and three of the patients, including one case during the perioperative period, required blood transfusions. Colonic perforation developed in one case. In two patients, urinary drainage persisted for more than 24 h after withdrawal of the nephrostomy tube. Seven patients developed urinary tract infections (UTI). At the end of the postoperative first week, the stone-free rate was estimated to be 81.2 %. In conclusion, for percutaneous management of renal stones in the infantile age group, mini-PNL is an applicable treatment modality that can be applied through small incisions. It has higher stone-free rates, shorter hospital stays, and excellent esthetic outcomes. In this age group especially, surgical exposure to hypothermia and radiation should be avoided.en_US
dc.identifier.doi10.1007/s00240-014-0677-9en_US
dc.identifier.pmid25004801en_US
dc.identifier.scopus2-s2.0-84927554342en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.urihttps://hdl.handle.net/11468/327
dc.identifier.urihttp://download.springer.com/static/pdf/661/art%253A10.1007%252Fs00240-014-0677-9.pdf?auth66=1415361082_5ac2dbf698ef89fa77670f908f929c43&ext=.pdf
dc.identifier.wosWOS:000342439800009
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.institutionauthor0-Belirlenecek
dc.language.isoenen_US
dc.publisherSPRINGER, 233 SPRING ST, NEW YORK, NY 10013 USAen_US
dc.relation.publicationcategory0-Belirleneceken_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectInfanten_US
dc.subjectRenal stonesen_US
dc.subjectMini-PNLen_US
dc.subjectHypothermiaen_US
dc.subjectRadiationen_US
dc.titleMinipercutaneous nephrolithotomy in infants: a single-center experience in an endemic region in Turkeyen_US
dc.typeArticleen_US

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