Micro-percutaneous nephrolithotomy in the treatment of pediatric nephrolithiasis: A single-center experience

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dc.contributor.authorDaggulli, Mansur
dc.contributor.authorUtangac, Mehmet Mazhar
dc.contributor.authorDede, Onur
dc.contributor.authorBodakci, Mehmet Nuri
dc.contributor.authorPenbegül, Necmettin
dc.contributor.authorHatipoglu, Namik Kemal
dc.contributor.authorAtar, Murat
dc.date.accessioned2024-04-24T16:15:19Z
dc.date.available2024-04-24T16:15:19Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective: We aimed to clarify the applicability and safety of micro-PNL (microperc) in the treatment of pediatric kidney stones. Material and methods: A single center prospective trial was initiated, and microperc was performed in 40 children using the same two methods: the classical all-seeing needle and microsheath method. Stone fragmentation was performed using a 200-mu m holmium: YAG laser fiber. Results: The mean age of the patients was 6.3 +/- 4.4 years (range: 7 months-16 years). Fourteen were less than 3 years old. The average calculous size was 16.5 mm (range: 10-36 mm). In 20 patients, access was achieved through the all-seeing needle method. In the other patients, access was achieved by the microsheath method. Conversion to mini-PNL was required in 2 patients due to intraoperative bleeding in one and a high stone burden in the other. The mean hospital stay was 3.8 +/- 1.2 days (range: 1-10 days), and the mean hemoglobin decrease was 0.7 +/- 0.3 mg/dl (range: 0-1.7 mg/dl). The duration of surgery and fluoroscopic screening was 75 min and 3.7 min, respectively. A DJ stent was placed in 11 patients due to a high stone burden. A ureteral stent was left for 1 day in the rest of the cases. Complete clearance was achieved in the other 32 children. None of the patients required transfusion caused by renal hemorrhage. In 1 patient, extravasation of the irrigation fluid caused abdominal distention. As assessed by KUB and/or an ultrasound, the overall stone-free rate at 6 weeks was 80%. There were residual fragments in 6 patients (15%). Conclusions: Our results show that microperc is a safe and effective procedure for the treatment of pediatric kidney stones. Children with small renal calculi and with nonobstructed collecting systems are suitable for microperc. (c) 2016 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jpedsurg.2015.09.012
dc.identifier.endpage629en_US
dc.identifier.issn0022-3468
dc.identifier.issn1531-5037
dc.identifier.issue4en_US
dc.identifier.pmid26460156en_US
dc.identifier.scopus2-s2.0-84944111881en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage626en_US
dc.identifier.urihttps://doi.org/10.1016/j.jpedsurg.2015.09.012
dc.identifier.urihttps://hdl.handle.net/11468/15754
dc.identifier.volume51en_US
dc.identifier.wosWOS:000374482200023
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherW B Saunders Co-Elsevier Incen_US
dc.relation.ispartofJournal of Pediatric Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMicro Percutaneous Nephrolithotomyen_US
dc.subjectPediatric Nephrolithiasisen_US
dc.subjectTreatmenten_US
dc.titleMicro-percutaneous nephrolithotomy in the treatment of pediatric nephrolithiasis: A single-center experienceen_US
dc.typeArticleen_US

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