Percutaneous nephrolithotomy in pediatric patients: is computerized tomography a must?

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dc.contributor.authorGedik, Abdullah
dc.contributor.authorTutus, Ali
dc.contributor.authorKayan, Devrim
dc.contributor.authorYilmaz, Yakup
dc.contributor.authorBircan, Kamuran
dc.date.accessioned2024-04-24T15:59:50Z
dc.date.available2024-04-24T15:59:50Z
dc.date.issued2011
dc.departmentDicle Üniversitesien_US
dc.description.abstractThe aim of this study was to retrospectively evaluate the results of pediatric percutaneous nephrolithotomy (PNL) cases, and discuss the results and necessity of non-contrast computerized tomography (CT) in these cases. In all, 48 pediatric patients who underwent PNL were retrospectively evaluated. Before PNL, either intravenous urography or CT was performed. In all patients, we evaluated the PNL time, scopy time with stone burden, and complications. During the PNL procedure, we switched to open surgery in two cases: in one because of renal pelvis perforation and in the other because of transcolonic access. In one patient who was scheduled to undergo PNL, we performed open surgery, primarily because we detected a retrorenal colon with CT. The stone burden in 45 patients who underwent PNL was 445 +/- A 225 mm(2), the PNL time was 51 +/- A 23 min, and the scopy time was 6.1 +/- A 2.7 min. We removed nephrostomy tubes 1-4 days after the procedure. In two patients, 24 h after removal of nephrostomy tubes, we inserted double J stents because of prolonged urine extravasation from the tract. In all, 34 of the 45 patients were stone-free, 5 patients had clinically insignificant stone fragments, and 6 patients had residual stones. PNL is a safe and effective method in the treatment of pediatric patients with kidney stones. Clinical experience is the most important factor in obtaining stone-free results. CT should be performed in all pediatric patients in order to prevent colon perforation.en_US
dc.identifier.doi10.1007/s00240-010-0272-7
dc.identifier.endpage49en_US
dc.identifier.issn0300-5623
dc.identifier.issn1434-0879
dc.identifier.issue1en_US
dc.identifier.pmid20396872
dc.identifier.scopus2-s2.0-79952280033
dc.identifier.scopusqualityN/A
dc.identifier.startpage45en_US
dc.identifier.urihttps://doi.org/10.1007/s00240-010-0272-7
dc.identifier.urihttps://hdl.handle.net/11468/14280
dc.identifier.volume39en_US
dc.identifier.wosWOS:000286664000006
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofUrological Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectComputerized Tomographyen_US
dc.subjectPercutaneous Nephrolithotomyen_US
dc.subjectRetrorenal Colonen_US
dc.subjectTranscolonic Accessen_US
dc.titlePercutaneous nephrolithotomy in pediatric patients: is computerized tomography a must?en_US
dc.titlePercutaneous nephrolithotomy in pediatric patients: is computerized tomography a must?
dc.typeArticleen_US

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