Preoperative evaluation of pediatric kidney stone prior to percutaneous nephrolithotomy: is computed tomography really necessary?

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dc.contributor.authorTepeler, Abdulkadir
dc.contributor.authorSancaktutar, Ahmet Ali
dc.contributor.authorTaskiran, Mehmet
dc.contributor.authorSilay, Mesrur Selcuk
dc.contributor.authorBodakci, Mehmet Nuri
dc.contributor.authorAkman, Tolga
dc.contributor.authorTanriverdi, Orhan
dc.date.accessioned2024-04-24T15:59:52Z
dc.date.available2024-04-24T15:59:52Z
dc.date.issued2013
dc.departmentDicle Üniversitesien_US
dc.description.abstractThe objective of the study was to investigate the precise role of computed tomography (CT) in preoperative radiologic evaluation and surgical planning of kidney stone in children prior to percutaneous nephrolithotomy (PNL). A total of 113 pediatric patients (aged a parts per thousand currency sign18 years) undergoing PNL for renal stone(s) in three referral hospitals between March 2010 and August 2012 were retrospectively evaluated. Depending on the preoperative radiologic evaluation, patients were divided into two groups. Those evaluated with CT were classified as group-1 (n = 50) and the remaining cases undergoing intravenous urography (IVU) examination were classified as group-2 (n = 63). Patient- and procedure-related variables and perioperative measures were compared between the groups. The mean age, stone size and localization were similar in both groups (p = 0.07, p = 0.57, p = 0.6, respectively). Although the postoperative hemoglobin drop was found to be significantly higher in group-2 (1.5 +/- A 1.3 vs. 0.9 +/- A 0.6 g/dL, p = 0.005), the mean operation time, fluoroscopic screening time, access number, overall success and complication rates were comparable (p = 0.06, p = 0.94, p = 0.75, p = 041, and p = 0.41, respectively). However, the mean hospitalization time was significantly prolonged in group-2 than in group-1 (p = 0.03). Our findings clearly demonstrate that, despite the key role of preoperative CT in particular patients with anatomically abnormal kidneys, IVU is a valuable alternative imaging modality with comparable radiation doses in children.en_US
dc.identifier.doi10.1007/s00240-013-0593-4
dc.identifier.endpage510en_US
dc.identifier.issn2194-7228
dc.identifier.issn2194-7236
dc.identifier.issue6en_US
dc.identifier.pmid23907169
dc.identifier.scopus2-s2.0-84892364624
dc.identifier.scopusqualityQ2
dc.identifier.startpage505en_US
dc.identifier.urihttps://doi.org/10.1007/s00240-013-0593-4
dc.identifier.urihttps://hdl.handle.net/11468/14293
dc.identifier.volume41en_US
dc.identifier.wosWOS:000327223000008
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofUrolithiasis
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectKidney Stoneen_US
dc.subjectPercutaneous Nephrolithotomyen_US
dc.subjectChildrenen_US
dc.subjectRadiologic Workupen_US
dc.subjectComputed Tomographyen_US
dc.subjectRadiation Exposureen_US
dc.titlePreoperative evaluation of pediatric kidney stone prior to percutaneous nephrolithotomy: is computed tomography really necessary?en_US
dc.titlePreoperative evaluation of pediatric kidney stone prior to percutaneous nephrolithotomy: is computed tomography really necessary?
dc.typeArticleen_US

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