Initial report of microperc in the treatment of pediatric nephrolithiasis

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dc.contributor.authorSilay, Mesrur Selcuk
dc.contributor.authorTepeler, Abdulkadir
dc.contributor.authorAtis, Gokhan
dc.contributor.authorSancaktutar, Ahmet Ali
dc.contributor.authorPiskin, Mesut
dc.contributor.authorGurbuz, Cenk
dc.contributor.authorPenbegül, Necmettin
dc.date.accessioned2024-04-24T16:15:18Z
dc.date.available2024-04-24T16:15:18Z
dc.date.issued2013
dc.departmentDicle Üniversitesien_US
dc.description.abstractBackground/Purpose: To report the first technical feasibility and safety of microperc in the treatment of pediatric nephrolithiasis. Methods: A multicenter prospective trial was initiated and microperc was performed in 19 children from four different centers. In all cases, 4.85-Fr all-seeing needle was used to access the collecting system under direct vision. Stone fragmentation was performed using a 200-mu m holmium: YAG laser fiber either through the same needle sheath or an 8-Fr microsheath. Patient-and procedure-related factors and perioperative and postoperative parameters were analyzed. Results: The mean age of the children was 7.5 +/- 4.4 years. Mean stone size was 14.8 +/- 6.8 mm. Conversion to Mini-PNL was required in two patients because of optical default in one and the high stone burden in the other. The mean hospital stay was 1.8 +/- 0.8 days and the mean hemoglobin decrease was 0.1 mg/dl. The overall stone-free rate at 1 month was 89.5%. In one patient with obstructed ureteropelvic junction, intravasation of the irrigation fluid has led to abdominal distention and managed with percutaneous drainage intraoperatively. No other postoperative complication was recorded and no ancillary procedure was required. Conclusions: Microperc is a safe and effective procedure in the treatment of pediatric kidney stones. (C) 2013 Elsevier Inc. All rights reserved.en_US
dc.identifier.doi10.1016/j.jpedsurg.2013.06.015
dc.identifier.endpage1583en_US
dc.identifier.issn0022-3468
dc.identifier.issn1531-5037
dc.identifier.issue7en_US
dc.identifier.pmid23895975
dc.identifier.scopus2-s2.0-84880892769
dc.identifier.scopusqualityQ1
dc.identifier.startpage1578en_US
dc.identifier.urihttps://doi.org/10.1016/j.jpedsurg.2013.06.015
dc.identifier.urihttps://hdl.handle.net/11468/15750
dc.identifier.volume48en_US
dc.identifier.wosWOS:000323166200023
dc.identifier.wosqualityQ3
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 Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMicropercen_US
dc.subjectChildrenen_US
dc.subjectNephrolithiasisen_US
dc.titleInitial report of microperc in the treatment of pediatric nephrolithiasisen_US
dc.titleInitial report of microperc in the treatment of pediatric nephrolithiasis
dc.typeArticleen_US

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