Ultrasound-guided micropercutaneous nephrolithotomy in pediatric patients with kidney stones

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dc.contributor.authorBodakci, Mehmet Nuri
dc.contributor.authorPenbegül, Necmettin
dc.contributor.authorDaggulli, Mansur
dc.contributor.authorDede, Onur
dc.contributor.authorUtangac, Mehmet Mazhar
dc.contributor.authorHatipoglu, Namik Kemal
dc.contributor.authorSancaktutar, Ahmet Ali
dc.date.accessioned2024-04-24T17:11:29Z
dc.date.available2024-04-24T17:11:29Z
dc.date.issued2015
dc.departmentDicle Üniversitesien_US
dc.description.abstractObjective To present the outcomes of ultrasound-guided micropercutaneous nephrolithotomy for the treatment of renal stones in pediatric patients. Methods Ultrasound-guided micropercutaneous nephrolithotomy was carried out on 25 pediatric patients from June 2012 to October 2014. Micropercutaneous nephrolithotomy surgery was completed without the use of fluoroscopy in 19 patients. Medical records were retrieved from our institutional database and retrospectively reviewed. Percutaneous puncture was carried out by an all-seeing needle in seven patients and by a 14-G intravenous cannula in 18 patients. After entering to the collecting system through an all-seeing needle or by Microsheath, the calculus was fragmented using a 273-micron holmium yttrium aluminium garnet laser. After the stone was fragmented to the smallest pieces possible, the operation was terminated. Results Single access was obtained in all patients using ultrasound guidance. The average age of the patients was 4.12 +/- 5.33 years. The mean stone size was 13.45 +/- 3.11 mm. The mean operative time was 51.45 +/- 30.69 min. The mean duration of hospitalization was 3.18 +/- 1.77 days. Treatment success was 92%. Two patients had residual fragments after the procedure; these patients were followed conservatively. A total of three minor complications were observed and all of them were managed conservatively. Conclusions To our knowledge, this is the first study of ultrasound-guided micropercutaneous nephrolithotomy in the pediatric population. Our findings suggest that micropercutaneous nephrolithotomy can be safely carried out with ultrasound guidance in children by experienced hands, allowing to minimize risks associated with radiation exposure in this patient population.en_US
dc.identifier.doi10.1111/iju.12817
dc.identifier.endpage777en_US
dc.identifier.issn0919-8172
dc.identifier.issn1442-2042
dc.identifier.issue8en_US
dc.identifier.pmid25975519
dc.identifier.scopus2-s2.0-84937967194
dc.identifier.scopusqualityQ1
dc.identifier.startpage773en_US
dc.identifier.urihttps://doi.org/10.1111/iju.12817
dc.identifier.urihttps://hdl.handle.net/11468/17547
dc.identifier.volume22en_US
dc.identifier.wosWOS:000358674800016
dc.identifier.wosqualityQ2
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherWileyen_US
dc.relation.ispartofInternational Journal of Urology
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectFluoroscopyen_US
dc.subjectMicropercutaneous Nephrolithotomyen_US
dc.subjectNephrolithiasisen_US
dc.subjectRadiationen_US
dc.subjectUltrasounden_US
dc.titleUltrasound-guided micropercutaneous nephrolithotomy in pediatric patients with kidney stonesen_US
dc.titleUltrasound-guided micropercutaneous nephrolithotomy in pediatric patients with kidney stones
dc.typeArticleen_US

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