Micro-percutaneous nephrolithotomy in infants: a single-center experience

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dc.contributor.authorDede, Onur
dc.contributor.authorSancaktutar, Ahmet Ali
dc.contributor.authorBas, Okan
dc.contributor.authorDaggullu, Mansur
dc.contributor.authorUtangac, Mazhar
dc.contributor.authorPenbegül, Necmettin
dc.contributor.authorSoylemez, Haluk
dc.date.accessioned2024-04-24T15:59:54Z
dc.date.available2024-04-24T15:59:54Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractThis study aimed to investigate the effectiveness and reliability of micro-percutaneous nephrolithotomy (micro-PNL) for the management of kidney stones in pediatric patients. This retrospective study included 24 infants that underwent micro-PNL for renal stones between March 2012 and April 2015. The inclusion criteria included: age younger than 2 years, stone size < 20 mm, absence of urinary tract malformations and active infection, and no coagulopathy. Stone-free rates were assessed one month postoperatively by ultrasonography (USG) and kidneys, ureters, bladder (KUB) radiography. Complications were classified according to the Clavien classification system. The mean age of the patients was 15.8 +/- A 7.8 months (range, 8-23) and the mean stone size was 13.5 +/- A 3.84 mm. Intra-renal access was achieved using USG in 11 patients and KUB fluoroscopy in 13 patients. The operation time and fluoroscopic screening time were 53.7 +/- A 10.35 and 1.4 +/- A 0.9 min, respectively. The mean hospital stay was 2.5 +/- A 0.8 days, and the mean drop in the hemoglobin level was 0.51 +/- A 0.34 g/dL. Bleeding requiring blood transfusion was not observed. A ureteral J stent was implanted perioperatively in four patients because of stone burden. Four patients complained of postoperative renal colic (Clavien grade 1) and postoperative fever was observed in two patients. Definitive success rates were as follows: the stone-free rate was 83.3 % (n = 20) and residual fragments were observed in four patients.en_US
dc.identifier.doi10.1007/s00240-015-0807-z
dc.identifier.endpage177en_US
dc.identifier.issn2194-7228
dc.identifier.issn2194-7236
dc.identifier.issue2en_US
dc.identifier.pmid26209010en_US
dc.identifier.scopus2-s2.0-84961151415en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage173en_US
dc.identifier.urihttps://doi.org/10.1007/s00240-015-0807-z
dc.identifier.urihttps://hdl.handle.net/11468/14303
dc.identifier.volume44en_US
dc.identifier.wosWOS:000372750900011en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofUrolithiasisen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectMicro-Percutaneous Nephrolithotomyen_US
dc.subjectInfanten_US
dc.subjectKidney Stonesen_US
dc.titleMicro-percutaneous nephrolithotomy in infants: a single-center experienceen_US
dc.typeArticleen_US

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