Title: Minimally invasive percutaneous nephrolithotomy in children
Abstract: Objective To evaluate the efficacy and safety of minimally invasive percutaneous nephrolithotomy in children.Methods Between 1998 and 2004, minimally invasive percutaneous nephrolithotomy was performed in 57 children 4 to 16 years of age (median age 8). The series consisted of 23 girls and 34 boys. Indications for minimally invasive percutaneous nephrolithotomy of 59 renal units included renal stones larger than 2 cm in diameter or staghorn calculus in 36 cases(including residual or recurrent stones after operation in 9 cases, obstructed kidney in 9 cases, failed ESWL in 7 cases,renal calculus with distal obstruction in 7 cases.Results Of the 59 cases 41 ( 69.5%) were stone-free after a single session of percutaneous nephrolithotomy. There were 4 incidences of intraoperative bleeding requiring blood transfusion and one incidence of excessive intraperitoneal extravasation of urine. With subsequent ESWL or repeat mini-PCNL the stone clearance rate was 86.4%.Conclusions Mini-PCNL is an effective procedure for treating renal and upper ureteral stones in children.
Publication Year: 2005
Publication Date: 2005-01-01
Language: en
Type: article
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