Pediatric Stone Surgery: What Is Hot and What Is Not
Purpose of Review We aim to highlight recent advances in technology and techniques for surgical management of urinary tract calculi in pediatric patients. Recent Findings Percutaneous nephrolithotomy (PCNL) is classically performed in the prone position. The supine PCNL was first attempted to overco...
Gespeichert in:
Veröffentlicht in: | Current urology reports 2022-04, Vol.23 (4), p.57-65 |
---|---|
Hauptverfasser: | , |
Format: | Artikel |
Sprache: | eng |
Schlagworte: | |
Online-Zugang: | Volltext |
Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
Zusammenfassung: | Purpose of Review
We aim to highlight recent advances in technology and techniques for surgical management of urinary tract calculi in pediatric patients.
Recent Findings
Percutaneous nephrolithotomy (PCNL) is classically performed in the prone position. The supine PCNL was first attempted to overcome the shortcomings of difficult airway access, patient and surgeon discomfort. The supine PCNL, and subsequent modifications, has been successfully described in the pediatric population. Classically, PCNL has also been classically concluded with obligate placement of a nephrostomy tube and bladder catheter. Recently, tubeless and totally tubeless PCNL reduces pain and duration of hospitalization with satisfactory surgical outcomes in children. Finally, we describe the use of thulium laser technology, which offers improved efficacy in stone treatment and may supplant the current dominant technologies in coming years.
Summary
Recent advances in pediatric stone surgery include supine PCNL, miniaturized PCNL instrumentation, tubeless procedures, and thulium laser technology. |
---|---|
ISSN: | 1527-2737 1534-6285 |
DOI: | 10.1007/s11934-022-01089-7 |