Percutaneous nephrolithotomy for pediatric stone disease: Our experience with adult-sized equipment
We evaluated the outcomes and complications of percutaneous nephrolithotomy (PNL) operations performed in pediatric patients using adult-sized surgical equipment at our center. The medical and surgical records of 23 children who underwent a total of 25 PNL operations using 24 or 26 F rigid nephrosco...
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| Veröffentlicht in: | Scandinavian journal of urology and nephrology 2003, Vol.37 (6), p.477-481 |
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| container_title | Scandinavian journal of urology and nephrology |
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| creator | GUNES, Ali MURAT YAHYA UGRAS YILMAZ, Ugur BAYDINC, Can SOYLU, Ahmet |
| description | We evaluated the outcomes and complications of percutaneous nephrolithotomy (PNL) operations performed in pediatric patients using adult-sized surgical equipment at our center.
The medical and surgical records of 23 children who underwent a total of 25 PNL operations using 24 or 26 F rigid nephroscopes were evaluated retrospectively. The following aspects were considered: stone burden; duration of surgery and complications; details concerning recovery, success, residual fragments and auxiliary procedures; and follow-up details.
The success rate of a single PNL session was 70.8%; with the use of auxiliary procedures this was increased to 91.6%. Perioperative and early postoperative complications were excessive bleeding and transfusion in two patients, hydro-pneumothorax in one, perforation of the collecting system in three and urinoma in one. Complications were more common in children aged |
| doi_str_mv | 10.1080/00365590310001755 |
| format | Article |
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The medical and surgical records of 23 children who underwent a total of 25 PNL operations using 24 or 26 F rigid nephroscopes were evaluated retrospectively. The following aspects were considered: stone burden; duration of surgery and complications; details concerning recovery, success, residual fragments and auxiliary procedures; and follow-up details.
The success rate of a single PNL session was 70.8%; with the use of auxiliary procedures this was increased to 91.6%. Perioperative and early postoperative complications were excessive bleeding and transfusion in two patients, hydro-pneumothorax in one, perforation of the collecting system in three and urinoma in one. Complications were more common in children aged <7 years or with staghorn stones. The mean time to catheter removal was 3.4 days and the mean hospitalization time was 4.8 days. Idiopathic hypercalciuria, hypocitraturia, cystinuria and hyperoxaluria were diagnosed in two, two, one and three patients, respectively.
Performing PNL with adult-sized equipment is associated with significant complications in children aged <7 years or with staghorn stones. This treatment should not be considered in routine clinical practice. As all stone-removal methods are associated with complications, PNL should be used only if other methods fail or are unavailable.</description><identifier>ISSN: 0036-5599</identifier><identifier>EISSN: 1651-2065</identifier><identifier>DOI: 10.1080/00365590310001755</identifier><identifier>PMID: 14675920</identifier><identifier>CODEN: SJUNAS</identifier><language>eng</language><publisher>Basingstoke: Taylor and Francis</publisher><subject>Adolescent ; Biological and medical sciences ; Child ; Child, Preschool ; Cohort Studies ; Equipment Design ; Equipment Safety ; Female ; Follow-Up Studies ; Humans ; Kidney Calculi - diagnosis ; Kidney Calculi - surgery ; Male ; Medical sciences ; Minimally Invasive Surgical Procedures - methods ; Nephrology. Urinary tract diseases ; Nephrostomy, Percutaneous - instrumentation ; Nephrostomy, Percutaneous - methods ; Pain Measurement ; Postoperative Complications ; Retrospective Studies ; Risk Assessment ; Severity of Illness Index ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the urinary system ; Surgical Equipment ; Treatment Outcome ; Turkey ; Urinary lithiasis</subject><ispartof>Scandinavian journal of urology and nephrology, 2003, Vol.37 (6), p.477-481</ispartof><rights>2004 INIST-CNRS</rights><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,4010,27904,27905,27906</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=15361335$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/14675920$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>GUNES, Ali</creatorcontrib><creatorcontrib>MURAT YAHYA UGRAS</creatorcontrib><creatorcontrib>YILMAZ, Ugur</creatorcontrib><creatorcontrib>BAYDINC, Can</creatorcontrib><creatorcontrib>SOYLU, Ahmet</creatorcontrib><title>Percutaneous nephrolithotomy for pediatric stone disease: Our experience with adult-sized equipment</title><title>Scandinavian journal of urology and nephrology</title><addtitle>Scand J Urol Nephrol</addtitle><description>We evaluated the outcomes and complications of percutaneous nephrolithotomy (PNL) operations performed in pediatric patients using adult-sized surgical equipment at our center.
The medical and surgical records of 23 children who underwent a total of 25 PNL operations using 24 or 26 F rigid nephroscopes were evaluated retrospectively. The following aspects were considered: stone burden; duration of surgery and complications; details concerning recovery, success, residual fragments and auxiliary procedures; and follow-up details.
The success rate of a single PNL session was 70.8%; with the use of auxiliary procedures this was increased to 91.6%. Perioperative and early postoperative complications were excessive bleeding and transfusion in two patients, hydro-pneumothorax in one, perforation of the collecting system in three and urinoma in one. Complications were more common in children aged <7 years or with staghorn stones. The mean time to catheter removal was 3.4 days and the mean hospitalization time was 4.8 days. Idiopathic hypercalciuria, hypocitraturia, cystinuria and hyperoxaluria were diagnosed in two, two, one and three patients, respectively.
Performing PNL with adult-sized equipment is associated with significant complications in children aged <7 years or with staghorn stones. This treatment should not be considered in routine clinical practice. As all stone-removal methods are associated with complications, PNL should be used only if other methods fail or are unavailable.</description><subject>Adolescent</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Child, Preschool</subject><subject>Cohort Studies</subject><subject>Equipment Design</subject><subject>Equipment Safety</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Kidney Calculi - diagnosis</subject><subject>Kidney Calculi - surgery</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Minimally Invasive Surgical Procedures - methods</subject><subject>Nephrology. Urinary tract diseases</subject><subject>Nephrostomy, Percutaneous - instrumentation</subject><subject>Nephrostomy, Percutaneous - methods</subject><subject>Pain Measurement</subject><subject>Postoperative Complications</subject><subject>Retrospective Studies</subject><subject>Risk Assessment</subject><subject>Severity of Illness Index</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the urinary system</subject><subject>Surgical Equipment</subject><subject>Treatment Outcome</subject><subject>Turkey</subject><subject>Urinary lithiasis</subject><issn>0036-5599</issn><issn>1651-2065</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2003</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpF0MtKAzEUgOEgiq3VB3Aj2ehuNJncJu6keINCXeh6yCSnNDK3Jhm0Pr1TWnGVxfnOgT8IXVJyS0lB7ghhUghNGCWEUCXEEZpSKWiWEymO0XQ3z0agJ-gsxs8R5ZLKUzShXCqhczJF9g2CHZJpoRsibqFfh672ad2lrtniVRdwD86bFLzFMXUtYOcjmAj3eDkEDN89BA-tBfw1bmHjhjpl0f-Aw7AZfN9Am87RycrUES4O7wx9PD2-z1-yxfL5df6wyPqcqZRp4QhTwAvBtHaFsFSrwlTMqEqzQgorTOGEWe2Sq4JbM0YAByUYL8ZQzWboZn-3D91mgJjKxkcLdb2vKxXlilPCR3h1gEPVgCv74BsTtuXft4zg-gBMtKZeBdNaH_-dYJIyJtgvhjtyfg</recordid><startdate>2003</startdate><enddate>2003</enddate><creator>GUNES, Ali</creator><creator>MURAT YAHYA UGRAS</creator><creator>YILMAZ, Ugur</creator><creator>BAYDINC, Can</creator><creator>SOYLU, Ahmet</creator><general>Taylor and Francis</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>2003</creationdate><title>Percutaneous nephrolithotomy for pediatric stone disease: Our experience with adult-sized equipment</title><author>GUNES, Ali ; MURAT YAHYA UGRAS ; YILMAZ, Ugur ; BAYDINC, Can ; SOYLU, Ahmet</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p237t-95d037e485399d85c1978ab3a7b93865c5a8d5af6559b84ca467e4e7534803693</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2003</creationdate><topic>Adolescent</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Child, Preschool</topic><topic>Cohort Studies</topic><topic>Equipment Design</topic><topic>Equipment Safety</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Kidney Calculi - diagnosis</topic><topic>Kidney Calculi - surgery</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Minimally Invasive Surgical Procedures - methods</topic><topic>Nephrology. Urinary tract diseases</topic><topic>Nephrostomy, Percutaneous - instrumentation</topic><topic>Nephrostomy, Percutaneous - methods</topic><topic>Pain Measurement</topic><topic>Postoperative Complications</topic><topic>Retrospective Studies</topic><topic>Risk Assessment</topic><topic>Severity of Illness Index</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the urinary system</topic><topic>Surgical Equipment</topic><topic>Treatment Outcome</topic><topic>Turkey</topic><topic>Urinary lithiasis</topic><toplevel>online_resources</toplevel><creatorcontrib>GUNES, Ali</creatorcontrib><creatorcontrib>MURAT YAHYA UGRAS</creatorcontrib><creatorcontrib>YILMAZ, Ugur</creatorcontrib><creatorcontrib>BAYDINC, Can</creatorcontrib><creatorcontrib>SOYLU, Ahmet</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Scandinavian journal of urology and nephrology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>GUNES, Ali</au><au>MURAT YAHYA UGRAS</au><au>YILMAZ, Ugur</au><au>BAYDINC, Can</au><au>SOYLU, Ahmet</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous nephrolithotomy for pediatric stone disease: Our experience with adult-sized equipment</atitle><jtitle>Scandinavian journal of urology and nephrology</jtitle><addtitle>Scand J Urol Nephrol</addtitle><date>2003</date><risdate>2003</risdate><volume>37</volume><issue>6</issue><spage>477</spage><epage>481</epage><pages>477-481</pages><issn>0036-5599</issn><eissn>1651-2065</eissn><coden>SJUNAS</coden><abstract>We evaluated the outcomes and complications of percutaneous nephrolithotomy (PNL) operations performed in pediatric patients using adult-sized surgical equipment at our center.
The medical and surgical records of 23 children who underwent a total of 25 PNL operations using 24 or 26 F rigid nephroscopes were evaluated retrospectively. The following aspects were considered: stone burden; duration of surgery and complications; details concerning recovery, success, residual fragments and auxiliary procedures; and follow-up details.
The success rate of a single PNL session was 70.8%; with the use of auxiliary procedures this was increased to 91.6%. Perioperative and early postoperative complications were excessive bleeding and transfusion in two patients, hydro-pneumothorax in one, perforation of the collecting system in three and urinoma in one. Complications were more common in children aged <7 years or with staghorn stones. The mean time to catheter removal was 3.4 days and the mean hospitalization time was 4.8 days. Idiopathic hypercalciuria, hypocitraturia, cystinuria and hyperoxaluria were diagnosed in two, two, one and three patients, respectively.
Performing PNL with adult-sized equipment is associated with significant complications in children aged <7 years or with staghorn stones. This treatment should not be considered in routine clinical practice. As all stone-removal methods are associated with complications, PNL should be used only if other methods fail or are unavailable.</abstract><cop>Basingstoke</cop><pub>Taylor and Francis</pub><pmid>14675920</pmid><doi>10.1080/00365590310001755</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Taylor & Francis:Master (3349 titles); Taylor & Francis Medical Library - CRKN |
| subjects | Adolescent Biological and medical sciences Child Child, Preschool Cohort Studies Equipment Design Equipment Safety Female Follow-Up Studies Humans Kidney Calculi - diagnosis Kidney Calculi - surgery Male Medical sciences Minimally Invasive Surgical Procedures - methods Nephrology. Urinary tract diseases Nephrostomy, Percutaneous - instrumentation Nephrostomy, Percutaneous - methods Pain Measurement Postoperative Complications Retrospective Studies Risk Assessment Severity of Illness Index Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the urinary system Surgical Equipment Treatment Outcome Turkey Urinary lithiasis |
| title | Percutaneous nephrolithotomy for pediatric stone disease: Our experience with adult-sized equipment |
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