The importance of instrument type in paediatric percutaneous nephrolithotomy

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dc.authoridBeytur, Ali/0000-0002-7870-3318
dc.authoridÇOLAK, CEMİL/0000-0001-5406-098X
dc.authorwosidCimen, Serhan/X-4007-2018
dc.authorwosidBeytur, Ali/AAA-2823-2021
dc.authorwosidaltintas, ramazan/AAP-2348-2020
dc.authorwosidÇOLAK, CEMİL/ABI-3261-2020
dc.contributor.authorAltintas, Ramazan
dc.contributor.authorOguz, Fatih
dc.contributor.authorTasdemir, Cemal
dc.contributor.authorBeytur, Ali
dc.contributor.authorCimen, Serhan
dc.contributor.authorGunes, Ali
dc.contributor.authorColak, Cemil
dc.date.accessioned2024-08-04T20:39:40Z
dc.date.available2024-08-04T20:39:40Z
dc.date.issued2014
dc.departmentİnönü Üniversitesien_US
dc.description.abstractWe reported our experience with percutaneous nephrolithotomy in children and compared the outcomes, including the morbidity and success rates, regarding the instruments of different sizes. One hundred and seventy-three paediatric patients, who underwent percutaneous nephrolithotomy in our clinic between 1999 and 2013, were assessed. According to the size of instruments used during surgery, three different groups were formed and the pre- and postopeartive outcomes were compared between the groups. 76 girls and 97 boys with a mean age of 9.24 (a parts per thousand currency sign17) years were assessed. Stone-free rates were 75.6 % in group 1 (n = 82) using 17 F nephroscope, 79.4 % in group 2 (n = 73) using 24 F nephroscope and 72.2 % in group 3 (n = 18) using 26 F nephroscope. Postoperative fever was seen in four, five and one patient in group 1, 2 and 3, respectively. Urinary infection was seen in one patient in group 1 and four patients in group 2. Mean haematocrit drop and stone burden were significantly lesser in group 1. No significant difference was seen in the duration of nephrostomy and hospitalization between the groups. The success rates obtained in the groups using different instrument types (paediatric or adult) were similar. However, age, weight, height, stone burden and bleeding were significantly lesser in group 1 that used paediatric type of instrument. As the most frequent complication of PNL, bleeding seems to be associated with stone burden, the diameter of dilatation and the calibre of instrument. To decrease the particular complications, paediatric type of instruments are convenient and do not affect the success.en_US
dc.identifier.doi10.1007/s00240-013-0626-z
dc.identifier.endpage153en_US
dc.identifier.issn2194-7228
dc.identifier.issn2194-7236
dc.identifier.issue2en_US
dc.identifier.pmid24264889en_US
dc.identifier.scopus2-s2.0-84899087485en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage149en_US
dc.identifier.urihttps://doi.org/10.1007/s00240-013-0626-z
dc.identifier.urihttps://hdl.handle.net/11616/96420
dc.identifier.volume42en_US
dc.identifier.wosWOS:000333213300010en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
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.subjectUrolithiasisen_US
dc.subjectPercutaneous nephrolithotomyen_US
dc.subjectPaediatric ageen_US
dc.subjectInstrument typeen_US
dc.titleThe importance of instrument type in paediatric percutaneous nephrolithotomyen_US
dc.typeArticleen_US

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