Percutaneous nephrolithotomy for pediatric stone disease - Our experience with adult-sized equipment

Basit Öğe Kaydı
dc.authorwosidSoylu, Ahmet/P-2015-2019
dc.contributor.authorGunes, A
dc.contributor.authorUgras, MY
dc.contributor.authorYilmaz, U
dc.contributor.authorBaydinc, C
dc.contributor.authorSoylu, A
dc.date.accessioned2024-08-04T20:13:36Z
dc.date.available2024-08-04T20:13:36Z
dc.date.issued2003
dc.departmentİnönü Üniversitesien_US
dc.description.abstractObjective: We evaluated the outcomes and complications of percutaneous nephrolithotomy (PNL) operations performed in pediatric patients using adult-sized surgical equipment at our center. Material and Methods: 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. Results: 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. Conclusion: 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.en_US
dc.identifier.doi10.1080/00365590310001755
dc.identifier.endpage481en_US
dc.identifier.issn0036-5599
dc.identifier.issue6en_US
dc.identifier.pmid14675920en_US
dc.identifier.scopus2-s2.0-0347756686en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage477en_US
dc.identifier.urihttps://doi.org/10.1080/00365590310001755
dc.identifier.urihttps://hdl.handle.net/11616/93718
dc.identifier.volume37en_US
dc.identifier.wosWOS:000187296700006en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherInforma Healthcareen_US
dc.relation.ispartofScandinavian Journal of Urology and Nephrologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectpediatricen_US
dc.subjectpercutaneous nephrolithotomyen_US
dc.subjectstone diseaseen_US
dc.titlePercutaneous nephrolithotomy for pediatric stone disease - Our experience with adult-sized equipmenten_US
dc.typeArticleen_US

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayın Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu