Comparison of the results of pediatric percutaneous nephrolithotomy with different sized instruments

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dc.authoridCAMTOSUN, Ahmet/0000-0002-5390-9088
dc.authorwosidçelik, hüseyin/AAA-3033-2021
dc.authorwosidaltintas, ramazan/AAP-2348-2020
dc.authorwosidCAMTOSUN, Ahmet/ABI-8300-2020
dc.contributor.authorCelik, Huseyin
dc.contributor.authorCamtosun, Ahmet
dc.contributor.authorDede, Onur
dc.contributor.authorDagguli, Mansur
dc.contributor.authorAltintas, Ramazan
dc.contributor.authorTasdemir, Cemal
dc.date.accessioned2024-08-04T20:41:45Z
dc.date.available2024-08-04T20:41:45Z
dc.date.issued2017
dc.departmentİnönü Üniversitesien_US
dc.description.abstractWe aim to compare the outcomes, including the morbidity and success rates in children undergoing percutaneous nephrolithotomy (PCNL) using different sized devices. According to the size of instruments used during surgery, three different groups (ultra-mini-PCNL, mini-PCNL and adult size PCNL) were composed and the outcomes were compared between the groups. PCNL was applied to 225 renal units of 220 children, including 5 patients with bilateral kidney stones. Percutaneous nephrolithotomy was performed using adult instruments (24 F) in 82 renal units, using pediatric instruments (18 F) in 89 and using minimal-size instruments (9.5 F) in 50. One-hundred and twenty-four girls and 96 boys with a mean age of 8.33 (< 17) years were assessed. Stone-free rates were 78 % in group 1 (n = 39) using 9.5 F nephroscope, 75.8 % in group 2 (n = 69) using 18 F nephroscope and 71.4 % in group 3 (n = 60) using 24 F nephroscope. Time to access the collecting system, operative time, duration of nephrostomy and average postoperative hospital stay did not differ between the groups. However, mean hematocrit drop and stone burden were significantly lesser in ultra-mini-PCNL group. There was no significant difference in the complication rates between the groups, according to the modified Clavien classification system. As the important complication of PCNL, bleeding seems to be associated with diameter of dilatation, calibre of nephroscopes and stone burden. To reduce the certain complications, pediatric type of instruments is suitable but the use of adult instruments and techniques may achieve equal results.en_US
dc.identifier.doi10.1007/s00240-016-0887-4
dc.identifier.endpage208en_US
dc.identifier.issn2194-7228
dc.identifier.issn2194-7236
dc.identifier.issue2en_US
dc.identifier.pmid27155829en_US
dc.identifier.scopus2-s2.0-84966318848en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage203en_US
dc.identifier.urihttps://doi.org/10.1007/s00240-016-0887-4
dc.identifier.urihttps://hdl.handle.net/11616/97308
dc.identifier.volume45en_US
dc.identifier.wosWOS:000398177700007en_US
dc.identifier.wosqualityQ2en_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.subjectKidney calculien_US
dc.subjectPercutaneous nephrolithotomyen_US
dc.subjectPediatricsen_US
dc.subjectInstrument typeen_US
dc.titleComparison of the results of pediatric percutaneous nephrolithotomy with different sized instrumentsen_US
dc.typeArticleen_US

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