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Ultrasound-guided minimally invasive percutaneous nephrolithotomy in the treatment of pediatric patients <6 years: A single-center 10 years' experience.

Abstract Owing to the fragile kidney and relative small collecting system of pediatric patients, urologists were always reluctant to treat pediatric urolithiasis with PCNL. Here we conduct a study to assess the effectiveness and safety of pediatric patients with renal calculi <6 years.A total of 88 pediatric patients (99 kidney units) <6 years underwent the ultrasound (US)-guided minimally invasive percutaneous nephrolithotomy in our institute from March 2006 to April 2016. The mean age was 30.9 months (range, 7-72 months). The mean stone size was 19.5 mm (range, 10-50 mm). The group included single stone in 35 kidney units, upper ureteral stone in 12 kidney units, multiple stone in 43 kidney units, and staghorn stone in 9 kidney units. The procedure of puncture and dilation were guided by US solely.The mean operation time was 52.3 minutes (range, 15-140 minutes). The mean postoperative length of stay was 6.0 days (3-16 days). Besides, the initial stone free rate (SFR) was 90.9% (90/99) and the final SFR was 96.0% (95/99). The mean hemoglobin drop was 10.9 g/L (range, 1-25 g/L). Postoperative complications occurred in 12 patients including fever in 11 cases and active pleural effusion in 1 case.The US-guided MPCNL is an effective and safety procedure to treat pediatric patients with stone <6 years.
PMID
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Authors

Mayor MeshTerms

Nephrolithotomy, Percutaneous

Surgery, Computer-Assisted

Keywords
Journal Title medicine
Publication Year Start




PMID- 29595647
OWN - NLM
STAT- MEDLINE
DCOM- 20180405
LR  - 20180405
IS  - 1536-5964 (Electronic)
IS  - 0025-7974 (Linking)
VI  - 97
IP  - 13
DP  - 2018 Mar
TI  - Ultrasound-guided minimally invasive percutaneous nephrolithotomy in the
      treatment of pediatric patients &lt;6 years: A single-center 10 years' experience.
PG  - e0174
LID - 10.1097/MD.0000000000010174 [doi]
AB  - Owing to the fragile kidney and relative small collecting system of pediatric
      patients, urologists were always reluctant to treat pediatric urolithiasis with
      PCNL. Here we conduct a study to assess the effectiveness and safety of pediatric
      patients with renal calculi &lt;6 years.A total of 88 pediatric patients (99 kidney 
      units) &lt;6 years underwent the ultrasound (US)-guided minimally invasive
      percutaneous nephrolithotomy in our institute from March 2006 to April 2016. The 
      mean age was 30.9 months (range, 7-72 months). The mean stone size was 19.5 mm
      (range, 10-50 mm). The group included single stone in 35 kidney units, upper
      ureteral stone in 12 kidney units, multiple stone in 43 kidney units, and
      staghorn stone in 9 kidney units. The procedure of puncture and dilation were
      guided by US solely.The mean operation time was 52.3 minutes (range, 15-140
      minutes). The mean postoperative length of stay was 6.0 days (3-16 days).
      Besides, the initial stone free rate (SFR) was 90.9% (90/99) and the final SFR
      was 96.0% (95/99). The mean hemoglobin drop was 10.9 g/L (range, 1-25 g/L).
      Postoperative complications occurred in 12 patients including fever in 11 cases
      and active pleural effusion in 1 case.The US-guided MPCNL is an effective and
      safety procedure to treat pediatric patients with stone &lt;6 years.
FAU - Hong, Yang
AU  - Hong Y
AD  - Department of Urology, Peking University People's Hospital, XiCheng District,
      Beijing, China.
FAU - Xu, Qingquan
AU  - Xu Q
FAU - Huang, Xiaobo
AU  - Huang X
FAU - Zhu, Zhenjie
AU  - Zhu Z
FAU - Yang, Qingya
AU  - Yang Q
FAU - An, Lizhe
AU  - An L
LA  - eng
PT  - Journal Article
PT  - Observational Study
PL  - United States
TA  - Medicine (Baltimore)
JT  - Medicine
JID - 2985248R
SB  - AIM
SB  - IM
MH  - Age Factors
MH  - Child, Preschool
MH  - China
MH  - Female
MH  - Humans
MH  - Infant
MH  - Kidney Calculi/*diagnostic imaging/*surgery
MH  - Male
MH  - *Nephrolithotomy, Percutaneous
MH  - Operative Time
MH  - Retrospective Studies
MH  - *Surgery, Computer-Assisted
MH  - Treatment Outcome
MH  - Ultrasonography
EDAT- 2018/03/30 06:00
MHDA- 2018/04/06 06:00
CRDT- 2018/03/30 06:00
PHST- 2018/03/30 06:00 [entrez]
PHST- 2018/03/30 06:00 [pubmed]
PHST- 2018/04/06 06:00 [medline]
AID - 10.1097/MD.0000000000010174 [doi]
AID - 00005792-201803300-00020 [pii]
PST - ppublish
SO  - Medicine (Baltimore). 2018 Mar;97(13):e0174. doi: 10.1097/MD.0000000000010174.