1. Efficacy of mini-endoscopic combined intrarenal surgery for pediatric kidney calculi: a single center retrospective study
- Author
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Koei Torii, Shuzo Hamamoto, Kazumi Taguchi, Shinsuke Okada, Takaaki Inoue, Masahiko Isogai, Kengo Kawase, Teruaki Sugino, Rei Unno, Taiki Kato, Atsushi Okada, and Takahiro Yasui
- Subjects
Pediatrics ,Kidney calculi ,Kidney ,Miniature endoscopic combined intrarenal surgery ,Medicine ,Science - Abstract
Abstract Management of large pediatric kidney calculi (PKC) is challenging. This study aimed to evaluate the efficacy and safety of miniature endoscopic combined intrarenal surgery (mini-ECIRS) for PKC. We retrospectively analyzed mini-ECIRS in 16 pediatric patients undergoing kidney stone treatment between November 2014 and October 2023 to determine its safety, efficacy, and associated outcomes. The median age was 50.50 (interquartile range: 36.75, 84.75) months, and the mean stone size was 21.63 ± 11.65 mm. The stone-free rate was 81.25%. The median decrease in hemoglobin level on the day after surgery was 1.10 (0.80, 1.55), and no patient required a blood transfusion. The median number of general anesthesia procedures was 2.00 (2.00, 2.00). Postoperative complications included fever in two patients and difficulty in removing the ureteral stent in one patient. In this cohort, five patients underwent pre-stenting under general anesthesia before mini-ECIRS. Age was significantly lower in the pre-stenting group than in the non-pre-stenting (P
- Published
- 2024
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