Back to Search
Start Over
Totally ultrasound-guided minimally invasive percutaneous nephrolithotomy in children: Is it safe?
- Source :
-
African journal of paediatric surgery : AJPS [Afr J Paediatr Surg] 2022 Apr-Jun; Vol. 19 (2), pp. 68-72. - Publication Year :
- 2022
-
Abstract
- Objective: The objective of the study was to assess the outcome and feasibility of ultrasonography (US)-guided minimally invasive percutaneous nephrolithotomy (mini-PCNL) in children.<br />Materials and Methods: Twenty-five children with upper urinary tract stones who had undergone US-guided mini-PCNL from June 2017 to June 2020 were enrolled in this study. Patients' demographic information and post-treatment results were retrospectively gathered and analysed. Pyelocaliceal system was punctured in prone position using US guidance, and the tract was dilated using single-shot dilation technique. All steps of renal access were done using only US. Mini-PCNL in all cases was done by using 15 Fr rigid nephroscope. Stones were fragmented with a pneumatic lithotripter and evacuated.<br />Results: The patients' mean age was 6.30 ± 3.25 years (range: 1.5-15). The mean stone size was 16.04 ± 3.93 mm (range: 10-30). The mean access time to the stone was 1.50 ± 0.62 min (range: 1-4). The mean operation time was 94.66 ± 3.05 min (range: 90-100 min). The final stone-free rate was 96%. Post-operation fever occurred in 4 (16%) patients who were treated successfully with an antibiotic. No major complications occurred.<br />Conclusions: We recommend US-guided mini-PCNL as a harmless alternative treatment option, in children with renal calculi due to its excellent outcomes and little complications.<br />Competing Interests: None
Details
- Language :
- English
- ISSN :
- 0974-5998
- Volume :
- 19
- Issue :
- 2
- Database :
- MEDLINE
- Journal :
- African journal of paediatric surgery : AJPS
- Publication Type :
- Academic Journal
- Accession number :
- 35017374
- Full Text :
- https://doi.org/10.4103/ajps.AJPS_13_21