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Tubeless Mini Percutaneous Nephrolithotomy in Infants and Preschool Children: A Preliminary Report

2010; Lippincott Williams & Wilkins; Volume: 184; Issue: 6 Linguagem: Inglês

10.1016/j.juro.2010.08.039

1527-3792

Cenk Yücel Bilen, Levent Mert Günay, Ender Özden, Kubilay İnci, Şaban Sarıkaya, Serdar Tekgül,

Gallbladder and Bile Duct Disorders

No AccessJournal of UrologyPediatric Urology1 Dec 2010Tubeless Mini Percutaneous Nephrolithotomy in Infants and Preschool Children: A Preliminary Report Cenk Y. Bilen, Mert Gunay, Ender Ozden, Kubilay Inci, Saban Sarikaya, and Serdar Tekgul Cenk Y. BilenCenk Y. Bilen Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey More articles by this author , Mert GunayMert Gunay Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey More articles by this author , Ender OzdenEnder Ozden Department of Urology, Ondokuz Mayis University School of Medicine, Samsun, Turkey More articles by this author , Kubilay InciKubilay Inci Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey More articles by this author , Saban SarikayaSaban Sarikaya Department of Urology, Ondokuz Mayis University School of Medicine, Samsun, Turkey More articles by this author , and Serdar TekgulSerdar Tekgul Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2010.08.039AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We retrospectively analyzed the outcomes of tubeless mini percutaneous nephrolithotomy in infants and preschool children, and compared them with age matched controls who underwent nephrostomy drainage. Materials and Methods: A total of 28 renal units in 26 children were operated on for stone disease using the mini percutaneous nephrolithotomy technique. Holmium laser and pneumatic lithotriptor were used for stone fragmentation. Children who underwent complete stone removal and had a clear nephrostomy tract only had a ureteral catheter placed. Those with residual stones or bleeding from the nephrostomy tract underwent nephrostomy drainage. We compared both groups with regard to patient and stone characteristics, and postoperative findings. Results: A total of 12 renal units had only a ureteral catheter for diversion, while 16 had nephrostomy drainage. Mean respective ages of the stentless and nephrostomy groups were 3 (range 0.58 to 6) and 3.3 years (1.5 to 6). Mean respective stone burdens were 192 (range 100 to 400) and 416 (775 to 1,380) mm2. Surgery and fluoroscopy times were shorter in the tubeless group. Complication rates were higher (6 of 14 vs 0 of 12) and duration of hospitalization was longer (4.9 [range 3 to 14] vs 3.1 days [2 to 6]) in the nephrostomy group. Stone-free rates were 91.6% in the tubeless and 78.5% in the nephrostomy groups. Conclusions: Tubeless percutaneous nephrolithotomy was observed to be a safe option for selected children with stone disease. The success and safety of tubeless percutaneous nephrolithotomy depends on patient selection criteria, including low volume and infection-free stones that are removed completely without any bleeding from the access tract. References 1 : Management of pediatric urolithiasis in Pakistan: experience with 1,440 children. J Urol2003; 169: 634. Link, Google Scholar 2 : Single-institutional study on role of ureteroscopy and retrograde intrarenal surgery in treatment of pediatric renal calculi. Urology2008; 72: 1018. Google Scholar 3 : Percutaneous stone removal in children. J Urol1985; 134: 1166. 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Google Scholar 11 : Almost totally tubeless percutaneous nephrolithotomy: further evolution of the technique. J Endourol1999; 13: 177. Google Scholar 12 : Tubeless percutaneous nephrolithotomy in selected patients. J Endourol2001; 15: 711. Google Scholar © 2010 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetailsCited byRodrigues P, Vilaça J, Oliveira C, Cicione A, Rassweiler J, Fonseca J, Rodrigues N, Correia-Pinto J and Lima E (2013) Collecting System Percutaneous Access Using Real-Time Tracking Sensors: First Pig Model In Vivo ExperienceJournal of Urology, VOL. 190, NO. 5, (1932-1937), Online publication date: 1-Nov-2013. Volume 184Issue 6December 2010Page: 2498-2503 Advertisement Copyright & Permissions© 2010 by American Urological Association Education and Research, Inc.Keywordsnephrostomypercutaneouspediatricsurinary calculiMetrics Author Information Cenk Y. Bilen Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey More articles by this author Mert Gunay Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey More articles by this author Ender Ozden Department of Urology, Ondokuz Mayis University School of Medicine, Samsun, Turkey More articles by this author Kubilay Inci Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey More articles by this author Saban Sarikaya Department of Urology, Ondokuz Mayis University School of Medicine, Samsun, Turkey More articles by this author Serdar Tekgul Department of Urology, Hacettepe University School of Medicine, Ankara, Turkey More articles by this author Expand All Advertisement PDF downloadLoading ...