Aim: The aim of this study was to evalu-ate the outcome of pediatric mini-percutaneus nephrolitotomy (Mini-PCNL).
Material and Methods: The data of pedi-atric patients (<16 years) with kidney stones between June 2009 and January 2016 had been retrospectively reviewed. All patients were se-lected for Mini-PCNL according to European Association of Urology guidelines. The final treatment modality was decided with parents or heir-at-law. All patients were evaluated with noncontrast computerized tomography, kid-ney-ureter-bladder x-ray and/or ultrasonograpy prior to treatment.
Results: A total of 60 patients (20 females, 40 males) with a mean age 9.3±4.53 (range;1-16) has been evaluated. The mean number of stones were 1.4±0.83 adet (1-5) and 28 of the stones were in right kidney and 32 of the stones were in left kidney. The mean stone-burden was 394.8±223.4 (range; 143-1350) mm2. The pre-operative mean BUN, creatinine, hematocrite levels were 22.7±6.2 (12-39) mg/dL, 0.74±0.37 (0.3-3) mg/dL, % 35.42±2.64 (29-40), re-spectively. The mean flouroscopy time was 116.3±45.4 (40-234) seconds.The success rate was found 91.7 %. The minor and major com-plication rate were 11.6 %, 1.6 % respectively.
Conclusion: The Mini-PCNL for pediatric kidney stones can be performed with higher success rates and low complications due to care-fully selected cases and clinical experience.
Keywords: Pediatric nephrolithiasis, per-cutaneous nephrolithotomi, percutan nephro-stomia
Abstract
Aim: The aim of this study was to evalu-ate the outcome of pediatric mini-percutaneus nephrolitotomy (Mini-PCNL).
Material and Methods: The data of pedi-atric patients (<16 years) with kidney stones between June 2009 and January 2016 had been retrospectively reviewed. All patients were se-lected for Mini-PCNL according to European Association of Urology guidelines. The final treatment modality was decided with parents or heir-at-law. All patients were evaluated with noncontrast computerized tomography, kid-ney-ureter-bladder x-ray and/or ultrasonograpy prior to treatment.
Results: A total of 60 patients (20 females, 40 males) with a mean age 9.3±4.53 (range;1-16) has been evaluated. The mean number of stones were 1.4±0.83 adet (1-5) and 28 of the stones were in right kidney and 32 of the stones were in left kidney. The mean stone-burden was 394.8±223.4 (range; 143-1350) mm2. The pre-operative mean BUN, creatinine, hematocrite levels were 22.7±6.2 (12-39) mg/dL, 0.74±0.37 (0.3-3) mg/dL, % 35.42±2.64 (29-40), re-spectively. The mean flouroscopy time was 116.3±45.4 (40-234) seconds.The success rate was found 91.7 %. The minor and major com-plication rate were 11.6 %, 1.6 % respectively.
Conclusion: The Mini-PCNL for pediatric kidney stones can be performed with higher success rates and low complications due to care-fully selected cases and clinical experience.
Keywords: Pediatric nephrolithiasis, per-cutaneous nephrolithotomi, percutan nephro-stomia