Purpose: We present our experience with mini percutaneous nephrolithotomy (mini-perc) for staghorn (complet or partial) and re-nal pelvic calculi in children.
Patıents and Methods: Between June 2008 and January 2013, 36 patients (20 boys and 16 girls), aged 3 and 13 years-old, were treated with miniperc because of renal stone in our clinic. There were complet staghorn calculi in 13 patients, partial staghorn calculi in 10 pati-ents and renal pelvic calculi in 13 patients. The average bulk of the stones was 192 mm² (ran-ge: 96-310 mm²). All procedures have been performed with the 22 f sheath. Tract dilation and insertion of the sheath into the collecting system was performed with a single pass over an access wire under x ray scopy. Operation was performed using pneumatic lithotriptor and Holmiyum:Yag laser. Unreachable caliceal sto-nes were reached and fragmanted with the help of flexible nephroscope. We put 10 f nephros-tomy tubes to 26 patients and 14 f nephrostomy tubes to 10 patients.
Results: Mean procedure time was 82 mi-nutes, mean decreasing of hematocrit values was % 3,1, and length of hospitalization was 2.3 days, respectively. 30 (83,3%) of 36 patients are currently stone free. Six patients (%16,7), had residual calcules were treated with ESWL. No patient required transfusion, developed urosep-sis, or had a procedure-related complication.
Conclusıons: Mini -percutaneous nephro-lithotomy is safe and effective in children, and should be considered a viable management op-tion.
Abstract
Purpose: We present our experience with mini percutaneous nephrolithotomy (mini-perc) for staghorn (complet or partial) and re-nal pelvic calculi in children.
Patıents and Methods: Between June 2008 and January 2013, 36 patients (20 boys and 16 girls), aged 3 and 13 years-old, were treated with miniperc because of renal stone in our clinic. There were complet staghorn calculi in 13 patients, partial staghorn calculi in 10 pati-ents and renal pelvic calculi in 13 patients. The average bulk of the stones was 192 mm² (ran-ge: 96-310 mm²). All procedures have been performed with the 22 f sheath. Tract dilation and insertion of the sheath into the collecting system was performed with a single pass over an access wire under x ray scopy. Operation was performed using pneumatic lithotriptor and Holmiyum:Yag laser. Unreachable caliceal sto-nes were reached and fragmanted with the help of flexible nephroscope. We put 10 f nephros-tomy tubes to 26 patients and 14 f nephrostomy tubes to 10 patients.
Results: Mean procedure time was 82 mi-nutes, mean decreasing of hematocrit values was % 3,1, and length of hospitalization was 2.3 days, respectively. 30 (83,3%) of 36 patients are currently stone free. Six patients (%16,7), had residual calcules were treated with ESWL. No patient required transfusion, developed urosep-sis, or had a procedure-related complication.
Conclusıons: Mini -percutaneous nephro-lithotomy is safe and effective in children, and should be considered a viable management op-tion.