Totally ultrasound-guided minimally invasive percutaneous nephrolithotomy in children: Is it safe?
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. Materials and Methods: Twenty-five children with upper urinary tract stones who had undergone US-guided mini-PCNL fr...
| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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| Series: | African Journal of Paediatric Surgery |
| Subjects: | |
| Online Access: | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2022;volume=19;issue=2;spage=68;epage=72;aulast=Eslahi |
| _version_ | 1819284481424490496 |
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| author | Ali Eslahi Mohammad Mehdi Hosseini Faisal Ahmed Delara Tanaomi Seyyed Hossein Hosseini Mohammad Reza Askarpour Hossein-Ali Nikbakht Khalil Al-Naggar |
| author_facet | Ali Eslahi Mohammad Mehdi Hosseini Faisal Ahmed Delara Tanaomi Seyyed Hossein Hosseini Mohammad Reza Askarpour Hossein-Ali Nikbakht Khalil Al-Naggar |
| author_sort | Ali Eslahi |
| collection | DOAJ |
| description | 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. 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. 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. 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. |
| first_indexed | 2024-12-24T01:48:04Z |
| format | Article |
| id | doaj.art-d9d3831b6cfd40dbb42818dec21aacda |
| institution | Directory Open Access Journal |
| issn | 0189-6725 |
| language | English |
| last_indexed | 2024-12-24T01:48:04Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | African Journal of Paediatric Surgery |
| spelling | doaj.art-d9d3831b6cfd40dbb42818dec21aacda2022-12-21T17:21:48ZengWolters Kluwer Medknow PublicationsAfrican Journal of Paediatric Surgery0189-67252022-01-01192687210.4103/ajps.AJPS_13_21Totally ultrasound-guided minimally invasive percutaneous nephrolithotomy in children: Is it safe?Ali EslahiMohammad Mehdi HosseiniFaisal AhmedDelara TanaomiSeyyed Hossein HosseiniMohammad Reza AskarpourHossein-Ali NikbakhtKhalil Al-NaggarObjective: The objective of the study was to assess the outcome and feasibility of ultrasonography (US)-guided minimally invasive percutaneous nephrolithotomy (mini-PCNL) in children. 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. 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. 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.http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2022;volume=19;issue=2;spage=68;epage=72;aulast=Eslahiminimal invasivenephrolithiasisnephrolithotomypaediatricspercutaneousultrasonography |
| spellingShingle | Ali Eslahi Mohammad Mehdi Hosseini Faisal Ahmed Delara Tanaomi Seyyed Hossein Hosseini Mohammad Reza Askarpour Hossein-Ali Nikbakht Khalil Al-Naggar Totally ultrasound-guided minimally invasive percutaneous nephrolithotomy in children: Is it safe? African Journal of Paediatric Surgery minimal invasive nephrolithiasis nephrolithotomy paediatrics percutaneous ultrasonography |
| title | Totally ultrasound-guided minimally invasive percutaneous nephrolithotomy in children: Is it safe? |
| title_full | Totally ultrasound-guided minimally invasive percutaneous nephrolithotomy in children: Is it safe? |
| title_fullStr | Totally ultrasound-guided minimally invasive percutaneous nephrolithotomy in children: Is it safe? |
| title_full_unstemmed | Totally ultrasound-guided minimally invasive percutaneous nephrolithotomy in children: Is it safe? |
| title_short | Totally ultrasound-guided minimally invasive percutaneous nephrolithotomy in children: Is it safe? |
| title_sort | totally ultrasound guided minimally invasive percutaneous nephrolithotomy in children is it safe |
| topic | minimal invasive nephrolithiasis nephrolithotomy paediatrics percutaneous ultrasonography |
| url | http://www.afrjpaedsurg.org/article.asp?issn=0189-6725;year=2022;volume=19;issue=2;spage=68;epage=72;aulast=Eslahi |
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