MINI PCNL in a Pediatric Population
详细信息    查看全文
  • 作者:Tze M. Wah (1)
    Lizi Kidger (2)
    Steven Kennish (1)
    Henry Irving (1)
    Azad Najmaldin (2)
  • 关键词:PCNL ; Renal stone ; Children
  • 刊名:CardioVascular and Interventional Radiology
  • 出版年:2013
  • 出版时间:February 2013
  • 年:2013
  • 卷:36
  • 期:1
  • 页码:249-254
  • 全文大小:509KB
  • 参考文献:1. Ghazali S, Barratt TM, Williams DI (1973) Childhood urolithiasis in Britain. Arch Dis Child 48:291-95 CrossRef
    2. Androulakakis PA, Barratt TM, Ransley PG et al (1982) Urinary calculi in children. A 5 to 15 year follow-up with particular reference to recurrent and residual stones. British J Urol 54:176-80 CrossRef
    3. Coward RJM, Peters CJ, Duffy PG, Corry D, Kellett MJ, Choong S, van’t Hoff WG (2003) Epidemiology of paediatric renal stone disease in the UK. Arch Dis Child 88:962-65 CrossRef
    4. Newman DM, Coury T, Lingeman JE, Merta JH, Mosbaugh PG, Steele RE, Knapp PM (1986) Extracorporeal shockwave lithotripsy in children. J Urol 136:238-40
    5. Woodside JR, Stevens GF, Stark GL, Borden TA, Ball WS (1985) Percutaneous stone removal in children. J Urol 134:1166-167
    6. Mor Y, Elmasry YE, Kellett MJ, Duffy PG (1997) The role of percutaneous nephrolithotomy in the management of paediatric renal calculi. J Urol 158:1319-321 CrossRef
    7. Jackman SV, Hedican SP, Peters CA, Docimo SG (1998) Percutaneous nephrolithotomyin infants and preschool age children: experience with a new technique. Urology 52:697-01 CrossRef
    8. Zeren S, Satar N, Bayazit Y, Bayazit AK, Payasli K, Ozkeceli R (2002) Percutaneous nephrolithotomyin the management of paediatric renal calculi. J Endourol 16:75-8 CrossRef
    9. Desai MR, Kukreja RA, Patel SH, Bapat SD (2004) Percutaneous nephrolithotomy for complex paediatric renal calculus disease. J Endourol 18:23-7 CrossRef
    10. Badawy H, Salama A, Eissa M, Kotb E, Moro H, Shoukri I (1992) Percutaneous management of renal calculi: experience with percutaneous nephrolithotomy in 60 children. J Urol 162:1710-713 CrossRef
    11. Callaway TW, Lingardh G, Basata S, Sylven M (1992) Percutaneous nephrolithotomy in children. J Urol 148:1067-068
    12. Farhat WA, Kropp BP (2001) Surgical treatment of paediatric urinary stones. AUA update series 26:22-7
    13. Helal M, Black T, Lockhart J, Figueroa TE (1997) The Hickman peel-away sheath: alternative for paediatric percutaneous nephrolithotomy. J Endourol 11:171-72 CrossRef
    14. Jackman SV, Docimo SG, Cadeddu JA, Bishoff JT, Kavoussi LR, Jarrett TW (1998) The ‘mini-perc-technique: a less invasive alternative to percutaneous nephrolithotomy. World J Urol 16:371-74 CrossRef
    15. Irving HC (2005) Stone management-percutaneous access. In: Najmaldin A, Rothenberg S, Crabbe D, Beasley S (eds) Operative endoscopy and endoscopic surgery in infants and children. Arnold, London
    16. Scuster TK, Smaldone MC, Averch TD, Ost MC (2009) Percutaneous nephrolithotomy in children. J Endourol 23:1699-705 CrossRef
    17. Kapoor R, Solanki F, Singhania P, Andankar M, Pathak HR (2008) Safety and efficacy of percutaneous nephrolithotomy in the paediatric population. J Endourol 22:637-40 CrossRef
    18. Nouralizadeh A, Basiri A, Javaherforooshzadeh A, Soltani MH, Tajali F (2009) Experience of percutaneous nephrolithotomy using adult size instruments in children less than 5?years old. J Pediatr Urol 5:351-54 CrossRef
    19. Sung YM, Choo SW, Jeon SS, Shin SW, Park KB, Do YS (2006) The ‘mini-perc-technique of percutaneous nephrolithotomy with a 14F peel-away sheath: 3-year results in 72 patients. Korean J Radiol 7:50-5 CrossRef
    20. Wiesenthal JD, Ghiculete D, D’A Honey RJ, Pace KT (2011) A comparison of treatment modalities for renal calculi between 100 and 300?mm2: are shockwave lithotripsy, ureteroscopy, and percutaneous nephrolithotomy equivalent? J Endourol 25(3):481-85 CrossRef
    21. Malcolm JB, Derweesh IH, Brightbill EK, Mehrazin R, DiBlasio CJ, Wake RW (2008) Tubeless percutaneous nephrolithotomy for complex renal stone disease: single center experience. Can J Urol 15(3):4072-076 discussion 4076-4077
    22. Srirangam SJ, Darling R, Stopford M, Neilson D (2008) Contemporary practice of percutaneous nephrolithotomy: review of practice in a single region of the UK. Ann R Coll Surg Engl 90(1):40-4 CrossRef
    23. Bayles A, Chitale S, Irving S, Burgess N (2007) Percutaneous nephrolithotomy. On behalf of the BAUS Section of Endourology http://www.baus.org.uk/Resources/BAUS/Documents/PDF%20Documents/Sections/Endourology/PCNL%20Audit%202007.pdf. Accessed 25 Sept 2011
  • 作者单位:Tze M. Wah (1)
    Lizi Kidger (2)
    Steven Kennish (1)
    Henry Irving (1)
    Azad Najmaldin (2)

    1. Department of Radiology, St. James’s University Hospital, Beckett Street, Leeds, LS9 7TF, UK
    2. Department of Paediatric Urology, Clarendon Wing, Leeds General Infirmary, Leeds, UK
  • ISSN:1432-086X
文摘
Purpose We report our initial experience of MINI percutaneous nephrolithotomy (PCNL) in a pediatric population using a miniature nephroscope through a 16F metal access sheath. Methods All pediatric patients who underwent PCNL from August 2007 to September 2010 using a 14F miniature nephroscope through a 16F metal access sheath for renal stone extraction were evaluated. Patients-demographic details, procedural information, and posttreatment outcomes were prospectively documented. Results A total of 23 MINI PCNLs were performed on 23 kidneys of 12 patients whose ages ranged from 1.6 to 14.6?years. The median stone burden was 3.44?cm2, and there were 11 “Staghorn-stones. The procedure was primary via a single puncture in 19 kidneys and secondary using a preexisting nephrostomy tract in 4 kidneys. Access was successful in all primary and two secondary cases, for a total of success rate of 91.3?%. Stones were fragmented using a Holmium laser and/or lithoclast, and fragments were irrigated or sequentially removed by various stone grasping devices. The mean procedural X-ray screening time and total stone extraction period were 4.5 and 109.4?min, respectively. The primary stone free rate was 83.6?%, which increased to 90.5?% after treating the residual fragments. Postoperative hydrothorax developed in one patient, which required a chest drain. Symptoms of chest infection and positive urine culture were detected in one and two patients, respectively. Conclusions Our initial experience supports previous reports that MINI PCNL is safe and effective for the management of renal stones in children.

© 2004-2018 中国地质图书馆版权所有 京ICP备05064691号 京公网安备11010802017129号

地址:北京市海淀区学院路29号 邮编:100083

电话:办公室:(+86 10)66554848;文献借阅、咨询服务、科技查新:66554700