Comparison of Mini-percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery in Preschool-aged Children

Pelit, Eyyup Sabri; Atış, Gökhan; Kati, Bülent; Akın, Yiğit; Çiftçi, Halil; Çulpan, Meftun; Yeni, Ercan; Çaşkurlu, Turhan

doi:10.1016/j.urology.2016.10.039

Cited by 33 publications

(22 citation statements)

References 24 publications

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“…SFR was 76.9% in a prospective study of Kareem Daw et al and SFR increased to 85% and 92.3% after ESWL and auxiliary therapy respectively (23). Pelit et al reported a SFR of 84.4% and 91.1% after initial and additional treatment respectively (18). In our study, we reached SFR of 84.7% and 94.4% after single and additional session respectively.…”

Section: Discussionsupporting

confidence: 64%

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Outcomes of miniaturized percutaneous nephrolitotomy in infants: Single centre experience

Pelit¹,

Kati²,

Akın³

et al. 2016

European Urology Supplements

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ARTICLE INFO ______________________________________________________________ ______________________Objectives: The present study was aim to evaluate the safety and efficacy of Mini-PNL to treat kidney stones in patients aged <3 years. This is the one of the largest series in the literature in this age group of patients. Material and methods:From May 2012 to April 2016, the medical records of 74 infant patients who underwent mini-PNL for renal stones were reviewed retrospectively. All infants were evaluated with the plain abdominal radiograph, urinary ultrasound, noncontrast computerized tomography and/or intravenous urogram. Pre-operative, intraoperative and post-operative data were analyzed.Results: A total of 74 infant (42 male, 32 female) with a mean age 21.5±8.2 (10-36) months were included in this study. The mean size of the stones was 22.0±5.9 (14-45) mm. A 17 Fr rigid pediatric nephroscope with a pneumatic intracorporeal lithotripsy were used through 20-22 Fr access sheath. The stone-free rate was 84.7% at 1 month after the operation. Mean operative time was 74.0 (40-140) min. Mean fluoroscopy screening time was as 4.3(3.1-8.6) min. Average hospitalization time was 3.8 (2-9) day. Auxiliary procedures were performed to 11(15.3%) patients (7 extracorporeal shock wave lithotripsy, 3 re-percutaneous nephrolitotomy, 1 retrograde intrarenal surgery). No major complication classified as Clavien IV-V observed in study group. Conclusions: Mini-PNL with pneumatic intracorporeal lithotripsy can be performed safely and effectively to manage kidney stones in infants with high stone free rate and low complications.

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Section: Discussionsupporting

confidence: 64%

“…The younger the child was, the harder the insertion of UAS. In reported series of pediatric RIRS, UAS was inserted in 43.7-61.5% of patients (16)(17)(18). Li et al did not use UAS, rather they inserted DJ stent in all patients before the procedure and after a while 8Fr f-URS was advanced over the hydrophilic guidewire (17).…”

Section: Discussionmentioning

confidence: 99%

Outcomes of miniaturized percutaneous nephrolitotomy in infants: Single centre experience

Pelit¹,

Kati²,

Akın³

et al. 2016

European Urology Supplements

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show abstract

“…The younger the child was, the harder the insertion of UAS. In reported series of pediatric RIRS, UAS was inserted in 43.7-61.5% of patients ( 16 - 18 ). Li et al did not use UAS, rather they inserted DJ stent in all patients before the procedure and after a while 8Fr f-URS was advanced over the hydrophilic guidewire ( 17 ).…”

Section: Discussionmentioning

confidence: 99%

“…SFR was 76.9% in a prospective study of Kareem Daw et al and SFR increased to 85% and 92.3% after ESWL and auxiliary therapy respectively ( 23 ). Pelit et al reported a SFR of 84.4% and 91.1% after initial and additional treatment respectively ( 18 ). In our study, we reached SFR of 84.7% and 94.4% after single and additional session respectively.…”

Section: Discussionmentioning

confidence: 99%

Outcomes of miniaturized percutaneous nephrolitotomy in infants: single centre experience

Pelit

Kati

Çanakçı³

et al. 2017

Int. braz j urol.

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Objectives:The present study was aim to evaluate the safety and efficacy of Mini-PNL to treat kidney stones in patients aged <3 years. This is the one of the largest series in the literature in this age group of patients.Material and methods:From May 2012 to April 2016, the medical records of 74 infant patients who underwent mini-PNL for renal stones were reviewed retrospectively. All infants were evaluated with the plain abdominal radiograph, urinary ultrasound, non-contrast computerized tomography and/or intravenous urogram. Pre-operative, intraoperative and post-operative data were analyzed.Results:A total of 74 infant (42 male, 32 female) with a mean age 21.5±8.2 (10-36) months were included in this study. The mean size of the stones was 22.0±5.9 (14-45) mm. A 17 Fr rigid pediatric nephroscope with a pneumatic intracorporeal lithotripsy were used through 20-22 Fr access sheath. The stone-free rate was 84.7% at 1 month after the operation. Mean operative time was 74.0 (40-140) min. Mean fluoroscopy screening time was as 4.3(3.1-8.6) min. Average hospitalization time was 3.8 (2-9) day. Auxiliary procedures were performed to 11(15.3%) patients (7 extracorporeal shock wave lithotripsy, 3 re- percutaneous nephrolitotomy, 1 retrograde intrarenal surgery). No major complication classified as Clavien IV-V observed in study group.Conclusions:Mini-PNL with pneumatic intracorporeal lithotripsy can be performed safely and effectively to manage kidney stones in infants with high stone free rate and low complications.

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“…It may be especially advantageous when large and hard stones are encountered. It can be used with scopes down to 10FG (Mini Perc) (21, 60, 61). Disadvantages could be a higher rate of stone repulsion, and it can only be used with rigid scopes.…”

Section: Endoscopic Intracorporeal Lithotripsy Disintegration Technolmentioning

confidence: 99%

Update on Surgical Management of Pediatric Urolithiasis

et al. 2019

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Urolithiasis has always been a fascinating disease, even more so in children. There are many intriguing facets to this pathology. This article is a nonsystematic review to provide an update on the surgical management of pediatric urolithiasis. It highlights the pros and cons of various minimally invasive surgical options such as extracorporeal shockwave lithotripsy (ESWL), retrograde intrarenal surgery (RIRS), percutaneous nephrolithotomy (PCNL), laparoscopy, and robotics. This article also describes the various intracorporeal disintegration technologies available to fragment the stone, including the newer advancements in laser technology. It also emphasizes the cost considerations especially with reference to the emerging economies. Thus, this manuscript guides how to select the least-invasive option for an individual patient, considering age and gender; stone size, location, and composition; and facilities and expertise available.

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Comparison of Mini-percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery in Preschool-aged Children

Cited by 33 publications

References 24 publications

Outcomes of miniaturized percutaneous nephrolitotomy in infants: Single centre experience

Outcomes of miniaturized percutaneous nephrolitotomy in infants: Single centre experience

Outcomes of miniaturized percutaneous nephrolitotomy in infants: single centre experience

Update on Surgical Management of Pediatric Urolithiasis

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