Role of Mini-Percutaneous Nephrolithotomy in the Management of Pediatric Stone Disease: A Systematic Review of Literature

Is Mini Percutaneous Nephrolithotomy a Game Changer for the Treatment of Renal Stones in Children?

“…Despite the high success rates, PCNL is a highly invasive procedure with the potential for serious complications. The complication rate was 24–26% in our series according to the modified Clavien classification, which is similar to rates reported in the literature [12] , [15] , [17] , [27] , [28] . All of our complications were grade II and were managed conservatively.…”

“…PCNL is the standard procedure in children who require surgery for kidney stone disease, even in infants [4] , [5] , [6] , [7] , [8] . MPCNL has become very popular for treating renal stones in different paediatric age groups and can lower perioperative morbidity without compromising therapeutic adequacy [9] , [10] , [11] , [12] , [13] , [14] , [15] .…”

“…MPCNL monotherapy is also used to treat paediatric renal stones, with stone clearance rates of 82% [25] , 85.2% [26] , 89.5% [12] , 86.2% [18] , and 91% [14] reported. Jones et al [15] published a systematic review of MPCNL in the management of paediatric stone disease and found an overall stone-free rate of 87.9% (range 76–97.5%).…”

“…Attempts to reduce perioperative morbidity using miniaturised PCNL (MPCNL) has become popular for treating renal stones in various paediatric age groups using smaller tracts ranging in size from 11Fr to 20Fr with less harm to the renal parenchyma; consequently, there is lower associated morbidity without a decrease in therapeutic efficacy [9] , [10] , [11] , [12] , [13] , [14] , [15] . Concerns regarding the age of the patient has begun to wane, and MPCNL can now be performed even in infancy [16] , [17] , [18] .…”

Outcomes of Mini-Percutaneous Nephrolithotomy in Children and Adolescents: A 10-Year Single-Centre Experience From Kuwait

“…Previous studies have characterized the outcomes of paediatric PCNL using various surgical instruments and age groups [ 12 - 14 ]. According to a recent systematic review, the use of mini-PCNL in children and adolescents has been demonstrated to be both safe and effective [ 15 ]. The present study was conducted to determine the various features and outcomes of paediatric and adolescent patients who had undergone mini-PCNL at a single centre in Kuwait.…”