Which is the best treatment of pediatric upper urinary tract stones among extracorporeal shockwave lithotripsy, percutaneous nephrolithotomy and retrograde intrarenal surgery: a systematic review

He, Qing-Yu; Xiao, Kan; Chen, Yuntian; Liao, Banghua; Li, Hong; Wang, Kunjie

doi:10.1186/s12894-019-0520-2

Cited by 44 publications

(33 citation statements)

References 32 publications

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“…The majority of complications after SWL and RIRS are minor (Clavien–Dindo Grade 1–2) ranging from 5% to 23%. [ 28 ] However, in the SWL group, five patients with stone size above 1 cm developed steinstrasse. Steinstrasse is a Clavien–Dindo grade 3b complication and needs a DJ stent insertion to ensure urinary drainage.…”

Section: Discussionmentioning

confidence: 99%

Comparison of extracorporeal shockwave lithotripsy and retrograde intrarenal surgery in the treatment of renal pelvic and proximal ureteral stones ≤2 cm in children

Güler

Erbin

2020

Indian J Urol

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Introduction: We aimed to compare extracorporeal shockwave lithotripsy (ESWL) and retrograde intrarenal surgery (RIRS) in pediatric patients with ≤2 cm renal pelvis and proximal ureteral stones. Methods: Medical records of 165 pediatric patients who underwent shockwave lithotripsy (SWL) or RIRS for upper urinary system stones up to 2 cm between January 2014 and December 2018 were retrospectively reviewed. After exclusions, the remaining 130 patients included 73 in the SWL group and 57 in the RIRS group. The groups were compared for demographic features, stone characteristics, operative data, success, and complications. Results: The mean stone volume was 308 ± 85 (54–800) and 336 ± 96 (60–720) mm 3 in SWL and RIRS groups, respectively ( P = 0.46). There were no significant differences in success rates (60% vs. 70%, SWL and RIRS), auxiliary treatment rates (16.4% vs. 14%), and complication rates (26% vs. 24.5%). The number of active procedural sessions and number of anesthesia sessions was higher in the RIRS group ( P < 0.001 and P < 0.001, respectively), while the procedural time and anesthesia time were higher in the SWL group ( P < 0.001 and P < 0.001, respectively). Stone size was found to be an independent success predictive factor for both the treatment modalities. Conclusions: Both SWL and RIRS have similar success, complication, and auxiliary treatment rates. RIRS was superior in terms of total procedure and anesthesia durations, while SWL was superior in terms of numbers of anesthesia sessions and active procedure sessions. As both have similar success rates, the more minimally invasive SWL should be chosen for pediatric upper urinary system stones of less than 2 cm size.

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Section: Discussionmentioning

confidence: 99%

Comparison of extracorporeal shockwave lithotripsy and retrograde intrarenal surgery in the treatment of renal pelvic and proximal ureteral stones ≤2 cm in children

Güler

Erbin

2020

Indian J Urol

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“…Он выделил 4 модифицированных режима ДЛТ в зависимости от плотности и объема конкремента: • режим A -применяется при плотности конкремента (p) > 1000 единиц Хаунсфилда (HU) и объеме (размере) конкремента (V) > 0,7 см 3 (напряжение -15 кВ, число ударно-волновых импульсов -2450); • режим B -применяется при p > 1000 HU, V < 0,7 см 3 (напряжение -15 кВ, число ударно-волновых импульсов -1400); • режим C -применяется при p < 1000 HU, V > 0,7 см 3 (напряжение -13 кВ, число ударно-волновых импульсов -2200); • режим D -применяется при p < 1000 HU, V < 0,7 см 3 (напряжение -13 кВ, число ударно-волновых импульсов -1100). ДЛТ показана больным, у которых максимальный размер почечного конкремента составляет до 2 см, а его локализация соответствует верхним отделам мочевыде-лительной системы (лоханка, малые и большие чашечки) [13]. Следует обратить внимание на то, что в зависимости от состава камня эффективность ДЛТ будет разной.…”

Section: оперативное удаление конкрементаunclassified

Treatment Characteristics of Kidney Stone Disease in Children

Bairashevskaia

Байдин

Цариченко

et al. 2021

Vopr. sovr. pediatr.

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Kidney stone disease (KSD) is a disease caused by the formation of calculi in kidneys and other parts of the urinary tract. The rate of hospitalization of children with KSD worldwide is increasing. The adequate method of calculus extraction and further therapy according to calculus composition and metabolic disorders are crucial for effective treatment of patients with KSD and recurrence risk reduction. This review covers surgical (extracorporeal lithotripsy, percutaneous nephrolithotripsy, retrograde intrarenal surgery, ureterolithotripsy, laparoscopy, open surgery) and non-surgical (lithokinetic and litholytic) therapy. Special attention is paid to metaphylaxis, or recurrence prevention, and calculi formation. It is noted that medication of children with KSD can be aggravated by various adverse reactions, complexity in drugs dosages in children of first years of life. Moreover, all surgical methods are characterized by high risk of postoperative complications development. The relevance of KSD genetic nature in children, the role of lifestyle changes in disease development, the implementation of new drugs for metabolic disorders correction are presented in the article.

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“…According to the EAU guidelines, patients without preoperative urinary tract infection should be treated with a single dose of antibiotics to prevent postoperative infection, and patients with preoperative urinary tract infection should be treated according to urine culture for their urinary tract infection before surgery. Although the use of antibiotics before surgery has made the urine sterile, postoperative infections of stones are still inevitable [8,9]. At present, there is insufficient research on the risk factors of postoperative infection of upper urinary tract stone.…”

Section: Issn: 2320-5407mentioning

confidence: 99%

Establishing and Evaluating the Artificial Neural Network Model for the Prediction of Urinary Tract Infection After Upper Urinary Calculi Surgery

Chen¹,

He²,

Ke³

et al. 2020

IJAR

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Objective:To establish and evaluate the artificial neural network (ANN) model for the prediction of urinary tract infection after upper urinary calculi surgery. Methods: A total of 350 patients with upper urinary tract stones were collected and divided into training group (n=280) and test group (n=70) according to the proportion of 4:1.The logistic regression (LR) model wasused to screen the data by multivariate analysis. Factors with statistically significant would be screened out to establish the LR model and artificial neural network (ANN) model.Receivers operation curve (ROC) was used to evaluate the predictive effect of the model. Results: A total of 29 cases (10.36%) developed postoperative urinary tract infections. Further analysis by logistic regression revealed that the following indicators were independent risk factors for urinary tract infection after upper urinary calculi surgery: infectious stones (OR=3.58, 95%CI=2.04-4.87 p<0.001), operation time (OR=1.51, 95%CI=1.11-2.06 p=0.01), preoperative urine white blood cells and nitrite are both positive (uWBC+NIT+) (OR=1.97, 95%CI=1.55-2.76 p=0.005) , female patients (OR=1.55, 95%CI=1.03-2.35 p=0.04), preoperative positive urine culture (OR=1.33, 95%CI=1.20-1.73 p=0.03) and calculus with polyp encapsulation(OR=1.11, 95%CI=1.05-1.21 p=0.03). Furthermore, we have successfully established the ANN model for the predicting of urinary tract infection after upper urinary calculi surgery. When compared ANN model to LR model for the accurate of prediction by 70 patients in the test group, the accurateof prediction were 78.92% (LR) and 88.69% (ANN), respectively. Moreover, the area under the ROC curve (AUC) of ANN model was greater than the LR model (0.93Â±0.02vs0.74Â±0.05, p<0.01). Conclusion: The established ANN model owned highly effectiveness and accuracy in the predicting of urinary tract infection after upper urinary calculi surgery.

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Which is the best treatment of pediatric upper urinary tract stones among extracorporeal shockwave lithotripsy, percutaneous nephrolithotomy and retrograde intrarenal surgery: a systematic review

Cited by 44 publications

References 32 publications

Comparison of extracorporeal shockwave lithotripsy and retrograde intrarenal surgery in the treatment of renal pelvic and proximal ureteral stones ≤2 cm in children

Comparison of extracorporeal shockwave lithotripsy and retrograde intrarenal surgery in the treatment of renal pelvic and proximal ureteral stones ≤2 cm in children

Treatment Characteristics of Kidney Stone Disease in Children

Establishing and Evaluating the Artificial Neural Network Model for the Prediction of Urinary Tract Infection After Upper Urinary Calculi Surgery

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