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Related Experiment Videos

Percutaneous nephrolithotomy in older children.

A Sahin1, S Tekgül, E Erdem

  • 1Department of Urology, Hacettepe University Medical School, Ankara, Turkey.

Journal of Pediatric Surgery
|September 22, 2000
PubMed
Summary

Percutaneous nephrolithotomy (PCNL) is safe and effective for pediatric kidney stones in children over 8. Standard adult instruments achieve good results with minimal complications and transfusions.

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Area of Science:

  • Urology
  • Pediatric Surgery

Background:

  • Pediatric kidney stones require effective treatment options.
  • Percutaneous nephrolithotomy (PCNL) is a minimally invasive surgical procedure.

Purpose of the Study:

  • To evaluate the safety and efficacy of standard PCNL in pediatric patients over 8 years old.
  • To assess outcomes using adult-sized instruments without modification in children.

Main Methods:

  • Retrospective analysis of 14 pediatric patients (16 kidneys) aged 8-17.
  • Mean stone burden of 301 mm² treated with ultrasonic and laser lithotripsy.
  • Standard 24F-30F Amplatz dilators used under fluoroscopic guidance.

Main Results:

  • Mean operative time was 111 minutes with no major intraoperative or postoperative complications.

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  • Mean hemoglobin drop was 1.16 g/dL; only 1 patient required transfusion.
  • Stone-free rate was 69%, with 100% success including residual fragments <4mm.

    • Conclusions:

    • PCNL is an effective and safe treatment for pediatric kidney stones.
    • Standard adult techniques and instruments are suitable for older children, yielding comparable results.
    • This approach minimizes morbidity and the need for blood transfusions in pediatric patients.