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Percutaneous nephrolithotomy in children
T W Callaway1, G Lingardh, S Basata
1Division of Urology, King Fahad National Guard Hospital, Riyadh, Kingdom of Saudi Arabia.
The Journal of Urology
|September 1, 1992
Summary
Percutaneous nephrolithotomy is a safe and effective treatment for pediatric kidney stones. This procedure successfully removed most stones with no mortality, making it a viable option for children.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
Background:
- Renal calculi (kidney stones) pose a significant challenge in pediatric patients.
- Traditional treatments may involve higher risks or lower efficacy in children.
Purpose of the Study:
- To evaluate the safety and efficacy of percutaneous nephrolithotomy (PCNL) for treating kidney stones in children.
- To assess stone-free rates and complication profiles associated with PCNL in a pediatric cohort.
Main Methods:
- Percutaneous nephrolithotomy was performed on a cohort of 18 pediatric patients.
- Data on procedural outcomes, complications, and stone clearance were collected and analyzed.
Main Results:
- The procedure demonstrated no mortality in the studied pediatric population.
- Hemorrhage was identified as the primary complication.
- A stone-free rate of 67% was achieved, with 82% of targeted stones removed.
Conclusions:
- Percutaneous nephrolithotomy is a successful and safe treatment modality for pediatric renal calculi.
- PCNL offers a favorable outcome for stone removal in children, despite potential complications like hemorrhage.