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Percutaneous nephrolithotomy in children.

Romano T Demarco1

  • 1Departments of Surgery and Pediatrics, Division of Pediatric Urology, Sanford Children's Hospital, 1600 W. 22nd Street, Sioux Falls, SD 57104, USA.

Advances in Urology
|October 21, 2011
PubMed
Summary
This summary is machine-generated.

Pediatric stone disease management has advanced. Percutaneous nephrolithotomy (PNL) is increasingly used for large pediatric renal calculi, offering an alternative to shockwave lithotripsy (SWL).

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Area of Science:

  • Pediatric Urology
  • Endourology
  • Pediatric Nephrology

Background:

  • Surgical management of pediatric stones has evolved over 30 years.
  • Open lithotomy was the primary treatment before shockwave lithotripsy (SWL).
  • SWL became the preferred method for large pediatric renal calculi.

Purpose of the Study:

  • To review the literature on percutaneous nephrolithotomy (PNL) in children.
  • Focus on indications, techniques, outcomes, and complications of PNL for pediatric renal calculi.

Main Methods:

  • Literature review of pediatric stone disease management.
  • Focus on percutaneous nephrolithotomy (PNL) advancements and applications.

Main Results:

  • Percutaneous nephrolithotomy (PNL) use in pediatric patients has increased.
  • Advances in instrumentation and access techniques enhance PNL safety and efficacy in children.
  • PNL is now considered for large upper tract stones in pediatric populations.

Conclusions:

  • Percutaneous nephrolithotomy (PNL) is a viable and increasingly utilized option for pediatric renal calculi.
  • Modern PNL techniques offer effective management for large stones in children.
  • Further research should focus on long-term outcomes and safety profiles.