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Paediatric Percutaneous Nephrolithotomy (PCNL).

Nadeem J Iqbal1, Durre Shohab1, Ijaz Hussain1

  • 1Department of Urology and Kidney Transplant, Pakistan Kidney Institute, Shifa International Hospital, Islamabad.

Journal of the College of Physicians and Surgeons--Pakistan : JCPSP
|August 26, 2015
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Summary
This summary is machine-generated.

Paediatric Percutaneous Nephrolithotomy (PCNL) is a safe and effective treatment for kidney stones in children. This study of 26 pediatric patients demonstrated high stone clearance rates with minimal complications.

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Area of Science:

  • Pediatric Urology
  • Nephrolithiasis Management
  • Minimally Invasive Surgery

Background:

  • Renal stones in children present unique challenges.
  • Percutaneous Nephrolithotomy (PCNL) is an established treatment for adult kidney stones.
  • Evaluating PCNL's safety and efficacy in pediatric patients is crucial.

Purpose of the Study:

  • To assess the safety and efficacy of Paediatric Percutaneous Nephrolithotomy (PCNL).
  • To analyze outcomes in a cohort of 26 pediatric patients undergoing PCNL.
  • To identify key peri-operative and post-operative parameters.

Main Methods:

  • An observational study was conducted.
  • 26 pediatric patients underwent standard PCNL technique.
  • Data collected included patient demographics, stone characteristics, operative details, and complications.

Main Results:

  • Mean stone size was 2.21 cm; mean operative time was 158.8 minutes.
  • High stone clearance rate of 93.28% was achieved.
  • Complications were minimal, with only one case requiring transfusion and one conversion to open surgery.

Conclusions:

  • Paediatric PCNL is a safe and effective procedure for pediatric renal stones.
  • The technique offers high stone-free rates with a low complication profile.
  • PCNL should be considered a viable treatment option for children with kidney stones.