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ROLE OF MICROPERC IN MINIMAL INVASIVE EXTRACTION OF Renal STONES IN CHILDREN
A A Nasir1, S K Mishra1, A Ahmadi1
1Department of Surgery, University of Ilorin/University of Ilorin Teaching Hospital, Ilorin, Nigeria.
Journal of the West African College of Surgeons
|October 13, 2015
Summary
Microperc, a minimally invasive kidney stone removal technique, proved safe and effective for pediatric patients. This procedure offers reduced morbidity and high stone-free rates in children with small to medium-sized renal stones.
Area of Science:
- Pediatric Urology
- Minimally Invasive Surgery
- Nephrolithiasis Treatment
Background:
- Microperc (percutaneous nephrolithotomy) using an all-seeing needle is linked to decreased tract-related complications.
- Pediatric renal stone management requires tailored, minimally invasive approaches.
Purpose of the Study:
- To evaluate the efficacy and safety of the microperc technique for treating renal stones in children.
- To assess microperc outcomes in a pediatric population.
Main Methods:
- A prospective study of 17 children with renal stones treated with microperc between July 2010 and August 2014.
- Utilized a 4.85-Fr all-seeing needle for access and a holmium:YAG laser for fragmentation.
- Collected data on demographics, operative details, stone clearance, complications (Clavien-Dindo), and hospital stay.
Main Results:
- The median age of patients was 9 years, with stone sizes ranging from 5.3mm to 24.9mm.
- Achieved an 88.2% stone-free rate at one month post-procedure, with an overall success rate of 94.1%.
- Reported a low complication rate, including one minor intra-operative perforation (Clavien II) and two managed conservatively (Clavien I).
Conclusions:
- Microperc is a safe and effective minimally invasive option for pediatric renal stone extraction.
- The procedure demonstrates high stone-free rates and acceptable complication profiles in children.
- Supports the use of microperc for small to medium-sized renal calculi in pediatric patients.
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