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Endoscopic kidney stone removal is effective for most pediatric cases, minimizing the need for open surgery. Ultrasonic disintegration aids in managing larger stones in children.
Area of Science:
- Urology
- Pediatric Surgery
Background:
- Kidney stones in children present unique challenges.
- Traditional open surgery for pediatric kidney stones is invasive.
Purpose of the Study:
- To evaluate the efficacy and safety of endoscopic kidney stone removal in pediatric patients.
- To assess the necessity of open surgery for pediatric kidney stones.
Main Methods:
- Endoscopic procedures were performed on 55 children under 14.
- Ultrasonic disintegration was employed for larger stones.
- Data on outcomes, complications, and technical difficulties were collected.
Main Results:
- Endoscopic removal proved successful for the majority of pediatric kidney stones.
- Open surgery was required only in exceptional cases.
- The study details the procedure's challenges, results, and complications.
Conclusions:
- Endoscopic kidney stone removal is a viable and effective treatment for pediatric patients.
- Aversion to this minimally invasive technique is unwarranted when performed by skilled practitioners.
- Most pediatric kidney stones can be managed endoscopically, reducing the need for open procedures.
Abstract:
The authors present their experience with the endoscopic kidney stone removal in pediatric patients. They treated 55 children under 14 with this method. If the stone was large they used ultrasonic disintegration. On the basis of their own experience and the technical literature they assert that most of the pediatric kidney stones are removable in this way and there is no reason for the existence of open surgery only in exceptional cases. They detail the difficulties of the performance, their results and complications. On the basis of these they emphasize that the aversion from the endoscopic kidney stone removal in pediatric patients--if someone has the necessary skill--is causeless.