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Laparoscopic Pyelolithotomy in Children Less Than Two Years Old with Large Renal Stones: Initial Series

Mohammad Hossein Soltani1, Nasser Simforoosh2, Akbar Nouralizadeh2

  • 1Endourology Department of Shahid Labbafinejad Medical Center, Urology and Nephrology Research Center, Shahid Beheshti University of Medical Sciences (SBMU), Tehran, I.R. Iran. mhsoltani60@gmail.com.

Urology Journal
|October 14, 2016
PubMed

Insights

Laparoscopic pyelolithotomy is a safe and effective treatment for pediatric kidney stones in young children. This minimally invasive approach achieved a 100% stone-free rate in a small cohort.

Area of Science:

  • Pediatric Urology
  • Minimally Invasive Surgery

Background:

  • Pediatric urolithiasis treatment remains debated.
  • Laparoscopic pyelolithotomy offers a potential solution for complex cases.

Purpose of the Study:

  • To evaluate the safety and efficacy of laparoscopic pyelolithotomy.
  • Focus on children under two years old with large kidney stones.

Main Methods:

  • Transperitoneal laparoscopic pyelolithotomy performed on five pediatric patients.
  • Incision made on renal pelvis for stone extraction using Endobag.
  • Data collected on demographics, stone size, operation time, hospital stay, and stone-free rate.

Main Results:

  • Successful treatment in all five patients (four boys, one girl).
  • Mean stone size 24.6 mm, mean operation time 130 minutes.
  • 100% stone-free rate with no major complications and a mean hospital stay of 4.4 days.

Conclusions:

  • Laparoscopic pyelolithotomy is a feasible and effective treatment option for selected young pediatric patients with large renal stones.
  • Transperitoneal approach provides a novel management strategy for pediatric kidney stones.
Abstract

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