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Pediatrik Olgularda Üst Üriner Sistem Taşlarında Retrograd İntrarenal Cerrahi Etkinliği

Year 2021, Volume: 2 Issue: 2, 53 - 59, 16.07.2021
https://doi.org/10.48176/esmj.2021.18

Abstract

Giriş: Bu çalışmanın amacı retrograd intrarenal cerrahi (RIRS) tekniği uyguladığımız üst üriner sistem taşı bulunan pediatrik hastaların sonuçlarını değerlendirmektir.
Yöntemler: Temmuz 2014 - Temmuz 2019 tarihleri arasında RIRS uygulanan 18 yaşından küçük hastaların verileri retrospektif olarak değerlendirildi. Hastaların demografik verileri, taş lokalizasyonu-sayısı-boyutu ve dansitesi, renal anomali varlığı, hastanede kalış süresi, komplikasyon varlığı ve taşsızlık oranları incelendi.
Bulgular: Çalışmaya RIRS uygulanan 37 çocuk çalışmaya dahil edildi. Toplam taşsızlık oranı %91,9 (n=34) elde edildi. Clavien 1-2 komplikayon %18,9 (n=7) gözlendi. Ortalama yatış süresi 1,08 ± 0,36 (1-3) gün idi.
Sonuç: RIRS tekniği, endoürolojideki teknolojik gelişmeler sayesinde çocuk hastalarda kullanımı artmıştır. Deneyimlerimiz, çocuklarda üst üriner sistem taşlarının tedavisinde RIRS'ın güvenli ve etkili olduğunu desteklemektedir.

References

  • 1. Rhodes C, Churchill D, Hulton S-A. Antenatal diagnosis of fetal renal calculus. Ultrasound Obstet Gynecol. 2005 May;25(5):517–8.
  • 2. Mahmud M, Zaidi Z. Percutaneous nephrolithotomy in children before school age: experience of a Pakistani centre. BJU Int. 2004 Dec;94(9):1352–4.
  • 3. Routh JC, Graham DA, Nelson CP. Epidemiological trends in pediatric urolithiasis at United States freestanding pediatric hospitals. J Urol. 2010 Sep;184(3):1100–4.
  • 4. Dursun I, Poyrazoglu HM, Dusunsel R, Gunduz Z, Gurgoze MK, Demirci D, et al. Pediatric urolithiasis: an 8-year experience of single centre. Int Urol Nephrol. 2008;40(1):3–9.
  • 5. He Q, Xiao K, Chen Y, Liao B, Li H, Wang K. Which is the best treatment of pediatric upper urinary tract stones among extracorporeal shockwave lithotripsy, percutaneous nephrolithotomy and retrograde intrarenal surgery: a systematic review. BMC Urol. 2019 Oct 23;19(1):98.
  • 6. Resorlu B, Unsal A, Tepeler A, Atis G, Tokatli Z, Oztuna D, et al. Comparison of retrograde intrarenal surgery and mini-percutaneous nephrolithotomy in children with moderate-size kidney stones: results of multi-institutional analysis. Urology. 2012 Sep;80(3):519–23.
  • 7. Dede O, Sancaktutar AA, Dağguli M, Utangaç M, Baş O, Penbegul N. Ultra-mini-percutaneous nephrolithotomy in pediatric nephrolithiasis: both low pressure and high efficiency. J Pediatr Urol. 2015 Oct;11(5):253.e1-6.
  • 8. Karatag T, Tepeler A, Silay MS, Bodakci MN, Buldu I, Daggulli M, et al. A Comparison of 2 Percutaneous Nephrolithotomy Techniques for the Treatment of Pediatric Kidney Stones of Sizes 10-20 mm: Microperc vs Miniperc. Urology. 2015 May;85(5):1015–8.
  • 9. Smaldone MC, Cannon GM, Wu H-Y, Bassett J, Polsky EG, Bellinger MF, et al. Is ureteroscopy first line treatment for pediatric stone disease? J Urol. 2007 Nov;178(5):2128–31; discussion 2131.
  • 10. Geraghty R, Abourmarzouk O, Rai B, Biyani CS, Rukin NJ, Somani BK. Evidence for Ureterorenoscopy and Laser Fragmentation (URSL) for Large Renal Stones in the Modern Era. Curr Urol Rep. 2015 Aug;16(8):54.
  • 11. Suliman A, Burki T, Garriboli M, Glass J, Taghizadeh A. Flexible ureterorenoscopy to treat upper urinary tract stones in children. Urolithiasis. 2020 Feb;48(1):57–61.
  • 12. Dindo D, Demartines N, Clavien P-A. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004 Aug;240(2):205–13.
  • 13. Preminger GM, Assimos DG, Lingeman JE, Nakada SY, Pearle MS, Wolf JS, et al. Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. J Urol. 2005 Jun;173(6):1991–2000.
  • 14. Aboutaleb H, El-Shazly M, Badr Eldin M. Lower pole midsize (1-2 cm) calyceal stones: outcome analysis of 56 cases. Urol Int. 2012;89(3):348–54.
  • 15. Ozgor F, Sahan M, Yanaral F, Savun M, Sarilar O. Flexible ureterorenoscopy is associated with less stone recurrence rates over Shockwave lithotripsy in the management of 10-20 millimeter lower pole renal stone: medium follow-up results. Int Braz J Urol. 2018 Apr;44(2):314–22.
  • 16. D’Addessi A, Bongiovanni L, Sasso F, Gulino G, Falabella R, Bassi P. Extracorporeal shockwave lithotripsy in pediatrics. J Endourol. 2008 Jan;22(1):1–12.
  • 17. Akin Y, Yucel S. Long-term effects of pediatric extracorporeal shockwave lithotripsy on renal function. Res Rep Urol. 2014;6:21–5.
  • 18. Baş O, Dede O, Aydogmus Y, Utangaç M, Yikilmaz TN, Damar E, et al. Comparison of Retrograde Intrarenal Surgery and Micro-Percutaneous Nephrolithotomy in Moderately Sized Pediatric Kidney Stones. J Endourol. 2016 Jul;30(7):765–70.
  • 19. Erkurt B, Caskurlu T, Atis G, Gurbuz C, Arikan O, Pelit ES, et al. Treatment of renal stones with flexible ureteroscopy in preschool age children. Urolithiasis. 2014 Jun;42(3):241–5.
  • 20. Resorlu B, Sancak EB, Resorlu M, Gulpinar MT, Adam G, Akbas A, et al. Retrograde intrarenal surgery in pediatric patients. World J Nephrol. 2014 Nov 6;3(4):193–7.
  • 21. Unsal A, Resorlu B. Retrograde intrarenal surgery in infants and preschool-age children. J Pediatr Surg. 2011 Nov;46(11):2195–9.
  • 22. Sen H, Seckiner I, Bayrak O, Dogan K, Erturhan S. A comparison of micro-PERC and retrograde intrarenal surgery results in pediatric patients with renal stones. J Pediatr Urol. 2017 Dec;13(6):619.e1-619.e5.
  • 23. Kurtz MP, McNamara ER, Schaeffer AJ, Logvinenko T, Nelson CP. Association of BMI and pediatric urologic postoperative events: Results from pediatric NSQIP. J Pediatr Urol. 2015 Aug;11(4):224.e1-6.
  • 24. Freilich DA, Cilento BG, Graham D, Zhou J, Retik AB, Nguyen HT. Perioperative risk factors for surgical complications in pediatric urology: a pilot study in preoperative risk assessment in children. Urology. 2010 Jul;76(1):3–8.
  • 25. Berrettini A, Boeri L, Montanari E, Mogiatti M, Acquati P, De Lorenzis E, et al. Retrograde intrarenal surgery using ureteral access sheaths is a safe and effective treatment for renal stones in children weighing <20 kg. J Pediatr Urol. 2018 Feb;14(1):59.e1-59.e6.
  • 26. Chen Y, Deng T, Duan X, Zhu W, Zeng G. Percutaneous nephrolithotomy versus retrograde intrarenal surgery for pediatric patients with upper urinary stones: a systematic review and meta-analysis. Urolithiasis. 2019 Apr;47(2):189–99.
  • 27. Baran O, Aykac A, Sari S, Ates A, Ozok U, Sunay M. Retrograde intrarenal surgery for stone disease under spinal anaesthesia, a minimally invasive technique. A retrospective analysis of 1,467 cases. Actas Urol Esp. 2019 Jun;43(5):248–53.
  • 28. Aykac A, Baran O. Safety and efficacy of retrograde intrarenal surgery in geriatric patients by age groups. Int Urol Nephrol. 2020 Dec;52(12):2229–36.
  • 29. Pelit ES, Atis G, Kati B, Akin Y, Çiftçi H, Culpan M, et al. Comparison of Mini-percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery in Preschool-aged Children. Urology. 2017 Mar;101:21–5.

Effectiveness of Retrograde Intrarenal Surgery on Upper Urinary Tract Stones in Pediatric Cases

Year 2021, Volume: 2 Issue: 2, 53 - 59, 16.07.2021
https://doi.org/10.48176/esmj.2021.18

Abstract

Introduction: The objective of this study is to evaluate the results of pediatric patients with upper urinary tract stones where we applied the retrograd intrarenal surgery (RIRS) technique.
Methods: We retrospectively reviewed the files of patients younger than 18 years who underwent RIRS between July 2014 and July 2019. The demographic data of the patients, stone location-number-size and density, presence of renal anomalies, duration of hospital stay, presence of complications and stone-free rates were analyzed.
Results: The study included 37 patients who underwent RIRS. The total stone-free rate was 91.9% (n=34). Clavien 1-2 complications were observed in 18.9% (n=7). The mean hospitalization period was 1.08 ± 0.36 (1-3) days.
Conclusion: Retrograde intrarenal surgery technique has increased in pediatric patients due to technological advances in endourology. Our experience supports that RIRS is safe and effective in the treatment of upper urinary tract stones in children.

References

  • 1. Rhodes C, Churchill D, Hulton S-A. Antenatal diagnosis of fetal renal calculus. Ultrasound Obstet Gynecol. 2005 May;25(5):517–8.
  • 2. Mahmud M, Zaidi Z. Percutaneous nephrolithotomy in children before school age: experience of a Pakistani centre. BJU Int. 2004 Dec;94(9):1352–4.
  • 3. Routh JC, Graham DA, Nelson CP. Epidemiological trends in pediatric urolithiasis at United States freestanding pediatric hospitals. J Urol. 2010 Sep;184(3):1100–4.
  • 4. Dursun I, Poyrazoglu HM, Dusunsel R, Gunduz Z, Gurgoze MK, Demirci D, et al. Pediatric urolithiasis: an 8-year experience of single centre. Int Urol Nephrol. 2008;40(1):3–9.
  • 5. He Q, Xiao K, Chen Y, Liao B, Li H, Wang K. Which is the best treatment of pediatric upper urinary tract stones among extracorporeal shockwave lithotripsy, percutaneous nephrolithotomy and retrograde intrarenal surgery: a systematic review. BMC Urol. 2019 Oct 23;19(1):98.
  • 6. Resorlu B, Unsal A, Tepeler A, Atis G, Tokatli Z, Oztuna D, et al. Comparison of retrograde intrarenal surgery and mini-percutaneous nephrolithotomy in children with moderate-size kidney stones: results of multi-institutional analysis. Urology. 2012 Sep;80(3):519–23.
  • 7. Dede O, Sancaktutar AA, Dağguli M, Utangaç M, Baş O, Penbegul N. Ultra-mini-percutaneous nephrolithotomy in pediatric nephrolithiasis: both low pressure and high efficiency. J Pediatr Urol. 2015 Oct;11(5):253.e1-6.
  • 8. Karatag T, Tepeler A, Silay MS, Bodakci MN, Buldu I, Daggulli M, et al. A Comparison of 2 Percutaneous Nephrolithotomy Techniques for the Treatment of Pediatric Kidney Stones of Sizes 10-20 mm: Microperc vs Miniperc. Urology. 2015 May;85(5):1015–8.
  • 9. Smaldone MC, Cannon GM, Wu H-Y, Bassett J, Polsky EG, Bellinger MF, et al. Is ureteroscopy first line treatment for pediatric stone disease? J Urol. 2007 Nov;178(5):2128–31; discussion 2131.
  • 10. Geraghty R, Abourmarzouk O, Rai B, Biyani CS, Rukin NJ, Somani BK. Evidence for Ureterorenoscopy and Laser Fragmentation (URSL) for Large Renal Stones in the Modern Era. Curr Urol Rep. 2015 Aug;16(8):54.
  • 11. Suliman A, Burki T, Garriboli M, Glass J, Taghizadeh A. Flexible ureterorenoscopy to treat upper urinary tract stones in children. Urolithiasis. 2020 Feb;48(1):57–61.
  • 12. Dindo D, Demartines N, Clavien P-A. Classification of surgical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg. 2004 Aug;240(2):205–13.
  • 13. Preminger GM, Assimos DG, Lingeman JE, Nakada SY, Pearle MS, Wolf JS, et al. Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. J Urol. 2005 Jun;173(6):1991–2000.
  • 14. Aboutaleb H, El-Shazly M, Badr Eldin M. Lower pole midsize (1-2 cm) calyceal stones: outcome analysis of 56 cases. Urol Int. 2012;89(3):348–54.
  • 15. Ozgor F, Sahan M, Yanaral F, Savun M, Sarilar O. Flexible ureterorenoscopy is associated with less stone recurrence rates over Shockwave lithotripsy in the management of 10-20 millimeter lower pole renal stone: medium follow-up results. Int Braz J Urol. 2018 Apr;44(2):314–22.
  • 16. D’Addessi A, Bongiovanni L, Sasso F, Gulino G, Falabella R, Bassi P. Extracorporeal shockwave lithotripsy in pediatrics. J Endourol. 2008 Jan;22(1):1–12.
  • 17. Akin Y, Yucel S. Long-term effects of pediatric extracorporeal shockwave lithotripsy on renal function. Res Rep Urol. 2014;6:21–5.
  • 18. Baş O, Dede O, Aydogmus Y, Utangaç M, Yikilmaz TN, Damar E, et al. Comparison of Retrograde Intrarenal Surgery and Micro-Percutaneous Nephrolithotomy in Moderately Sized Pediatric Kidney Stones. J Endourol. 2016 Jul;30(7):765–70.
  • 19. Erkurt B, Caskurlu T, Atis G, Gurbuz C, Arikan O, Pelit ES, et al. Treatment of renal stones with flexible ureteroscopy in preschool age children. Urolithiasis. 2014 Jun;42(3):241–5.
  • 20. Resorlu B, Sancak EB, Resorlu M, Gulpinar MT, Adam G, Akbas A, et al. Retrograde intrarenal surgery in pediatric patients. World J Nephrol. 2014 Nov 6;3(4):193–7.
  • 21. Unsal A, Resorlu B. Retrograde intrarenal surgery in infants and preschool-age children. J Pediatr Surg. 2011 Nov;46(11):2195–9.
  • 22. Sen H, Seckiner I, Bayrak O, Dogan K, Erturhan S. A comparison of micro-PERC and retrograde intrarenal surgery results in pediatric patients with renal stones. J Pediatr Urol. 2017 Dec;13(6):619.e1-619.e5.
  • 23. Kurtz MP, McNamara ER, Schaeffer AJ, Logvinenko T, Nelson CP. Association of BMI and pediatric urologic postoperative events: Results from pediatric NSQIP. J Pediatr Urol. 2015 Aug;11(4):224.e1-6.
  • 24. Freilich DA, Cilento BG, Graham D, Zhou J, Retik AB, Nguyen HT. Perioperative risk factors for surgical complications in pediatric urology: a pilot study in preoperative risk assessment in children. Urology. 2010 Jul;76(1):3–8.
  • 25. Berrettini A, Boeri L, Montanari E, Mogiatti M, Acquati P, De Lorenzis E, et al. Retrograde intrarenal surgery using ureteral access sheaths is a safe and effective treatment for renal stones in children weighing <20 kg. J Pediatr Urol. 2018 Feb;14(1):59.e1-59.e6.
  • 26. Chen Y, Deng T, Duan X, Zhu W, Zeng G. Percutaneous nephrolithotomy versus retrograde intrarenal surgery for pediatric patients with upper urinary stones: a systematic review and meta-analysis. Urolithiasis. 2019 Apr;47(2):189–99.
  • 27. Baran O, Aykac A, Sari S, Ates A, Ozok U, Sunay M. Retrograde intrarenal surgery for stone disease under spinal anaesthesia, a minimally invasive technique. A retrospective analysis of 1,467 cases. Actas Urol Esp. 2019 Jun;43(5):248–53.
  • 28. Aykac A, Baran O. Safety and efficacy of retrograde intrarenal surgery in geriatric patients by age groups. Int Urol Nephrol. 2020 Dec;52(12):2229–36.
  • 29. Pelit ES, Atis G, Kati B, Akin Y, Çiftçi H, Culpan M, et al. Comparison of Mini-percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery in Preschool-aged Children. Urology. 2017 Mar;101:21–5.
There are 29 citations in total.

Details

Primary Language Turkish
Subjects Clinical Sciences
Journal Section Research Articles
Authors

Özer Baran This is me 0000-0001-9799-8134

Aykut Aykaç This is me 0000-0001-7078-0135

Ufuk Bozkurt This is me 0000-0002-2403-4884

Publication Date July 16, 2021
Published in Issue Year 2021 Volume: 2 Issue: 2

Cite

APA Baran, Ö., Aykaç, A., & Bozkurt, U. (2021). Pediatrik Olgularda Üst Üriner Sistem Taşlarında Retrograd İntrarenal Cerrahi Etkinliği. Eskisehir Medical Journal, 2(2), 53-59. https://doi.org/10.48176/esmj.2021.18
AMA Baran Ö, Aykaç A, Bozkurt U. Pediatrik Olgularda Üst Üriner Sistem Taşlarında Retrograd İntrarenal Cerrahi Etkinliği. Eskisehir Med J. July 2021;2(2):53-59. doi:10.48176/esmj.2021.18
Chicago Baran, Özer, Aykut Aykaç, and Ufuk Bozkurt. “Pediatrik Olgularda Üst Üriner Sistem Taşlarında Retrograd İntrarenal Cerrahi Etkinliği”. Eskisehir Medical Journal 2, no. 2 (July 2021): 53-59. https://doi.org/10.48176/esmj.2021.18.
EndNote Baran Ö, Aykaç A, Bozkurt U (July 1, 2021) Pediatrik Olgularda Üst Üriner Sistem Taşlarında Retrograd İntrarenal Cerrahi Etkinliği. Eskisehir Medical Journal 2 2 53–59.
IEEE Ö. Baran, A. Aykaç, and U. Bozkurt, “Pediatrik Olgularda Üst Üriner Sistem Taşlarında Retrograd İntrarenal Cerrahi Etkinliği”, Eskisehir Med J, vol. 2, no. 2, pp. 53–59, 2021, doi: 10.48176/esmj.2021.18.
ISNAD Baran, Özer et al. “Pediatrik Olgularda Üst Üriner Sistem Taşlarında Retrograd İntrarenal Cerrahi Etkinliği”. Eskisehir Medical Journal 2/2 (July 2021), 53-59. https://doi.org/10.48176/esmj.2021.18.
JAMA Baran Ö, Aykaç A, Bozkurt U. Pediatrik Olgularda Üst Üriner Sistem Taşlarında Retrograd İntrarenal Cerrahi Etkinliği. Eskisehir Med J. 2021;2:53–59.
MLA Baran, Özer et al. “Pediatrik Olgularda Üst Üriner Sistem Taşlarında Retrograd İntrarenal Cerrahi Etkinliği”. Eskisehir Medical Journal, vol. 2, no. 2, 2021, pp. 53-59, doi:10.48176/esmj.2021.18.
Vancouver Baran Ö, Aykaç A, Bozkurt U. Pediatrik Olgularda Üst Üriner Sistem Taşlarında Retrograd İntrarenal Cerrahi Etkinliği. Eskisehir Med J. 2021;2(2):53-9.