Abstract
Objective: We aimed to investigate the efficacy and safety of micro-PERC in the surgical treatment of kidney stones in pediatric patients.Materials and methods: We reviewed the data of 32 pediatric patients who underwent micro-PERC for pediatric renal stone disease between January 2015 and January 2017 in our clinic retrospectively. The duration of operation, duration of fluoroscopy, length of hospital stay, complication rates and stone free rates were recorded.Results: The mean age of the 32 patients was 5 ± 4.1 years, and the mean stone size was 13.35 ± 3.12 mm. The duration of operation was 74.2 ± 14.2 minutes, while the mean duration of fluoroscopy was 109 ± 31.2 seconds.Conclusion: : Minimally invasive methods such as micro-PERC are effective and reliable treatment methods in children
Keywords
References
- Schultz-Lampel D, Lampel A. The surgical management of stones in children. BJU Int 2001;87:732-40.
- Dwyer ME, Krambeck AE, Bergstralh EJ, et al. Temporal trends in incidence of kidney stones among children: a 25- year population based study. J Urol 2012;188:247-52.
- Kroovand RL. Pediatric urolithiasis. Urol Clin North Am 1997; 24: 173-84.
- Unsal A, Resorlu B, Kara C, Bozkurt OF, Ozyuvali E. Safety and efficacy of percutaneous nephrolithotomy in infants, preschool age and children with different size of instru- ments. Urology 2010;76:247-52.
- Bader MJ, Gratzke C, Seitz M, Sharma R, Stief CG, Desai M. The “all-seeing needle”: initial results of an optical punctu- re system confirming access in percutaneous nephrolitho- tomy. Eur Urol 2011;59:1054-9.
- Desai MR, Sharma R, Mishra S, Sabnis RB, Stief C, Bader M. Single-step percutaneous nephrolithotomy (microperc): the initial clinical report. J Urol 2011;186:140-5.
- Dindo D, Demartines N, Clavien PA. Classification of sur- gical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004;240:205-13.
- De la Rosette J, Assimos D, Desai M, et al. CROES PCNL study group. The Clinical Research Office of the Endouro- logical society Percutaneous Nephrolithotomy Global study: indications, complications and outcomes in 5803 pa- tients. J Endourol 2011;25 :11-7.
- Bilen CY, Kocak B, Kitirci G, Ozkaya O, Sarikaya S. Percu- taneous nephrolithotomy in children: lessons learned in 5 years at a single institution. J Urol 2007;177:1867-71.
- Kiremit MC, Güven S, Sarıca K,et. al. Contemporary ma- nagement of medium-sized (10-20 mm) renal stones: A retrospective multicenter observational study. J Endourol 2015; 29: 838-43.
- Armagan A, Tepeler A, Silay MS, et al. Micropercutaneous nephrolithotomy in the treatment of moderate-size renal calculi. J Endourol. 2013;27:177-81.
- Tepeler A, Armagan A, Sancaktutar AA, et al. The role of microperc in the treatment of symptomatic lower pole renal calculi. J Endourol. 2013;27:13-8.
- Karatag T, Tepeler A, Silay MS, et al. A Comparison of 2 Percutaneous Nephrolithotomy Techniques for the Treat- ment of Pediatric Kidney Stones of Sizes 10-20 mm: Micro- perc vs Miniperc. Urology 2015;85:1015-8.
- Dağgülli M, Utanğaç MM, Dede O, et al. Micro-percu- taneous nephrolithotomy in the treatment of pediatric nephrolithiasis: A single-center experience. J Pediatr Surg. 2016;51:626-9.
- Silay MS, Tepeler A, Atis G, et al. Initial report of microperc in the treatment of pediatric nephrolithiasis. J Pediatr Surg. 2013;48:1578-83.
- Huffman JL, Bagley DH, Lyon ES. Extending cystoscopic techniques into the ureter and renal pelvis. Experience with ureteroscopy and pyeloscopy. JAMA 1983;250:2002-5.
- Smaldone MC, Cannon GM Jr, Wu HY, et al. Is ureteros- copy first line treatment for pediatric stone disease ? J Urol 2007;178:2128-31.
- Tekgul S, Dogan HS, Hoebeke P et al (2016). Guidelines on pediatric urology. Available at: http://www.uroweb.org/ guideline/paediatric-urology/ (accessed January, 14, 2017).
Abstract
Amaç: Pediatrik hastalarda böbrek taşlarınının cerrahi tedavisinde mikro-PERC’nin etkinliğini ve güvenilirliğini araştırmayı amaçladık..Gereç ve Yöntem: Kliniğimizde Ocak 2015 - Ocak 2017 tarihleri arasında pediatrik böbrek taş hastalığı nedeniyle mikro-PERC uygulanan 32 pediatrik hastanın bilgileri retrospektif olarak değerlendirildi. Operasyon süreleri, floroskopi süresi, hastanede yatış süreleri, komplikasyon oranları ve taştan yoksunluk oranları kayıt edildi.Bulgular: Toplam 32 hastanın ortalama yaşları 5±4.1 yıl, ortalama taş boyutu ise 13.35±3.12 mm olarak hesaplandı. Operasyon süresi açısından bakıldığında 74.2±14.2 dakika iken, ortalama floroskopi süreleri 109±31.2 saniyeydi.Sonuç: Mikro-PERC gibi minimal invazif yöntemler çocuklarda etkin ve güvenilir bir tedavi yöntemidir
Keywords
References
- Schultz-Lampel D, Lampel A. The surgical management of stones in children. BJU Int 2001;87:732-40.
- Dwyer ME, Krambeck AE, Bergstralh EJ, et al. Temporal trends in incidence of kidney stones among children: a 25- year population based study. J Urol 2012;188:247-52.
- Kroovand RL. Pediatric urolithiasis. Urol Clin North Am 1997; 24: 173-84.
- Unsal A, Resorlu B, Kara C, Bozkurt OF, Ozyuvali E. Safety and efficacy of percutaneous nephrolithotomy in infants, preschool age and children with different size of instru- ments. Urology 2010;76:247-52.
- Bader MJ, Gratzke C, Seitz M, Sharma R, Stief CG, Desai M. The “all-seeing needle”: initial results of an optical punctu- re system confirming access in percutaneous nephrolitho- tomy. Eur Urol 2011;59:1054-9.
- Desai MR, Sharma R, Mishra S, Sabnis RB, Stief C, Bader M. Single-step percutaneous nephrolithotomy (microperc): the initial clinical report. J Urol 2011;186:140-5.
- Dindo D, Demartines N, Clavien PA. Classification of sur- gical complications: a new proposal with evaluation in a cohort of 6336 patients and results of a survey. Ann Surg 2004;240:205-13.
- De la Rosette J, Assimos D, Desai M, et al. CROES PCNL study group. The Clinical Research Office of the Endouro- logical society Percutaneous Nephrolithotomy Global study: indications, complications and outcomes in 5803 pa- tients. J Endourol 2011;25 :11-7.
- Bilen CY, Kocak B, Kitirci G, Ozkaya O, Sarikaya S. Percu- taneous nephrolithotomy in children: lessons learned in 5 years at a single institution. J Urol 2007;177:1867-71.
- Kiremit MC, Güven S, Sarıca K,et. al. Contemporary ma- nagement of medium-sized (10-20 mm) renal stones: A retrospective multicenter observational study. J Endourol 2015; 29: 838-43.
- Armagan A, Tepeler A, Silay MS, et al. Micropercutaneous nephrolithotomy in the treatment of moderate-size renal calculi. J Endourol. 2013;27:177-81.
- Tepeler A, Armagan A, Sancaktutar AA, et al. The role of microperc in the treatment of symptomatic lower pole renal calculi. J Endourol. 2013;27:13-8.
- Karatag T, Tepeler A, Silay MS, et al. A Comparison of 2 Percutaneous Nephrolithotomy Techniques for the Treat- ment of Pediatric Kidney Stones of Sizes 10-20 mm: Micro- perc vs Miniperc. Urology 2015;85:1015-8.
- Dağgülli M, Utanğaç MM, Dede O, et al. Micro-percu- taneous nephrolithotomy in the treatment of pediatric nephrolithiasis: A single-center experience. J Pediatr Surg. 2016;51:626-9.
- Silay MS, Tepeler A, Atis G, et al. Initial report of microperc in the treatment of pediatric nephrolithiasis. J Pediatr Surg. 2013;48:1578-83.
- Huffman JL, Bagley DH, Lyon ES. Extending cystoscopic techniques into the ureter and renal pelvis. Experience with ureteroscopy and pyeloscopy. JAMA 1983;250:2002-5.
- Smaldone MC, Cannon GM Jr, Wu HY, et al. Is ureteros- copy first line treatment for pediatric stone disease ? J Urol 2007;178:2128-31.
- Tekgul S, Dogan HS, Hoebeke P et al (2016). Guidelines on pediatric urology. Available at: http://www.uroweb.org/ guideline/paediatric-urology/ (accessed January, 14, 2017).
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Original Article |
| Authors | |
| Publication Date | June 1, 2017 |
| Published in Issue | Year 2017 Volume: 27 Issue: 2 |
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