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. 2015 Jul;56(7):519-24.
doi: 10.4111/kju.2015.56.7.519. Epub 2015 Jun 30.

Ultramini nephrostomy tract combined with flexible ureterorenoscopy for the treatment of multiple renal calculi in paediatric patients

Jingyang Guo  1 , Wen Zeng Yang  1 , Yanqiao Zhang  1 , Feng An  1 , Ruojing Wei  1 , Yu Li  1 , Haisong Zhang  1
Affiliations

Ultramini nephrostomy tract combined with flexible ureterorenoscopy for the treatment of multiple renal calculi in paediatric patients

Jingyang Guo et al. Korean J Urol. 2015 Jul.

Abstract

Purpose: To assess the safety and efficacy of an ultramini nephrostomy tract, which we were using for the first time, combined with flexible ureterorenoscopy (URS) in the treatment of pediatric patients with multiple renal calculi.

Materials and methods: Twenty pediatric patients (age, ≤ 6 years) underwent ultramini percutaneous nephrolithotomy (PCNL) combined with flexible URS. The group had multiple renal calculi, which were bilateral in 3 cases and were located in a total of 23 sites. The calculi were located in 2 calyces in 10 cases, scattered in more than 2 calyces in 7 cases, and limited to 1 calyx in 3 cases. The average patient age was 37.35 months (range, 14-68 months). The average stone diameter was 2.0 cm (range, 1-3.0 cm). In all patients, an ultramini nephrostomy tract was established under ultrasound guidance (dilated to F10) with simultaneous sheath placement. The flexible URS was placed into the collecting system during holmium laser lithotripsy.

Results: When ultramini PCNL was combined with flexible ureterorenoscopic holmium laser lithotripsy, the complete stone-free rate was 87% (20/23). The average level of hemoglobin decreased to 1.0 g/dL after the operation. No blood transfusions were needed. Levels of blood urea nitrogen, creatinine, and C-reactive protein were not significantly different before and after the operation. The average duration of hospitalization was approximately 4.85 days, and all cases were followed up for 6 to 12 months. No complications were found.

Conclusions: Ultramini PCNL combined with flexible ureterorenoscopic holmium laser lithotripsy is a safe and effective treatment for children with multiple renal calculi.

Keywords: Kidney calculi; Lithotripsy; Pediatrics; Percutaneous nephrolithotomy; Ureteroscopy.

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Conflict of interest statement

CONFLICTS OF INTEREST: The authors have nothing to disclose.

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References

    1. Turk C, Knoll T, Petrik A, Sarica K, Skolarikos A, Straub M, et al. Guidelines on urolithiasis. Arnhem (NL): European Association of Urology (EAU); 2013.
    1. de la Rosette J, Assimos D, Desai M, Gutierrez J, Lingeman J, Scarpa R, et al. The Clinical Research Office of the Endourological Society Percutaneous Nephrolithotomy Global Study: indications, complications, and outcomes in 5803 patients. J Endourol. 2011;25:11–17. - PubMed
    1. Kawahara T, Ito H, Terao H, Yoshida M, Ogawa T, Uemura H, et al. Ureteroscopy assisted retrograde nephrostomy: a new technique for percutaneous nephrolithotomy (PCNL) BJU Int. 2012;110:588–590. - PubMed
    1. Kawahara T, Ito H, Terao H, Ishigaki H, Ogawa T, Uemura H, et al. Preoperative stenting for ureteroscopic lithotripsy for a large renal stone. Int J Urol. 2012;19:881–885. - PubMed
    1. Aron M, Yadav R, Goel R, Hemal AK, Gupta NP. Percutaneous nephrolithotomy for complete staghorn calculi in preschool children. J Endourol. 2005;19:968–972. - PubMed

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