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. 2013 Mar;39(1):35-8.
doi: 10.5152/tud.2013.007.

Our experience with percutaneous nephrolithotomy in pediatric renal stone disease

İlknur Oral  1 , İsmail Nalbant  2 , Ufuk Öztürk  3 , Nevzat Can Şener  3 , Süleyman Yeşil  4 , H N Göksel Göktuğ  3 , M Abdurrahim İmamoğlu  3
Affiliations

Our experience with percutaneous nephrolithotomy in pediatric renal stone disease

İlknur Oral et al. Turk J Urol. 2013 Mar.

Abstract

Objective: In this paper, we present our experience with percutaneous nephrolithotomy (PNL) in a pediatric patient group.

Material and methods: From June 2007 to September 2010, we performed PNL on 57 pediatric patients. children with a mean age of 7.56 (1-15) years.

Results: Study population consisted of 30 male, and 27 female children with a mean age of 7.56 (1-5) years. Mean stone burden was calculated to be 312.2 (95-1550) mm(2). Percutaneous access was performed under fluoroscopy. Tract dilatation was accomplished with 20 F Amplatz dilators. Pneumatic lithotripsy was used to fragment the renal calculi. Mean operating time was 34 (3-80) minutes. With a single session of PNL, complete stone-free rates were achieved in 55 (96.4%) patients. Residual fragments were remained in 2 (3.5%) patients. Two patients had a febrile episode without signs and symptoms of bacteremia. Subcostal access was used in all of the patients, and none of the patients had any complications.

Conclusion: Based on our experience, we conclude that PNL is a safe and effective method in the management of pediatric stone disease.

Keywords: Pediatric patient; percutaneous nephrolithotomy; urolithiasis.

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