PURPOSE: In this multicenter study we aimed to evaluate the efficacy and safety of percutaneous nephrolithotomy in children with respect to different features and using the Clavien classification system. MATERIALS AND METHODS: Percutaneous nephrolithotomies performed in children at 3 urology departments between March 2006 and May 2010 were included in the study. Results are presented for complex/simple renal stones, tubeless/totally tubeless percutaneous nephrolithotomy, simultaneous bilateral percutaneous nephrolithotomy, instrument size and age groups. Patients were divided into 3 distinct groups, infants and toddlers (3 years or younger, group 1), preschool children (4 to 7 years, group 2) and school children (8 to 16 years, group 3). Perioperative complications are presented according to the modified Clavien classification system. RESULTS: A total of 140 percutaneous nephrolithotomies were performed in 130 patients (41.5% female, mean age 10.17 years). There were 23, 25 and 92 renal units in groups 1, 2 and 3, respectively. Pediatric instruments were used in 60 renal units and adult-sized instruments in 80. General assessment of complications showed Clavien grade I complications in 17 patients, II in 4, IIIa in 11 and IIIb in 7. There were no grade IV or V complications. CONCLUSIONS: Percutaneous nephrolithotomy can be applied safely in children of varying ages, even infants. Complications, as assessed with Clavien classification, are comparable to those seen in adults provided there is enough experience with the technique.
PURPOSE: In this multicenter study we aimed to evaluate the efficacy and safety of percutaneous nephrolithotomy in children with respect to different features and using the Clavien classification system. MATERIALS AND METHODS: Percutaneous nephrolithotomies performed in children at 3 urology departments between March 2006 and May 2010 were included in the study. Results are presented for complex/simple renal stones, tubeless/totally tubeless percutaneous nephrolithotomy, simultaneous bilateral percutaneous nephrolithotomy, instrument size and age groups. Patients were divided into 3 distinct groups, infants and toddlers (3 years or younger, group 1), preschool children (4 to 7 years, group 2) and school children (8 to 16 years, group 3). Perioperative complications are presented according to the modified Clavien classification system. RESULTS: A total of 140 percutaneous nephrolithotomies were performed in 130 patients (41.5% female, mean age 10.17 years). There were 23, 25 and 92 renal units in groups 1, 2 and 3, respectively. Pediatric instruments were used in 60 renal units and adult-sized instruments in 80. General assessment of complications showed Clavien grade I complications in 17 patients, II in 4, IIIa in 11 and IIIb in 7. There were no grade IV or V complications. CONCLUSIONS: Percutaneous nephrolithotomy can be applied safely in children of varying ages, even infants. Complications, as assessed with Clavien classification, are comparable to those seen in adults provided there is enough experience with the technique.
Authors: Ahmed R El-Nahas; Ahmed A Shokeir; Ahmed M Shoma; Ibrahim Eraky; Osama M Sarhan; Ashraf T Hafez; Mohamed S Dawaba; Ahmed M Elshal; Ahmed M Ghali; Mahmoud R El-Kenawy Journal: Can Urol Assoc J Date: 2014-11 Impact factor: 1.862
Authors: Murat M Rifaioglu; Kadir Onem; Ibrahim Buldu; Tuna Karatag; Mustafa Okan Istanbulluoglu Journal: Urolithiasis Date: 2014-01-28 Impact factor: 3.436
Authors: Ahmed Farouk; Ahmed Tawfick; Mohamed Shoeb; Mahmoud A Mahmoud; Diaa Eldin Mostafa; Mohamed Hasan; Hany M Abdalla Journal: World J Urol Date: 2018-02-15 Impact factor: 4.226
Authors: Mehmet Nuri Bodakci; Mansur Daggülli; Ahmet Ali Sancaktutar; Haluk Söylemez; Namık Kemal Hatipoglu; Mehmet Mazhar Utangaç; Necmettin Penbegül; Tevfik Ziypak; Yaşar Bozkurt Journal: Urolithiasis Date: 2014-07-09 Impact factor: 3.436