دورية أكاديمية

Fluoroscopy-free ultrasonography-guided percutaneous nephrolithotomy in pediatric patients: a single-center experience.

التفاصيل البيبلوغرافية
العنوان: Fluoroscopy-free ultrasonography-guided percutaneous nephrolithotomy in pediatric patients: a single-center experience.
المؤلفون: Nouralizadeh A; Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Sharifiaghdas F; Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Pakmanesh H; Department of Urology, Kerman University of Medical Sciences, Kerman, Iran., Basiri A; Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Radfar MH; Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Soltani MH; Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Nasiri M; Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.; Department of Urology, Golestan University of Medical Sciences, Gorgan, Iran., Maleki ER; Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran., Lesha E; Tufts University School of Medicine, Boston, MA, USA., Ghasemi-Rad M; Baylor College of Medicine, Houston, TX, USA., Narouie B; Department of Urology, Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran. b_narouie@yahoo.com.; Department of Urology, Zahedan University of Medical Sciences, Zahedan, Iran. b_narouie@yahoo.com.
المصدر: World journal of urology [World J Urol] 2018 Apr; Vol. 36 (4), pp. 667-671. Date of Electronic Publication: 2018 Jan 18.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Springer International Country of Publication: Germany NLM ID: 8307716 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1433-8726 (Electronic) Linking ISSN: 07244983 NLM ISO Abbreviation: World J Urol Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [Berlin ; New York] : Springer International, 1983-
مواضيع طبية MeSH: Kidney*/diagnostic imaging , Kidney*/surgery , Nephrolithotomy, Percutaneous*/adverse effects , Nephrolithotomy, Percutaneous*/methods, Kidney Calculi/*surgery , Radiation Exposure/*prevention & control , Surgery, Computer-Assisted/*methods , Ultrasonography/*methods, Child ; Child, Preschool ; Female ; Humans ; Infant ; Iran ; Male ; Postoperative Complications ; Retrospective Studies ; Treatment Outcome
مستخلص: Objectives: To present the safety and efficacy of fluoroscopy-free ultrasound-guided PCNL for the treatment of renal calculi in pediatric patients of all ages.
Methods: 30 children with mean age of 5 years (6 months-12 years) underwent totally ultrasound-guided PCNL from March 2013 to August 2016. The pyelocalyceal system was punctured in prone position using only ultrasonography guidance, and the tract was dilated using a single shot dilation technique. No fluoroscopy was used during any of the stages of renal access. The procedure was performed using adult-sized instruments.
Results: The mean stone size was 27.1 ± 8.7 mm. Mean access time was 4.3 ± 2 min. Mean nephroscopic time was 34.6 ± 15.2 min. Mean hospital stay of patients was 3 days (range 2-5). 21 patients were stone-free after the procedure (70% success rate). Only four patients out of 30 experienced postoperative complications.
Conclusions: The results of this study showed that fluoroscopic-free ultrasound-guided PCNL in pediatric patients of all ages is safe, highly efficient, and minimizes potential radiation exposure risks associated with the procedure.
References: Urology. 2012 Aug;80(2):408-11. (PMID: 22743259)
J Urol. 1977 May;117(5):543-6. (PMID: 859195)
J Urol. 2016 Jul;196(1):202-6. (PMID: 26874316)
J Endourol. 2008 Jul;22(7):1453-7. (PMID: 18690811)
J Endourol. 1999 Jun;13(5):359-64. (PMID: 10446796)
PLoS One. 2013 Jun 24;8(6):e66850. (PMID: 23826158)
J Urol. 2014 Mar;191(3):777-82. (PMID: 24095906)
J Endourol. 2015 Aug 7;:null. (PMID: 26058433)
BJU Int. 2013 Nov;112(7):965-71. (PMID: 23889729)
J Urol. 1982 Mar;127(3):417-20. (PMID: 6977650)
J Urol. 2009 Feb;181(2):668-72; discussion 673. (PMID: 19100573)
J Pediatr Urol. 2015 Dec;11(6):339.e1-5. (PMID: 26619794)
BJU Int. 2014 May;113(5):801-10. (PMID: 24127943)
Arch Pediatr Adolesc Med. 2011 May;165(5):458-64. (PMID: 21199972)
J Pediatr Surg. 1987 Mar;22(3):223-7. (PMID: 3559864)
J Endourol. 2006 Aug;20(8):547-51. (PMID: 16903812)
J Endourol. 2004 Feb;18(1):23-7. (PMID: 15006048)
Urol Res. 2011 Jun;39(3):205-12. (PMID: 21069310)
J Pediatr Urol. 2009 Oct;5(5):351-4. (PMID: 19230776)
Urology. 2012 May;79(5):1015-9. (PMID: 22196411)
Int J Urol. 2015 Aug;22(8):773-7. (PMID: 25975519)
Ann Surg. 2004 Aug;240(2):205-13. (PMID: 15273542)
J Pediatr Urol. 2016 Dec;12 (6):399.e1-399.e5. (PMID: 27473257)
Scientifica (Cairo). 2016;2016:5938514. (PMID: 27242949)
World J Urol. 2015 Feb;33(2):223-33. (PMID: 25100624)
Eur Urol. 1982;8(5):304-11. (PMID: 7117345)
BJU Int. 2011 Oct;108(8):1346-9. (PMID: 21251187)
Urolithiasis. 2016 Apr;44(2):179-83. (PMID: 26232329)
فهرسة مساهمة: Keywords: Flouroscopy-free; Pediatric; Percutaneous nephrolithotomy; Ultrasonography-guided
تواريخ الأحداث: Date Created: 20180120 Date Completed: 20180921 Latest Revision: 20220408
رمز التحديث: 20240829
DOI: 10.1007/s00345-018-2184-z
PMID: 29349571
قاعدة البيانات: MEDLINE
الوصف
تدمد:1433-8726
DOI:10.1007/s00345-018-2184-z