Successful Percutaneous Nephrolithotomy in Children: Multicenter Study on Current Status of its Use, Efficacy and Complications Using Clavien Classification

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dc.contributor.authorGuven, Selcuk
dc.contributor.authorIstanbulluoglu, Okan
dc.contributor.authorGul, Umit
dc.contributor.authorOzturk, Ahmet
dc.contributor.authorCelik, Huseyin
dc.contributor.authorAygun, Cem
dc.contributor.authorOzdemir, Umit
dc.date.accessioned2020-03-26T18:16:21Z
dc.date.available2020-03-26T18:16:21Z
dc.date.issued2011
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractPurpose: 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.en_US
dc.identifier.doi10.1016/j.juro.2010.11.055en_US
dc.identifier.endpage1424en_US
dc.identifier.issn0022-5347en_US
dc.identifier.issn1527-3792en_US
dc.identifier.issue4en_US
dc.identifier.pmid21334653en_US
dc.identifier.scopusqualityQ1en_US
dc.identifier.startpage1419en_US
dc.identifier.urihttps://dx.doi.org/10.1016/j.juro.2010.11.055
dc.identifier.urihttps://hdl.handle.net/20.500.12395/26854
dc.identifier.volume185en_US
dc.identifier.wosWOS:000288430200098en_US
dc.identifier.wosqualityQ1en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherELSEVIER SCIENCE INCen_US
dc.relation.ispartofJOURNAL OF UROLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectcomparative studyen_US
dc.subjectkidney calculien_US
dc.subjectnephrostomy, percutaneousen_US
dc.subjectpostoperative complicationsen_US
dc.subjecturologic surgical proceduresen_US
dc.titleSuccessful Percutaneous Nephrolithotomy in Children: Multicenter Study on Current Status of its Use, Efficacy and Complications Using Clavien Classificationen_US
dc.typeArticleen_US

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