Totally Tubeless Percutaneous Nephrolithotomy: Is It Safe and Effective in Preschool Children?

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dc.contributor.authorOzturk, Ahmet
dc.contributor.authorGuven, Selcuk
dc.contributor.authorKilinc, Mehmet
dc.contributor.authorTopbas, Emrah
dc.contributor.authorPiskin, Mesut
dc.contributor.authorArslan, Mehmet
dc.date.accessioned2020-03-26T18:05:27Z
dc.date.available2020-03-26T18:05:27Z
dc.date.issued2010
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractBackground and Purpose: After the introduction of tubeless percutaneous nephrolithotomy (PNL), many studies conducted in adult patients have confirmed its efficacy and safety. There are limited studies reporting that tubeless PNL can be safely applied in children, however. Furthermore, there are no reports that evaluate the use of totally tubeless PNL in children. The present study evaluates the results of totally tubeless PNL in preschool children. Patients and Methods: The data of children seen in our clinic who were considered suitable for totally tubeless PNL were analyzed. Of 16 children, 8 patients underwent totally tubeless PNL (group 1) and 8 standard PNL (group 2). The two groups of patients were compared with regard to length of hospitalization, analgesic requirements, transfusion rates, hemoglobin (Hb) decrease, and immediate, early, and late complications. Results: The mean ages of the patients were 56.6 months (9-84 mos) and 56.0 months (5-84 mos), and the mean follow-up was 21.5 months (3-44 mos) and 43.4 months (36-54 mos) in groups 1 and 2, respectively. Both groups were similar with regard to age, stone size, Hb change, and complications. Although operation duration, hospitalization period, and analgesic requirement were less in the totally tubeless PNL group, these differences were not statistically significant. Conclusions: The latest application of PNL, totally tubeless PNL, is also a safe and effective procedure in very small children if they are selected properly and if the surgeon has sufficient experience with the procedure. More studies with a higher number of participants are needed, however, to confirm that totally tubeless PNL increases the comfort of pediatric patients, decreases their hospitalization period, and is more economical.en_US
dc.identifier.doi10.1089/end.2010.0100en_US
dc.identifier.endpage1939en_US
dc.identifier.issn2152-4920en_US
dc.identifier.issn2151-4939en_US
dc.identifier.issue12en_US
dc.identifier.pmid20815757en_US
dc.identifier.scopusqualityN/Aen_US
dc.identifier.startpage1935en_US
dc.identifier.urihttps://dx.doi.org/10.1089/end.2010.0100
dc.identifier.urihttps://hdl.handle.net/20.500.12395/25433
dc.identifier.volume24en_US
dc.identifier.wosWOS:000285187900007en_US
dc.identifier.wosqualityQ3en_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherMARY ANN LIEBERT, INCen_US
dc.relation.ispartofJOURNAL OF ENDOUROLOGYen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.selcuk20240510_oaigen_US
dc.titleTotally Tubeless Percutaneous Nephrolithotomy: Is It Safe and Effective in Preschool Children?en_US
dc.typeArticleen_US

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