Percutaneous Nephrolithotomy in Children in Different Age Groups

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dc.contributor.authorGüven, Selçuk
dc.contributor.authorFrattini, Antonio
dc.contributor.authorOnal, Bülent
dc.contributor.authorDesai, Mahesh
dc.contributor.authorMontanari, Emanuele
dc.contributor.authorKums, Jan
dc.contributor.authorGarofalo, Marco
dc.contributor.authorRosette, Jean De La
dc.date.accessioned2020-03-26T18:31:00Z
dc.date.available2020-03-26T18:31:00Z
dc.date.issued2012
dc.departmentSelçuk Üniversitesien_US
dc.description.abstractObjectives: To present the overall results of paediatric percutaneous nephrolithotomy (PCNL) compared with adults. To present the indications, complications and outcomes of patients treated in the participating centres in the PCNL Global Study, as categorised in different age groups. Patients and Methods. The Clinical Research Office of the Endourological Society (CROES) Study was conducted from November 2007 to December 2009, and included 96 centres and >5800 patients. All children aged 14 years in the PCNL Global Study database were the focus of the study. Results: In all, 107 children aged 14 years were included in the analysis. he PCNL procedure was conducted in 13 patients (12.1%) in the supine position; tubeless PCNL was performed in 15 patients (14%); and balloon dilatation was preferred in 22 patients (20.5%). The overall mean operative duration was 97.02 min; blood transfusion rate, fever and stone-free rates were 9%, 14% and 70.1%, respectively. A comparison of the paediatric PCNL cases according to age groups showed no statistically significant differences between the subgroups for patient characteristics, co-morbidities, renal anomalies, or previous surgical history. In the evaluation of the operative details, the mean sheath size and nephrostomy tube size were larger in school-age children than the preschool children (P = 0.01 and 0.002, respectively). There was a difference in the preferred methods for confirming stone-free status, with ultrasonography preferred more in preschool children (P < 0.001). The PCNL procedure position, puncture site, dilatation method, postoperative tube application, and surgical outcomes were comparable in school- and preschool-age children. While operative details showed some differences between children and adults, the surgical outcomes were comparable. Conclusions: A considerable number (45.7%) of the paediatric patients had a previous history of stone intervention. Based on the findings of the present study, we can suggest that PCNL can be applied safely and effectively in children in different age groups. Outcomes appear comparable with those in adults for the success and complication rates, in the presence of substantial indications, appropriate equipment and adequate experience.en_US
dc.identifier.citationGüven, S., Frattini, A., Onal, B., Desai, M., Montanari, E., Kums, J., Garofalo, M., Rosette, J. D. L., (2012). Percutaneous Nephrolithotomy in Children in Different Age Groups. European Urology Supplements, 11(1), 148-156. Doi:10.1111/j.1464-410X.2012.11239.x
dc.identifier.endpage156en_US
dc.identifier.issn1569-9056en_US
dc.identifier.issue1en_US
dc.identifier.startpage148en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12395/28290
dc.identifier.volume11en_US
dc.identifier.wosWOS:000303001302077en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.institutionauthorGüven, Selçuk
dc.language.isoenen_US
dc.publisherELSEVIER SCIENCE BVen_US
dc.relation.ispartofEuropean Urology Supplementsen_US
dc.relation.publicationcategoryKonferans Öğesi - Uluslararası - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.selcuk20240510_oaigen_US
dc.subjectpercutaneous nephrolithotomy
dc.subjectstone
dc.subjectchildren
dc.subjectpercutaneous
dc.subjectPCNL
dc.subjectage
dc.subjectsupine
dc.titlePercutaneous Nephrolithotomy in Children in Different Age Groupsen_US
dc.typeConference Objecten_US

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