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• W2390329133 abstract "Objective To evaluate the clinical efficacy and safety of minimally invasive percutaneous nephrolithotomy (mini-PCNL) for treatment of upper urinary tract calculi in children. Methods We retrospectively reviewed the clinical data of 45 cases with upper urinary tract calculi from March 2007 to April 2009. The children underwent mini-PCNL at a mean age of (4.9±3.5) years (ranging from 10 months to 15 years); and the male to female ratio was 1.8∶1. The calculi in 20 children were caused by taking milk products contaminated with melamine. Left-side renal calculi were found in 16 cases and right-side in 18. Bilateral renal calculi were found in 7 cases. Left-side upper ureteral calculi were found in 2 cases, and left-side upper ureteral calculi combined with right-side renal stone in one. One right-side upper ureteral calculi was combined with bilateral renal stones. The diameter of these stones were about 10-50 mm (with a mean size of [18.6±8.9] mm), and 8 cases had staghorn stone. All the urinary calculi were confirmed by B-ultrasound examination and spiral CT scanning. DTPA renal dynamic imaging was used to evaluate the extent of ureter obstruction and know about the kidney function separately. Results Forty-five cases(50 sides) underwent mini-PCNL. The mean operative time was (45±12) minutes. The average volume of bleeding was (20±5) mL during the operation. The successful rate of single operation was 96%(48/50). The renal stoma tubes were left in all patients after operation and removed 2 to 5 days later. Double pigtail tubes were left in 60% patients and removed by cystoscope after a month. The postoperative hospital stays were 4 to 14 days. All cases were followed up for 5 to 30 months, and the growth and development of the children were normal. Forty (88.9%) patients had calculi completely disappeared, with no recurrence. Hydronephrosis and hydroureterosis disappeared or were improved. Four cases still had residuals and one case had recurrence. Conclusion Mini-PCNL for the treatment of upper urinary tract calculi is safe and effective in children. The patients recover quickly and the operation can be done repeatedly; moreover, the technique has little influence on ureter and renal pelvis." @default.
• W2390329133 created "2016-06-24" @default.
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• W2390329133 date "2010-01-01" @default.
• W2390329133 modified "2023-09-23" @default.
• W2390329133 title "Minimally invasive percutaneous nephrolithotomy for treatment of upper urinary tract calculi in children:a report of 45 cases" @default.
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