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- W3025652045 abstract "Abstract Purpose To evaluate the role and outcome of percutaneous nephrolithotomy (PCNL)in the management of paediatric urolithiasis. Material and methods We retrospectively reviewed the records of children who underwent PCNL procedures for renal calculi from 2004 to 2007 A total of 300 children with renal calculi were treated with PCNL. Patient's age at operation ranged from 8 months to 15 years. Patients had pre-operative blood and urine analysis, ultrasonography of kidneys, ureter, bladder and X-ray IVU. A tract was made in the prone position using fluoroscopy and ultrasound. 22 to 26 Fr sheaths with 18.0, 20.5 and 24 Fr nephroscopes were used accordingly. Ultrasound and pneumatic lithoclast alone or in combination were used for stone fragmentation. Results 300 PCNL procedures were performed. Stone burden ranged from 3.1 ± 3.7 cm2 (simple 2.1 ± 1.5 cm2, complex 5.0 ± 8.8 cm2) with stone clearance rates of 92% and 78% in simple and complex stones respectively. During the procedure mean Hb drop was 1.36 ± 0.8 gm% while 26 (14.6%) patients required blood transfusion. Intra and post operative complications included excessive bleeding, and conversion to open surgery in 8, extravasation of fluid in 11 and 5 cases with urinary sepsis. Conclusions Percutaneous nephrolithotomy is a suitable and safe procedure in children including the pre-school age group for both simple and complex stones." @default.
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- W3025652045 date "2013-09-01" @default.
- W3025652045 modified "2023-09-25" @default.
- W3025652045 title "E26 Percutaneous nephrolithotomy (PCNL) in paediatric stones" @default.
- W3025652045 doi "https://doi.org/10.1016/s1569-9056(13)61693-0" @default.
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