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Changes in percutaneous approach to kidney stones in children: A single institute experience over 500 cases.
Hazir, Berk; Citamak, Burak; Asci, Ahmet; Haberal, Hakan Bahadir; Gasimov, Kamranbay; Altan, Mesut; Bilen, Cenk Yucel; Tekgul, Serdar; Dogan, Hasan Serkan.
Afiliación
  • Hazir B; Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.
  • Citamak B; Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.
  • Asci A; Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.
  • Haberal HB; Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.
  • Gasimov K; Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.
  • Altan M; Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.
  • Bilen CY; Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.
  • Tekgul S; Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.
  • Dogan HS; Department of Urology, School of Medicine, Hacettepe University, Ankara, Turkey.
Int J Clin Pract ; 75(7): e14243, 2021 Jul.
Article en En | MEDLINE | ID: mdl-33887081
PURPOSE: The aim of this study is to identify the changes in patient age and stone sizes with technological advancement over time. METHODS: This study was conducted retrospectively with 404 patients (504 renal units) who underwent percutaneous nephrolithotomy (PCNL) between January 1997 and June 2020. Patient characteristics and trends on instrument preferences were investigated. RESULTS: Median age was 7 (1-18) years. Male to female ratio was 1.48:1 (301/203). Median stone burden was 2 cm2 (0.20-25) and median operative time was 90 minutes (20-240). The stone-free rate was 74.6%. Patients were divided into four groups according to the size of the instrument. It was found that the size of sheath used increased significantly with increasing age and stone burden. The micro-PCNL group had the shortest hospitalisation and lowest blood transfusion rate. Chronologically categorised four equal groups were compared to analyse changing patient profiles and trends. Median patient age, stone burden, operation time, sheath size, blood transfusion and complication rates decreased significantly with time. However, the use of tracts smaller than 20F and the number of patients with previous intervention increased significantly. CONCLUSION: Our study demonstrated that the patient's age and stone size at the time of initial diagnosis decrease over time while miniaturisation techniques increase in paediatric urology.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nefrostomía Percutánea / Cálculos Renales Tipo de estudio: Observational_studies / Prognostic_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Int J Clin Pract Asunto de la revista: MEDICINA Año: 2021 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: India
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Nefrostomía Percutánea / Cálculos Renales Tipo de estudio: Observational_studies / Prognostic_studies Límite: Adolescent / Child / Female / Humans / Male Idioma: En Revista: Int J Clin Pract Asunto de la revista: MEDICINA Año: 2021 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: India