Safety and efficacy of ultrasound-guided low-pressure perfusion mini-percutaneous nephrolithotomy in children aged 1-7 years : a retrospective observational study
© 2021. The Author(s), under exclusive licence to Springer Nature B.V..
PURPOSE: This article analyzed the safety and efficacy of ultrasound-guided mini-percutaneous nephrolithotomy (MPCNL) with low-pressure perfusion for the treatment of upper urinary tract stones in children.
METHODS: The clinical data of 690 patients (805 renal units) aged 1-7 years were retrospectively analyzed in terms of postoperative outcome.
RESULTS: The mean patient age was 3.7 ± 1.6 years, and the stone burden was 2.8 ± 2.1 cm2. A middle posterior calyceal puncture was created in 719 (89%) renal units, and 16F puncture tracts were the most common method used in 557 (69%) renal units. The stone-free rate was 711 (88%) renal units, and the mean operation time was 35 ± 15.3 min (between 15 and 110 min). Among all cases, the transfusion rate was 4 (0.6%) patients, and the mean decrease in hemoglobin was 1.3 ± 0.9 g/L. In addition, the incidence rates of fever, sepsis, perirenal effusion, and intraperitoneal effusion were 40 (5.9%), 3 (0.4%), 28 (4.1%), and 8 (1.2%) patients, respectively. After the operation, 348 patients were followed-up for 32.8 ± 11.3 months, and stone recurrence occurred in 136 (39%) of 348 patients.
CONCLUSIONS: This study suggests that ultrasound-guided MPCNL with low-pressure perfusion technology is a safe and feasible treatment.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2021 |
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| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:53 |
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| Enthalten in: |
International urology and nephrology - 53(2021), 10 vom: 03. Okt., Seite 1969-1976 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Qiu, Zhi [VerfasserIn] |
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| Links: |
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| Themen: |
Journal Article |
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| Anmerkungen: |
Date Completed 20.01.2022 Date Revised 20.01.2022 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1007/s11255-021-02933-4 |
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| PPN (Katalog-ID): |
NLM327630043 |
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| 245 | 1 | 0 | |a Safety and efficacy of ultrasound-guided low-pressure perfusion mini-percutaneous nephrolithotomy in children aged 1-7 years |b a retrospective observational study |
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| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a © 2021. The Author(s), under exclusive licence to Springer Nature B.V. | ||
| 520 | |a PURPOSE: This article analyzed the safety and efficacy of ultrasound-guided mini-percutaneous nephrolithotomy (MPCNL) with low-pressure perfusion for the treatment of upper urinary tract stones in children | ||
| 520 | |a METHODS: The clinical data of 690 patients (805 renal units) aged 1-7 years were retrospectively analyzed in terms of postoperative outcome | ||
| 520 | |a RESULTS: The mean patient age was 3.7 ± 1.6 years, and the stone burden was 2.8 ± 2.1 cm2. A middle posterior calyceal puncture was created in 719 (89%) renal units, and 16F puncture tracts were the most common method used in 557 (69%) renal units. The stone-free rate was 711 (88%) renal units, and the mean operation time was 35 ± 15.3 min (between 15 and 110 min). Among all cases, the transfusion rate was 4 (0.6%) patients, and the mean decrease in hemoglobin was 1.3 ± 0.9 g/L. In addition, the incidence rates of fever, sepsis, perirenal effusion, and intraperitoneal effusion were 40 (5.9%), 3 (0.4%), 28 (4.1%), and 8 (1.2%) patients, respectively. After the operation, 348 patients were followed-up for 32.8 ± 11.3 months, and stone recurrence occurred in 136 (39%) of 348 patients | ||
| 520 | |a CONCLUSIONS: This study suggests that ultrasound-guided MPCNL with low-pressure perfusion technology is a safe and feasible treatment | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Observational Study | |
| 650 | 4 | |a Pediatrics | |
| 650 | 4 | |a Percutaneous nephrolithotomy | |
| 650 | 4 | |a Ultrasound-guided | |
| 650 | 4 | |a Urolithiasis | |
| 700 | 1 | |a Guo, Quan-Bin |e verfasserin |4 aut | |
| 700 | 1 | |a Ablikim, Zakir |e verfasserin |4 aut | |
| 700 | 1 | |a Shi, Xu-Wen |e verfasserin |4 aut | |
| 700 | 1 | |a Hou, Jiang-Jiang |e verfasserin |4 aut | |
| 700 | 1 | |a Chen, Chang |e verfasserin |4 aut | |
| 700 | 1 | |a Hasanjan, Mamat |e verfasserin |4 aut | |
| 700 | 1 | |a Akbarjan, Mamat |e verfasserin |4 aut | |
| 700 | 1 | |a Anwar, Abdukadir |e verfasserin |4 aut | |
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