ArticleUrolithiasis2017
Comparison of the results of pediatric percutaneous nephrolithotomy with different sized instruments.
Article in Urolithiasis, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.
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Who cites it
13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 38 citations in OpenAlex.
- Minimally invasive versus standard percutaneous nephrolithotomy for the treatment of pediatric renal calculi: a meta-analysis.BMC pediatrics · 2026Pooled it
- The predictive value of Mayo adhesive probability (MAP) score for perioperative outcomes in percutaneous nephrolithotomy (PCNL): a systematic review and meta-analysis.World journal of urology · 2026Pooled it
- Prospective study of the efficacy of PCNL under local anesthesia based on the ERAS concept.Frontiers in surgery · 2025Article
- Pediatric Nephrolithiasis.Healthcare (Basel, Switzerland) · 2023Review
- Is percutaneous nephrolithotomy effective and safe for children with solitary kidney?Pediatric surgery international · 2022Article
- Is Mini Percutaneous Nephrolithotomy a Game Changer for the Treatment of Renal Stones in Children?European urology open science · 2022Article
- Mini versus ultra-mini percutaneous nephrolithotomy in a paediatric population.Asian journal of urology · 2022Article
- Minimally invasive surgery for pediatric renal and ureteric stones: A therapeutic update.Frontiers in pediatrics · 2022Review
- Mini-percutaneous nephrolithotomy for pediatric complex renal calculus disease: one-stage or two-stage?International urology and nephrology · 2019Article
- Update on Surgical Management of Pediatric Urolithiasis.Frontiers in pediatrics · 2019Review
- Observational
- Totally ultrasound-guided minimally invasive percutaneous nephrolithotomy in children: Is it safe?African journal of paediatric surgery : AJPSArticle
- Comparison of Mini-Percutaneous Nephrolithotomy by Standard and Miniperc Instruments in Pediatric Population: A Single-Center Experience.Journal of Indian Association of Pediatric SurgeonsArticle
Corrections and comments
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Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
We aim to compare the outcomes, including the morbidity and success rates in children undergoing percutaneous nephrolithotomy (PCNL) using different sized devices. According to the size of instruments used during surgery, three different groups (ultra-mini-PCNL, mini-PCNL and adult size PCNL) were composed and the outcomes were compared between the groups. PCNL was applied to 225 renal units of 220 children, including 5 patients with bilateral kidney stones. Percutaneous nephrolithotomy was performed using adult instruments (24 F) in 82 renal units, using pediatric instruments (18 F) in 89 and using minimal-size instruments (9.5 F) in 50. One-hundred and twenty-four girls and 96 boys with a mean age of 8.33 (<17) years were assessed. Stone-free rates were 78 % in group 1 (n = 39) using 9.5 F nephroscope, 75.8 % in group 2 (n = 69) using 18 F nephroscope and 71.4 % in group 3 (n = 60) using 24 F nephroscope. Time to access the collecting system, operative time, duration of nephrostomy and average postoperative hospital stay did not differ between the groups. However, mean hematocrit drop and stone burden were significantly lesser in ultra-mini-PCNL group. There was no significant difference in the complication rates between the groups, according to the modified Clavien classification system. As the important complication of PCNL, bleeding seems to be associated with diameter of dilatation, calibre of nephroscopes and stone burden. To reduce the certain complications, pediatric type of instruments is suitable but the use of adult instruments and techniques may achieve equal results.
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