�UroToday.com - This study from Turkey reported a pediatric transcutaneous nephrolithotomy have. The radical retrospectively analyzed 105 patients younger than 17 years of historic period who underwent percutaneous nephrolithotomy. The chemical group defined composite calculi as either a staghorn or one with a bulk larger than 3 cm2 and involving more than one calix, the speed ureter, or an anomalous kidney.
The patient's mean age was 9.7 years with a mean stone burden of 6.54 cm2. The mean operative clock time of the PCNL was 90 proceedings. 73.6% of the patients were stone release after one procedure. Almost 40% of the patients required multiple tracts. The average deprivation of hb was 1.6 grams per dl. Both the number and the size of it of the tracts were clinically significant when correlative to the drop in hemoglobin. There was no significant change in creatinine when compared with the number of tracts.
The group over that percutaneous nephrolithotomy is a safe and effective management technique in the treatment of complex nephritic calculi in children. The tract dilation and number of tracts were authoritative factors in reducing profligate loss. Unfortunately, this newspaper would get been stronger if it included nephritic scans preoperatively and postoperative assessments of the impact of numerous tracks in children. This would bear been of great clinical significance, as there get been other studies correlating renal harm with pamphlet size and number. This paper could have put to rest or coagulated any fears with such a large population of children.
Ozden E, Sahin A, Tan B, Dog(an HS, Eren MT, Tekg�l S
J Pediatr Urol. 2008 Aug;4(4):295-8
Reported by UroToday.com Medical Editor Pasquale Casale, MD
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