Simultaneous bilateral percutaneous nephrolithotomy in children

被引:22
作者
Salah, MA
Tállai, B
Holman, E
Khan, MA
Tóth, G
Tóth, C
机构
[1] Univ Debrecen, Dept Urol, Med & Hlth Sci Ctr, H-4032 Debrecen, Hungary
[2] Semmelweis Hosp, Dept Urol, Kiskunhalas, Hungary
[3] Millat Hosp, Dept Urol, Sadikabad, Pakistan
关键词
simultaneous PCNL; paediatric; urolithiasis; outcome;
D O I
10.1111/j.1464-410X.2004.05265.x
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
OBJECTIVE To evaluate the efficacy of removing bilateral kidney stones simultaneously from children, in one session. PATIENTS AND METHODS Thirteen patients (three girls and 10 boys, 26 kidneys; mean age 8 years, range 3-14) underwent simultaneous bilateral percutaneous nephrolithotomy (PCNL) in the same session, under general anaesthesia, starting with ureteric catheter insertion into both kidneys and using a 26 F adult nephroscope. The mean (range) stone diameter was 2 (1-3.5) cm. Three patients had staghorn stones in one of their kidneys. Ultrasonic disintegration was used; two patients had bilateral and two others unilateral endopylotomy, and one patient had percutaneous suprapubic cystolithotomy in the same session. The mean (range) operative duration was 65 (55-90) min. RESULTS All patients were rendered stone-free; there was no severe bleeding or any other complication. On one side in one of the patients, a second session was needed because of residual stone. The nephrostomy tubes were removed 3 and 4 days after PCNL and the hospital stay was 6 (1-11) days. CONCLUSION The advantages of simultaneous bilateral PCNL are reduced psychological stress, one cystoscopy and anaesthesia, less medication and a shorter hospital stay and convalescence, with considerable savings in cost. In experienced hands this method can be used not only in adults but also in children. To our knowledge this is the only report of this technique in children.
引用
收藏
页码:137 / 139
页数:3
相关论文
共 17 条
[1]  
AHLAWAT R, 1995, EUR UROL, V28, P116
[2]  
Boszormenyi-Nagy Geza, 1998, Journal of Endourology, V12, pS222
[3]  
Brands Frank, 1997, Journal of Endourology, V11, pS132
[4]   The management of paediatric urolithiasis [J].
Choong, S ;
Whitfield, H ;
Duffy, P ;
Kellett, M ;
Cuckow, P ;
Van't Hoff, W ;
Corry, D .
BJU INTERNATIONAL, 2000, 86 (07) :857-860
[5]  
Colon-Perez B, 1987, J ENDOUROL, V1, P209, DOI DOI 10.1089/END.1987.1.209
[6]  
Dushinski John W., 1997, Journal of Endourology, V11, pS101
[7]   Endoscopic management of pediatric urolithiasis in a developing country [J].
Holman, E ;
Khan, AM ;
Flasko, T ;
Toth, C ;
Salah, MA .
UROLOGY, 2004, 63 (01) :159-162
[8]   Comparison of 150 simultaneous bilateral and 300 unilateral percutaneous nephrolithotomies [J].
Holman, E ;
Salah, MA ;
Tóth, C .
JOURNAL OF ENDOUROLOGY, 2002, 16 (01) :33-36
[9]   Simultaneous bilateral compared with unilateral percutaneous nephrolithotomy [J].
Holman, E ;
Khan, AM ;
Pásztor, I ;
Tóth, C .
BJU INTERNATIONAL, 2002, 89 (04) :334-338
[10]   Endopyelotomy: Experience with 320 cases [J].
Khan, AM ;
Holman, E ;
Pasztor, I ;
Toth, C .
JOURNAL OF ENDOUROLOGY, 1997, 11 (04) :243-246