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https://www.readbyqxmd.com/read/28816278/-analysis-of-development-safety-and-efficacy-of-percutaneous-nephrolithotomy-for-management-of-upper-urinary-tract-calculi-in-pediatric-patients
#1
L P Yu, T Xu
OBJECTIVE: To evaluate the development, safety and efficacy of percutaneous nephrolithotomy(PNL) for management of upper urinary tract calculi in pediatric patients. METHODS: In the study, 77 pediatric patients undergoing 87 PNLs through mini or standard tract for upper urinary tract calculi between January 2005 and December 2016 in Peking University People's hospital were reviewed, including 69 renal calculi, 6 upper ureteral calculi, 12 renal and upper ureteral calculi, 35 single calculi, 43 multiple calculi and 9 staghorn calculi...
August 18, 2017: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/28802643/update-on-urinary-stones-in-children-current-and-future-concepts-in-surgical-treatment-and-shockwave-lithotripsy
#2
REVIEW
Mesrur Selcuk Silay, Jonathan S Ellison, Thomas Tailly, Paolo Caione
CONTEXT: Miniaturized instrumentation used for endoscopic treatment of urinary stone disease in children has been readily adopted in clinical practice. However, there is a need to optimize and individualize the surgical approach according to the patient's age, body habitus, and stone characteristics. Promising novel equipment and techniques will continue to advance the surgical care of these children. OBJECTIVE: To review the literature regarding surgical and shockwave lithotripsy (SWL) treatment of urinary stone disease in children and provide an overview on future treatment innovations...
August 9, 2017: European Urology Focus
https://www.readbyqxmd.com/read/28727383/outcomes-of-miniaturized-percutaneous-nephrolitotomy-in-infants-single-centre-experience
#3
Eyyup Sabri Pelit, Bülent Kati, Cengiz Çanakci, Süleyman Sağir, Halil Çiftçi
OBJECTIVES: The present study was aim to evaluate the safety and efficacy of Mini-PNL to treat kidney stones in patients aged <3 years. This is the one of the largest series in the literature in this age group of patients. MATERIAL AND METHODS: From May 2012 to April 2016, the medical records of 74 infant patients who underwent mini-PNL for renal stones were reviewed retrospectively. All infants were evaluated with the plain abdominal radiograph, urinary ultrasound, noncontrast computerized tomography and/or intravenous urogram...
July 20, 2017: International Braz J Urol: Official Journal of the Brazilian Society of Urology
https://www.readbyqxmd.com/read/28613206/-evolution-from-percutaneous-nephrolithotomy-to-mini-pcnl-in-supine-position-on-the-treatment-of-complex-renal-calculi-feasibility-study
#4
Fernando Ramón de Fata-Chillón, Helena Gimbernat-Díaz, Cristina Redondo-Redondo, Elisa Meilán-Hernández, Erika Mateo-Martínez
OBJECTIVES: Mini-PCNL is a potentially less invasive technique than standard percutaneous nephrolithotomy (PCNL). We present our experience and results comparing both approaches in large burden complex renal calculi. METHODS: Prospective non randomized study comparing PCNL (24/26F nephroscope; Group A) and Mini-PCNL (15/18F; Group B) perioperative and postoperative results, in 40 (20 each group) consecutive patients between 2013 and 2014. We analyze demographic data, hemoglobin drop, urine culture, stone characteristics, operative time, puncture, number and size of the tract, disintegration energy sources, nephrostomy placement, hospital stay, stone free rate and Clavien-Dindo complications...
June 2017: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/28247667/-ultraminipercutaneous-nephrolithotripsy-in-treating-kidney-stones
#5
A G Martov, S V Dutov, A S Andronov
INTRODUCTION: Percutaneous nephrolithotripsy (PNL) is the recommended method of surgical treatment of kidney stones of size greater than 2 cm. Trends in the development of modern urology have been steadily toward less traumatic method to treat nephrolithiasis - minimally invasive PNL. The present work aimed to explore of the possibilities of one of the modern variants of minimally invasive PNL - ultra-mini-PNL in treating nephrolithiasis. MATERIALS AND METHODS: The study included 60 patients (mean age 45...
April 2016: Urologii︠a︡
https://www.readbyqxmd.com/read/28237786/tract-sizes-in-miniaturized-percutaneous-nephrolithotomy-a-systematic-review-from-the-european-association-of-urology-urolithiasis-guidelines-panel
#6
Yasir Ruhayel, Abdulkadir Tepeler, Saeed Dabestani, Steven MacLennan, Aleš Petřík, Kemal Sarica, Christian Seitz, Andreas Skolarikos, Michael Straub, Christian Türk, Yuhong Yuan, Thomas Knoll
CONTEXT: Miniaturized instruments for percutaneous nephrolithotomy (PNL), utilizing tracts sized ≤22 Fr, have been developed in an effort to reduce the morbidity and increase the efficiency of stone removal compared with standard PNL (>22 Fr). OBJECTIVE: We systematically reviewed all available evidence on the efficacy and safety of miniaturized PNL for removing renal calculi. EVIDENCE ACQUISITION: The review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-analyses statement...
August 2017: European Urology
https://www.readbyqxmd.com/read/28221153/ultra-mini-pnl-ump-material-indications-technique-advantages-and-results
#7
Janak D Desai
Stone disease has afflicted mankind since centuries; records from ancient civilisations of India and Egypt have shown stones in human bodies. The scientific mind of humans has always made smart endeavours to remove the kidney stones. From large instruments made like the beaks of different animals and birds in 600 BC (Indian civilisation) to extremely sophisticated and miniaturised endoscopic intruments of today the human race has travelled a long way. The theme has always been to remove the stones with minimal morbidity and mortality and with minimum pain to the patient...
January 2017: Archivos Españoles de Urología
https://www.readbyqxmd.com/read/27704184/mini-percutaneous-nephrolithotomy-for-stones-in-anomalous-kidneys-a-prospective-study
#8
Sanjay Khadgi, Babu Shrestha, Hamdy Ibrahim, Sunil Shrestha, Mohammed S ElSheemy, Ahmed M Al-Kandari
To evaluate safety and efficacy of minipercutaneous nephrolithotomy (Mini-PNL) in management of stones in different types of renal anomalies. Patients with stones ≥2 cm or SWL-resistant stones in anomalous-kidneys treated by Mini-PNL between March 2010 and September 2012 were included prospectively. Mini-PNL was done under regional anesthesia in prone position with fluoroscopic guidance through 18 Fr sheath using semirigid ureteroscope (8.5/11.5 Fr) and pneumatic lithotripter. All patients were followed-up for 2-3 years...
August 2017: Urolithiasis
https://www.readbyqxmd.com/read/27504246/efficacy-and-safety-of-mini-percutaneous-nephrolithotomy-in-obese-patients
#9
Fatih Akbulut, Onur Kucuktopcu, Emre Kandemir, Burak Ucpinar, Faruk Ozgor, Abdulmuttalip Simsek, Burak Arslan, Akif Erbin, Fatih Yanaral, Murat Binbay, Gokhan Gurbuz
PURPOSE: We aimed to evaluate the effect of obesity on surgical outcomes of mini percutaneous nephrolithotomy (Mini-PNL). METHODS: Hundred and eighty two Mini-PNL procedures were performed between May 2013 and January 2015 and their results were evaluated retrospectively. Patients were classified as non-obese (BMI, 18.5-30 kg/m(2)) and obese (≥30 kg/m(2)) groups. Obese and non-obese patients were compared according to pre-operative demographic values, intra-operative surgery techniques and post-operative results...
2016: SpringerPlus
https://www.readbyqxmd.com/read/27170277/the-modified-ultra-mini-percutaneous-nephrolithotomy-technique-and-comparison-with-standard-nephrolithotomy-a-randomized-prospective-study
#10
COMPARATIVE STUDY
Tolga Karakan, Muhammet Fatih Kilinc, Omer Gokhan Doluoglu, Yildiray Yildiz, Cem Nedim Yuceturk, Murat Bagcioglu, Mehmet Ali Karagöz, Okan Bas, Berkan Resorlu
To compare the success and complications of ultra-mini percutaneous nephrolithotomy (UPNL) and standard percutaneous nephrolithotomy (SPNL) techniques. We prospectively analyzed 50 patients who underwent SPNL, and 47 patients who underwent UPNL. The patients with a stone size equal to or smaller than 25 mm and we used flipping a coin as the randomization technique. The mean stone size was 20.9 ± 3.6 mm in SPNL, and 20.3 ± 3.0 mm in ultra-mini PNL groups. Stone free rates were 88 % (44/50 patients) and 89...
April 2017: Urolithiasis
https://www.readbyqxmd.com/read/27041228/a-novel-drainage-technique-during-micropercutaneous-nephrolithotomy-in-pediatric-patients-double-angiocath
#11
Necmettin Penbegul, Mehmet Mazhar Utangac, Mansur Daggulli, Onur Dede, Yasar Bozkurt, Mehmet Nuri Bodakci, Murat Atar
Micropercutaneous nephrolithotomy (microperc) is a recently introduced percutaneous nephrolithotomy (PNL) technique that has the smallest tract size. The absence of an amplatz sheath during the microperc technique is a fundamental difference that distinguishes it from all other types of PNL (standard, mini, ultramini). Increasing of the intrarenal pelvic pressure (IPP) was demonstrated by the authors in adult patients but this problem may be even more serious in pediatric patients. Previously, the authors defined the use of a 14 gauge angiocath needle and sheath (microsheath) during microperc surgery for pediatric patient to reduce the IPP...
June 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/26727075/comparison-of-flexible-ureterorenoscopy-and-mini-percutaneous-nephrolithotomy-in-treatment-of-lower-calyceal-stones-smaller-than-2-cm
#12
COMPARATIVE STUDY
Fatih Akbulut, Onur Kucuktopcu, Emre Kandemir, Erkan Sonmezay, Abdulmuttalip Simsek, Faruk Ozgor, Murat Binbay, Ahmet Yaser Muslumanoglu, Gokhan Gurbuz
To compare the outcomes of flexible ureterorenoscopy (F-URS) and mini-percutaneous nephrolithotomy (mini-PNL) in the treatment of lower calyceal stones smaller than 2 cm. Patients who underwent F-URS and mini-PNL for the treatment of lower calyceal stones smaller than 2 cm between March 2009 and December 2014 were retrospectively evaluated. Ninety-four patients were divided into two groups by treatment modality: F-URS (Group 1: 63 patients) and mini-PNL (Group 2: 31 patients). All patients were preoperatively diagnosed with intravenous pyelography or computed tomography...
2016: Renal Failure
https://www.readbyqxmd.com/read/26649082/micropercutaneous-nephrolithotripsy-initial-experience
#13
Erkan Ölçücüoğlu, Yusuf Kasap, Esin Ölçücüoğlu, Mehmet Emin Şirin, Eymen Gazel, Sedat Taştemur, Öner Odabas
INTRODUCTION: For small renal calculi (< 2 cm) the currently available treatment options include extracorporeal shockwave lithotripsy (ESWL), retrograde intrarenal surgery (RIRS) and standard/mini percutaneous nephrolithotomy (PNL). A new method, microperc, has therefore been developed, in which a smaller tract size and smaller instruments were used. AIM: To present our clinical experiences with micropercutaneous nephrolithotripsy (microperc) in the treatment of small renal calculi...
September 2015: Wideochirurgia i Inne Techniki Mało Inwazyjne, Videosurgery and Other Miniinvasive Techniques
https://www.readbyqxmd.com/read/26494553/laparoscopy-assisted-percutaneous-stone-surgery-can-be-performed-in-multiple-ways-for-pelvic-ectopic-kidneys
#14
Haluk Soylemez, Necmettin Penbegül, Mehmet Mazhar Utangac, Onur Dede, Süleyman Çakmakçı, Namık Kemal Hatipoglu
Pelvic kidney stones remain a unique challenge to the endourologists. Treatment options include open surgery, extracorporeal shockwave lithotripsy, percutaneous nephrolithotomy (PNL), retrograde intrarenal surgery, and laparoscopy assisted PNL (LA-PNL). As a minimal invasive option, LA-PNL can decrease the risk for bowel and major vessel injury. Here, we describe our experience using the LA-PNL procedures with different combinations, to treat kidney stones in multiple patients with a pelvic ectopic kidney (PEK)...
August 2016: Urolithiasis
https://www.readbyqxmd.com/read/26460156/micro-percutaneous-nephrolithotomy-in-the-treatment-of-pediatric-nephrolithiasis-a-single-center-experience
#15
Mansur Dağgülli, Mehmet Mazhar Utanğaç, Onur Dede, Mehmet Nuri Bodakçi, Necmettin Penbegül, Namık Kemal Hatipoğlu, Murat Atar, Yaşar Bozkurt, Ahmet Ali Sancaktutar
OBJECTIVE: We aimed to clarify the applicability and safety of micro-PNL (microperc) in the treatment of pediatric kidney stones. MATERIAL AND METHODS: A single center prospective trial was initiated, and microperc was performed in 40 children using the same two methods: the classical all-seeing needle and microsheath method. Stone fragmentation was performed using a 200-μm holmium:YAG laser fiber. RESULTS: The mean age of the patients was 6...
April 2016: Journal of Pediatric Surgery
https://www.readbyqxmd.com/read/26194110/comparison-of-microperc-and-mini-percutaneous-nephrolithotomy-for-medium-sized-lower-calyx-stones
#16
COMPARATIVE STUDY
Adem Tok, Fatih Akbulut, Ibrahim Buldu, Tuna Karatag, Onur Kucuktopcu, Gokhan Gurbuz, Okan Istanbulluoglu, Abdullah Armagan, Abdulkadir Tepeler, Ali Ihsan Tasci
The objective of this study was to present the outcomes of comparative clinical study of microperc versus mini-percutaneous nephrolithotomy (mini-PNL) in the treatment of lower calyx stones of 10-20 mm. Patients with lower calyx stones treated with microperc (Group-1) or mini-PNL (Group-2) between 2011 and 2014 were retrospectively analyzed. Demographics of the patients were compared, including age, gender, BMI, stone size, laterality and procedural parameters (operation and fluoroscopy time), and outcomes (success and complication rates)...
April 2016: Urolithiasis
https://www.readbyqxmd.com/read/25964199/ultra-mini-percutaneous-nephrolithotomy-in-pediatric-nephrolithiasis-both-low-pressure-and-high-efficiency
#17
Onur Dede, Ahmet Ali Sancaktutar, Mansur Dağguli, Mazhar Utangaç, Okan Baş, Necmettin Penbegul
INTRODUCTION: The management of urolithiasis in children differs from adults because of anatomic and metabolic abnormalities. At present, various minimally invasive and invasive treatment strategies have been recommended to treat urinary tract Stones, including shock wave lithotripsy (SWL), standard percutaneous nephrolithotomy (PNL), mini-PNL, retrograde intrarenal surgery (RIRS), micro-PNL, and a new technique termed ultra-mini PNL (UMP). UMP is a new method for the treatment of kidney stones...
October 2015: Journal of Pediatric Urology
https://www.readbyqxmd.com/read/25917724/a-comparison-of-2-percutaneous-nephrolithotomy-techniques-for-the-treatment-of-pediatric-kidney-stones-of-sizes-10-20-mm-microperc-vs-miniperc
#18
COMPARATIVE STUDY
Tuna Karatag, Abdulkadir Tepeler, Mesrur Selcuk Silay, Mehmet Nuri Bodakci, Ibrahim Buldu, Mansur Daggulli, Namik Kemal Hatipoglu, Mustafa Okan Istanbulluoglu, Abdullah Armagan
OBJECTIVE: To compare outcomes of micro-percutaneous nephrolithotomy (PNL; microperc) with mini-PNL (miniperc) in the treatment of pediatric renal stones of sizes 10-20 mm. MATERIALS AND METHODS: Patients aged <18 years who underwent PNL for renal stones of sizes 10-20 mm between August 2011 and March 2014 in 3 referral centers were reviewed retrospectively. Patients were evaluated in the following 2 groups: microperc (group 1) and miniperc (group 2). Demographics and perioperative parameters (fluoroscopy and operation time, hemoglobin drop, and stone-free and complication rates) were retrospectively analyzed...
May 2015: Urology
https://www.readbyqxmd.com/read/25700801/supine-or-prone-position-for-mini-pnl-procedure-does-it-matter
#19
Zafer Tokatlı, Mehmet Ilker Gokce, Evren Süer, Remzi Sağlam
In this study it is aimed to compare the success and complication rates of mini-PNL procedure in supine and prone positions. In this retrospective study data of 180 patients treated with MPNL either in supine (n = 54) or prone (n = 126) positions between May 2009 and August 2014 was investigated. Success was defined as no visible stones >2 mm. Perioperative complications were classified using the modified Clavien system. Groups were compared with Chi square test or Student t test and for statistical significance p value of 0...
June 2015: Urolithiasis
https://www.readbyqxmd.com/read/25697981/treatment-alternatives-for-urinary-system-stone-disease-in-preschool-aged-children-results-of-616-cases
#20
COMPARATIVE STUDY
Haluk Sen, Ilker Seckiner, Omer Bayrak, Sakip Erturhan, Asaf Demirbağ
INTRODUCTION: The treatment of stone disease is mostly similar in those adult and children. The standard treatment procedures are as follows: extracorporeal shock wave lithotripsy (ESWL), ureterorenoscopy (URS), percutaneous nephrolithotomy (PCNL), and laparoscopic surgery in selected cases. Open surgery (OS) is another option particularly in such cases with anatomic abnormalities of urinary tract. OBJECTIVE: The present study aims to provide comparative results of stone removal procedures in preschool aged patients who were diagnosed with urinary system stone disease...
February 2015: Journal of Pediatric Urology
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