Title |
Fluoroscopy-free ultrasonography-guided percutaneous nephrolithotomy in pediatric patients: a single-center experience
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Published in |
World Journal of Urology, January 2018
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DOI | 10.1007/s00345-018-2184-z |
Pubmed ID | |
Authors |
Akbar Nouralizadeh, Farzaneh Sharifiaghdas, Hamid Pakmanesh, Abbas Basiri, Mohammad Hadi Radfar, Mohammad Hossein Soltani, Mahmoodreza Nasiri, Esmaeil Rezghi Maleki, Emal Lesha, Mohammad Ghasemi-Rad, Behzad Narouie |
Abstract |
To present the safety and efficacy of fluoroscopy-free ultrasound-guided PCNL for the treatment of renal calculi in pediatric patients of all ages. 30 children with mean age of 5 years (6 months-12 years) underwent totally ultrasound-guided PCNL from March 2013 to August 2016. The pyelocalyceal system was punctured in prone position using only ultrasonography guidance, and the tract was dilated using a single shot dilation technique. No fluoroscopy was used during any of the stages of renal access. The procedure was performed using adult-sized instruments. The mean stone size was 27.1 ± 8.7 mm. Mean access time was 4.3 ± 2 min. Mean nephroscopic time was 34.6 ± 15.2 min. Mean hospital stay of patients was 3 days (range 2-5). 21 patients were stone-free after the procedure (70% success rate). Only four patients out of 30 experienced postoperative complications. The results of this study showed that fluoroscopic-free ultrasound-guided PCNL in pediatric patients of all ages is safe, highly efficient, and minimizes potential radiation exposure risks associated with the procedure. |
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Hong Kong | 1 | 100% |
Demographic breakdown
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 20 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 5 | 25% |
Student > Bachelor | 3 | 15% |
Student > Doctoral Student | 2 | 10% |
Other | 2 | 10% |
Professor > Associate Professor | 1 | 5% |
Other | 0 | 0% |
Unknown | 7 | 35% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 8 | 40% |
Philosophy | 1 | 5% |
Unknown | 11 | 55% |