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Fluoroscopy-free ultrasonography-guided percutaneous nephrolithotomy in pediatric patients: a single-center experience

Nouralizadeh, A. and Sharifiaghdas, F. and Pakmanesh, H. and Basiri, A. and Radfar, M.H. and Soltani, M.H. and Nasiri, M. and Maleki, E.R. and Lesha, E. and Ghasemi-Rad, M. and Narouie, B. (2018) Fluoroscopy-free ultrasonography-guided percutaneous nephrolithotomy in pediatric patients: a single-center experience. World Journal of Urology, 36 (4). pp. 667-671.

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Abstract

Objectives: To present the safety and efficacy of fluoroscopy-free ultrasound-guided PCNL for the treatment of renal calculi in pediatric patients of all ages. Methods: 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. Results: 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. Conclusions: 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. © 2018, Springer-Verlag GmbH Germany, part of Springer Nature.

Item Type: Article
Additional Information: cited By 0
Subjects: مقالات نمایه شده محققین دانشگاه در سایت ,Web of Science ,Scopus
Divisions: UNSPECIFIED
Depositing User: GOUMS
Date Deposited: 16 Apr 2018 04:51
Last Modified: 16 Apr 2018 04:51
URI: http://eprints.goums.ac.ir/id/eprint/9528

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