Abstract
Paediatric nephrolithiasis is quite challenging in terms of management because of the smaller size of the urinary tract and the bigger risk for stone recurrence. Children bear a higher risk of metabolic and infectious causes of stone disease and a longer lifetime risk for recurrence, especially in cases of residual fragments. Complete stone clearance should become the absolute objective and clinically insignificant residual fragments should be avoided. Nowadays, percutaneous nephrolithotomy (PCNL) arises as a logical first-line treatment option for considerable paediatric nephrolithiasis as miniaturization of endoscopes and advances in energy sources for stone fragmentation have facilitated stone-free rates. In this review we present the evolution of PCNL in children and we demonstrate its safety and efficacy. As appropriate instruments are available and relevant surgical experience is accumulating, age should no longer exist as a limiting factor for performing PCNL.
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References
Tanaka ST, Pope JC 4th (2009) Pediatric stone disease. Curr Urol Rep 10:138–143
Dogan HS, Tekgul S (2007) Management of pediatric stone disease. Curr Urol Rep 8:163–173
Desai MR, Kukreja RA, Patel SH et al (2004) Percutaneous nephrolithotomy for complex pediatric renal calculus disease. J Endourol 18:23–27
Newman DM, Coury T, Lingeman JE et al (1986) Extracorporeal shock wave lithotripsy experience in children. J Urol 136:238–240
Schuster TK, Smaldone MC, Averch TD, Ost MC (2009) Percutaneous nephrolithotomy in children. J Endourol Jul 24 [Epub ahead of print]
Smaldone MC, Corcoran AT, Docimo SG, Ost MC (2009) Endourological management of pediatric stone disease: present status. J Urol 181:17–28
Woodside JR, Stevens GF, Stark GL et al (1985) Percutaneous stone removal in children. J Urol 134:1166–1167
Kolla S, Wadhwa P, Aron M (2006) Current status of minimally invasive management of pediatric upper urinary tract calculi. J Indian Assoc Pediatr Surg 11:73–78
Lahme S (2006) Shockwave lithotripsy and endourological stone treatment in children. Urol Res 34:112–117
Jackman SV, Hedican SP, Peters CA et al (1998) Percutaneous nephrolithotomy in infants and preschool age children: experience with a new technique. Urology 52:697–701
Boormans JL, Scheepe JR, Verkoelen CF et al (2005) Percutaneous nephrolithotomy for treating renal calculi in children. BJU Int 95:631–634
Helal M, Black T, Lockhart J et al (1997) The Hickman peel-away sheath for pediatric percutaneous nephrolithotomy. J Endourol 11:171–172
Samad L, Aquil S, Zaidi Z (2006) Paediatric percutaneous nephrolithotomy: setting new frontiers. BJU Int 97:353–363
Bilen CY, Koçak B, Kitirci G et al (2007) Percutaneous nephrolithotomy in children: lessons learned in 5 years at a single institution. J Urol 177:1867–1871
Nouralizadeh A, Basiri A, Javaherforooshzadeh A, Soltani MH, Tajali F (2009) Experience of percutaneous nephrolithotomy using adult-size instruments in children less than 5 years old. J Pediatr Urol Feb 19 [Epub ahead of print]
Munver R, Delvecchio FC, Newman GE et al (2001) Critical analysis of supracostal access for percutaneous renal surgery. J Urol 166:1242–1246
Raza A, Turna B, Smith G et al (2005) Pediatric urolithiasis: 15 years of local experience with minimally invasive endourological management of pediatric calculi. J Urol 174:682–685
Aron M, Yadav R, Goel R et al (2005) Percutaneous nephrolithotomy for complete staghorn calculi in preschool children. J Endourol 19:968–972
Salah MA, Tállai B, Holman E et al (2005) Simultaneous bilateral percutaneous nephrolithotomy in children. BJU Int 95:137–139
Desai MR, Jasani A (2000) Percutaneous nephrolithotripsy in ectopic kidneys. J Endourol 14:289–292
Choong S, Whitfield H, Duffy P et al (2000) The management of pediatric urolithiasis. BJU Int 86:857–860
Schuster TK, Smaldone MC, Averch TD, Ost MC (2009) Percutaneous nephrolithotomy in children. J Endourol 2009 Jul 24 [Epub ahead of print]
Badawy H, Salama A, Eissa M et al (1999) Percutaneous management of renal calculi: experience with percutaneous nephrolithotomy in 60 children. J Urol 162:1710–1713
Kroovand RL (1997) Pediatric urolithiasis. Urol Clin North Am 24:173–184
Lee K, Stoller M (2007) Minimizing and managing bleeding after percutaneous nephrolithotomy. Curr Opin Urol 17:120–124
Sahin A, Tekgül S, Erdem E et al (2000) Percutaneous nephrolithotomy in older children. J Pediatr Surg 35:1336–1338
Kapoor R, Solanki F, Singhania P et al (2008) Safety and efficacy of percutaneous nephrolithotomy in the pediatric population. J Endourol 22:637–640
Mahmud M, Zaidi Z (2004) Percutaneous nephrolithotomy in children before school going age of a Pakistani centre. BJU Int 94:1352–1354
Al-Shammari AM, Al-Otaibi K, Leonard MP et al (1999) Percutaneous nephrolithotomy in the pediatric population. J Urol 162:1721–1724
Salem HK, Morsi HA, Omran A, Daw MA (2007) Tubeless percutaneous nephrolithotomy in children. J Pediatr Urol 3:235–238
Mor Y, Elmasry YE, Kellett MJ et al (1997) The role of percutaneous nephrolithotomy in the management of pediatric renal calculi. J Urol 158:1319–1321
Dawaba MS, Shokeir AA, Hafez AT et al (2004) Percutaneous nephrolithotomy in children: early and late anatomical and functional results. J Urol 172:1078–1081
Samad L, Qureshi S, Zaidi Z (2007) Does percutaneous nephrolithotomy in children cause significant renal scarring? J Pediatr Urol 3:36–39
Papatsoris AG, Varkarakis I, Dellis A et al (2006) Bladder lithiasis: from open surgery to lithotripsy. Urol Res 34:163–167
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Bogris, S., Papatsoris, A.G. Status quo of percutaneous nephrolithotomy in children. Urol Res 38, 1–5 (2010). https://doi.org/10.1007/s00240-009-0240-2
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DOI: https://doi.org/10.1007/s00240-009-0240-2