Nephrolithiasis
Conditions
Keywords
Urolithiasis, Pediatrics, Percutaneous
Brief summary
Between June 1997-June 2018, 573 pediatric patients underwent PCNL for renal stone disease by senior surgeons. Data was disunited into 2 groups. The study showed that PCNL is an operator-dependent procedure, with the improvement of outcomes over time, presumably due to increased operator experience and the involvement of a team member with substantial prior experience During 20 years, by gaining experience and with the development of new tools and optics, fluoroscopy time, operation time, blood loss and complication rates decreased and stone-free rates increased.
Interventions
Pediatric PCNL
Sponsors
Study design
Intervention model description
the data into two groups. In group-1, PCNL was performed in the first 10 years period (1997-2007); in group-2, PCNL was performed in the second ten years period from 2008 to the present.
Eligibility
Inclusion criteria
* Pediatric patients with kidney stone
Exclusion criteria
* Patients with a solitary kidney
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Safety and Efficacy of clinical experience of Percutaneous nephrolitotomy | over 20 years | The duration of clinical experience affects complication rates, success rates. Intraoperative and postoperative data was contained, preoperative and postoperative GFR (calculated with Cockcroft Gault equations), changing hemoglobin levels, transfusion rate, complications according to the Clavien classification. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Changing of complications managements | Over 20 years | Rate of and changing of Management of complications in pediatric patients |