Comparison of Scoring Systems in Pediatric Mini-Percutaneous Nephrolithotomy.

作者: Mehmet Mazhar Utangac , Abdulkadir Tepeler , Mansur Daggulli , Muhammed Tosun , Onur Dede

DOI: 10.1016/J.UROLOGY.2016.03.038

关键词: HematocritMultivariate analysisPercutaneous nephrolithotomyPostoperative complicationOdds ratioRetrospective cohort studyComplicationSurgeryMedicineConfidence interval

摘要: Objective To apply urolithiasis scoring systems to the pediatric miniperc procedure and compare their predictive capability for postoperative outcomes. Materials Methods Records from 2 referral centers of patients under 18 years age who had between 2010 2015 were retrospectively investigated. All included in study graded by same surgeon according Guy's Clinical Research Office Endourological Society (CROES) using preoperative imaging methods. Patient demographics outcomes compared complexity as each system. Results The mean 97 was 7.1 ± 5.2 (1-17) years. stone burden number 388.4 ± 233.9 mm 1.5 ± 1.3, respectively. procedure, fluoroscopy, hospitalization times 78.2 ± 32.8 minutes, 144.8 ± 84.3 seconds, 4.1 ± 2.8 days, hematocrit drop calculated 2.2 ± 2.2. scores 1.7 ± 1.0 259.9 ± 50.6 CROES systems, In multivariate analysis, stone-free status found be associated with (r: −0.464, p : .000) 0.490, 0.000) −0.161, .041). analysis factors related complication, score identified an independent predictor complication ( .02, odds ratio: 1.9, 95% confidence interval 1.097-3.319). Conclusion According our results, ratios after percutaneous nephrolithotomy may predicted preoperatively. addition, system is a rate.

参考文章(23)
Lu Mujun, Shan Doulian, Shayitaji Hasimu, Da Jun, Wang Lingling, Zhou Tuo, Abudukeyoumu Yusufu, Xu Mingxi, The application of S.T.O.N.E. nephrolithometry in pediatric patients with upper urinary tract calculi treated with mini-percutaneous nephrolithotomy. Urological Research. ,vol. 43, pp. 363- 367 ,(2015) , 10.1007/S00240-015-0772-6
Neeraj Kumar Goyal, Apul Goel, Satya Narayan Sankhwar, Vishwajeet Singh, Bhupendra Pal Singh, Rahul Janak Sinha, Divakar Dalela, Rahul Yadav, A critical appraisal of complications of percutaneous nephrolithotomy in paediatric patients using adult instruments. BJUI. ,vol. 113, pp. 801- 810 ,(2014) , 10.1111/BJU.12506
Benjamin W. Turney, John M. Reynard, Jeremy G. Noble, Stephen R. Keoghane, Trends in urological stone disease BJU International. ,vol. 109, pp. 1082- 1087 ,(2012) , 10.1111/J.1464-410X.2011.10495.X
Ibrahim Halil Bozkurt, Ozgu Aydogdu, Tarik Yonguc, Serkan Yarimoglu, Volkan Sen, Bulent Gunlusoy, Tansu Degirmenci, Comparison of Guy and Clinical Research Office of the Endourological Society Nephrolithometry Scoring Systems for Predicting Stone-Free Status and Complication Rates After Percutaneous Nephrolithotomy: A Single Center Study with 437 Cases Journal of Endourology. ,vol. 29, pp. 1006- 1010 ,(2015) , 10.1089/END.2015.0199
Rajesh Kukreja, Mihir Desai, Snehal Patel, Sharad Bapat, Mahesh Desai, First Prize: Factors Affecting Blood Loss During Percutaneous Nephrolithotomy: Prospective Study Journal of Endourology. ,vol. 18, pp. 715- 722 ,(2004) , 10.1089/END.2004.18.715
MOHAMED HELAL, THOMAS BLACK, JORGE LOCKHART, T. ERNESTO FIGUEROA, The Hickman peel-away sheath: alternative for pediatric percutaneous nephrolithotomy. Journal of Endourology. ,vol. 11, pp. 171- 172 ,(1997) , 10.1089/END.1997.11.171
Michael Straub, Jürgen Gschwend, Christoph Zorn, Pediatric urolithiasis: the current surgical management. Pediatric Nephrology. ,vol. 25, pp. 1239- 1244 ,(2010) , 10.1007/S00467-009-1394-4
J.J.M.C.H. de la Rosette, J. Rioja Zuazu, P. Tsakiris, A.M. Elsakka, J.J. Zudaire, M.P. Laguna, Th.M. de Reijke, Prognostic Factors and Percutaneous Nephrolithotomy Morbidity: A Multivariate Analysis of a Contemporary Series Using the Clavien Classification Journal of Urology. ,vol. 180, pp. 2489- 2493 ,(2008) , 10.1016/J.JURO.2008.08.025
Kevin Labadie, Zhamshid Okhunov, Arash Akhavein, Daniel M Moreira, Jorge Moreno-Palacios, Michael Del Junco, Zeph Okeke, Vincent Bird, Arthur D Smith, Jaime Landman, None, Evaluation and Comparison of Urolithiasis Scoring Systems Used in Percutaneous Kidney Stone Surgery The Journal of Urology. ,vol. 193, pp. 154- 159 ,(2015) , 10.1016/J.JURO.2014.07.104
Rahul Kapoor, Fanindra Solanki, Piyush Singhania, Mukund Andankar, Hemant R. Pathak, Safety and efficacy of percutaneous nephrolithotomy in the pediatric population. Journal of Endourology. ,vol. 22, pp. 637- 640 ,(2008) , 10.1089/END.2007.0254