Percutaneous nephrolithotomy in children in different age groups: data from the Clinical Research Office of the Endourological Society (CROES) Percutaneous Nephrolithotomy Global Study

摘要: What's known on the subject? and What does study add? Without age being a limiting risk factor, recent reports have shown that almost any version of percutaneous nephrolithotomy (PCNL) can be safely applied in children. As there has been no standardisation categorisation children, are inconsistencies among subgroups current literature. To achieve standard terminology thus common language, World Health Organization classification criterion was used present study. Based findings, we suggest PCNL effectively children different groups. Objectives To overall results paediatric compared with adults. To indications, complications outcomes patients treated participating centres Global Study, as categorised groups. Patients Methods The Clinical Research Office Endourological Society (CROES) Study conducted from November 2007 to December 2009, included 96 >5800 patients. All aged ≤14 years database were focus study. Results In all, 107 analysis. The procedure 13 (12.1%) supine position; tubeless performed 15 (14%); balloon dilatation preferred 22 (20.5%). The mean operative duration 97.02 min; blood transfusion rate, fever stone-free rates 9%, 14% 70.1%, respectively. A comparison cases according groups showed statistically significant differences between for patient characteristics, co-morbidities, renal anomalies, or previous surgical history. In evaluation details, sheath size nephrostomy tube larger school-age than preschool (P = 0.01 0.002, respectively). There difference methods confirming status, ultrasonography more < 0.001). The position, puncture site, method, postoperative application, comparable school- preschool-age While details some adults, comparable. Conclusions A considerable number (45.7%) had history stone intervention. Based findings study, groups. Outcomes appear those adults success complication rates, presence substantial appropriate equipment adequate experience.