Volume 22 Issue 5
May  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(5): 817-819
Zhaxidajie, Pingcuosangbu, Ciwang, YU Hongliang, WANG Jiangzhong, HAO Zongyao, GONG Binbin. Efficacy analysis of the Needle-perc system in pediatric renal stone treatment without artificial hydronephrosis[J]. Chinese Journal of General Practice, 2024, 22(5): 817-819. doi: 10.16766/j.cnki.issn.1674-4152.003510
Citation: Zhaxidajie, Pingcuosangbu, Ciwang, YU Hongliang, WANG Jiangzhong, HAO Zongyao, GONG Binbin. Efficacy analysis of the Needle-perc system in pediatric renal stone treatment without artificial hydronephrosis[J]. Chinese Journal of General Practice, 2024, 22(5): 817-819. doi: 10.16766/j.cnki.issn.1674-4152.003510
shu

Efficacy analysis of the Needle-perc system in pediatric renal stone treatment without artificial hydronephrosis

doi: 10.16766/j.cnki.issn.1674-4152.003510
  • 1.

    Department of Urology, Shannan People ' s Hospital, Shannan, Xizang 856000, China

Funds:

 XZ2022ZR-ZY37(Z)

  • Received Date: 2023-04-23
    Available Online: 2024-07-20
    Abstract
  •   Objective   This study aims to evaluate the efficacy and safety of percutaneous nephrolithotripsy assisted by the needle-perc system without artificial hydronephrosis in the treatment of pediatric renal stones.   Methods   A total of 11 pediatric patients with renal stones treated underwent percutaneous nephrolithotripsy using the visualized needle-perc system were enrolled in Shannan People ' s Hospital during August 2021 to October 2022. The cohort included 7 males and 4 females aged 5-16 years, with 4 patients on the right side and 7 patients on the left side. Among them, 5 patients had single renal pelvis stone and 6 patients had multiple calculi. The maximum mean diameter of calculi was (18.46±6.52) mm, with a mean CT value of (835.04±135.74) HU. All of them underwent percutaneous holmium laser lithotripsy under general anesthesia using a visualized needle-perc system, with the target calyx punctured by a 4.5Fr visualized puncture needle under ultrasound guidance. Subsequently, F16 percutaneous renal access was established, and lithotripsy was completed using a 550 μm holmium laser. After the operation, an F12 fistula was maintained in place, following a needle-perc nephrolithotripsy procedure without the need for an indwelling nephrostomy tube. The operation duration, complications, hospital stay, and stone clearance post-surgery were evaluated.   Results   All children were successfully operated, with 3 cases undergoing complete needle-perc nephrolithotripsy and 8 cases using a visualized needle-perc system. The average operation duration was (79.55±10.76) min, postoperative hemoglobin decreased by (10.09±5.25) g/L, and the average postoperative hospitalization period was (5.54±1.07) days. The stone clearance rate was 100% at the 4-week postoperative follow-up. No serious complications such as access loss, postoperative infection, severe bleeding, or injury to the kidney or adjacent organs during and after the surgery.   Conclusion   Needle-perc system assisted percutaneous nephrolithotomy without artificial hydronephrosis is safe and effective in the treatment of pediatric renal stones. It demonstrates a low incidence of surgical complications and can achieve a satisfactory stone removal rate, making it suitable for individualized pediatric renal stone treatment. Furthermore, this technique holds clinical significance in regions with a high incidence of kidney stones among children living on plateau.

     

    • FullText(HTML)
  • loading
    • References(16)
  • [1]
    KOVACEVIC L. Diagnosis and management of nephrolithiasis in children[J]. Pediatr Clin North Am, 2022, 69(6): 1149-1164. doi: 10.1016/j.pcl.2022.07.008
    [2]
    BARRETO L, JUNG J H, ABDELRAHIM A, et al. Reprint-Medical and surgical interventions for the treatment of urinary stones in children: a cochrane review[J]. Can Urol Assoc J, 2019, 13(10): 334-341.
    [3]
    TAGUCHI K, CHO S Y, NG A C, et al. The urological association of asia clinical guideline for urinary stone disease[J]. Int J Urol, 2019, 26(7): 688-709. doi: 10.1111/iju.13957
    [4]
    QUHAL F, SEITZ C. Guideline of the guidelines: urolithiasis[J]. Curr Opin Urol, 2021, 31(2): 125-129. doi: 10.1097/MOU.0000000000000855
    [5]
    CARMEN TONG C M, ELLISON J S, TASIAN G E. Pediatric stone disease: current trends and future directions[J]. Urol Clin North Am, 2023, 50(3): 465-475. doi: 10.1016/j.ucl.2023.04.009
    [6]
    HOSSEINI M M, IRANI D, ALTOFEYLI A, et al. Outcome of mini-percutaneous nephrolithotomy in patients under the age of 18: a experience with 112 cases[J]. Front Surg, 2021, 8: 613812. DOI: 10.3389/fsurg.2021.613812.
    [7]
    SIMAYI A, LEI P, TAYIER T, et al. Comparison of super-mini versus mini percutaneous nephrolithotomy for the treatment of upper urinary tract stones in children: a single centre experience[J]. Pediatr Surg Int, 2021, 37(8): 1141-1146. doi: 10.1007/s00383-021-04925-y
    [8]
    JIANG K H, CHEN H B, YU X, et al. The "all-seeing needle" micro-PCNL versus flexible ureterorenoscopy for lower calyceal stones of ≤2 cm[J]. Urolithiasis, 2019, 47(2): 201-206. doi: 10.1007/s00240-018-1049-7
    [9]
    WICAKSONO F, YOGISWARA N, KLOPING Y P, et al. Comparative efficacy and safety between micro-percutaneous nephrolithotomy (Micro-PCNL) and retrograde intrarenal surgery (RIRS) for the management of 10-20 mm kidney stones in children: a systematic review and meta-analysis[J]. Ann Med Surg (Lond), 2022, 80: 104315. DOI: 10.1016/j.amsu.2022.104315.
    [10]
    肖博, 李建兴, 胡卫国, 等. 针状肾镜治疗上尿路结石的初步应用经验[J]. 中华泌尿外科杂志, 2019, 40(2): 96-99. doi: 10.3760/cma.j.issn.1000-6702.2019.02.004

    XIAO B, LI J X, HU W G, et al. The initial clinical application of needle-perc in upper urinary tract stones[J]. Chinese Journal of Urology, 2019, 40(2): 96-99. doi: 10.3760/cma.j.issn.1000-6702.2019.02.004
    [11]
    ZHAO F Z, LI J, TANG L, et al. Comparison of efficacy and safety of minimally invasive procedures for 10-20 mm pediatric renal stones: a bayesian network meta-analysis[J]. J Pediatr Urol, 2020, 16(6): 771-781. doi: 10.1016/j.jpurol.2020.08.019
    [12]
    HONG Y, YE H Y, YANG B, et al. Ultrasound-guided minimally invasive percutaneous nephrolithotomy is effective in the management of pediatric upper ureteral and renal stones[J]. J Invest Surg, 2021, 34(10): 1078-1082. doi: 10.1080/08941939.2020.1764154
    [13]
    宋明泽, 唐寅. 经皮肾镜碎石取石术与经尿道输尿管软镜碎石取石术治疗肾结石的临床疗效对比[J]. 中华全科医学, 2021, 19(5): 753-755, 766. doi: 10.16766/j.cnki.issn.1674-4152.001908

    SONG M Z, TANG Y. Comparison of clinical efficacy between percutaneous nephrolithotripsy and transurethral flexible ureteroscopic lithotripsy in the treatment of renal calculi[J]. Chinese Journal of General Practice, 2021, 19(5): 753-755, 766. doi: 10.16766/j.cnki.issn.1674-4152.001908
    [14]
    李建业, 吴君贤, 穆大为, 等. 针状肾镜Needle-perc系统辅助建立标准皮肾通道PCNL治疗无积水肾脏结石[J]. 临床泌尿外科杂志, 2021, 36(4): 297-300. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMW202104011.htm

    LI J Y, WU J X, MU D W, et al. Establishment of standard renal channels in PCNL by Needle-perc system assisting for the treatment of kidney stones without hydronephrosis[J]. Journal of Clinical Urology, 2021, 36(4): 297-300. https://www.cnki.com.cn/Article/CJFDTOTAL-LCMW202104011.htm
    [15]
    RASHID A O, AMIN S H, AL KADUM M A, et al. Mini-percutaneous nephrolithotomy for complex staghorn stones in children[J]. Urol Int, 2019, 102(3): 356-359. doi: 10.1159/000499491
    [16]
    CHUA M E, KIM J K, MING J M, et al. Scoping review of recent evidence on the management of pediatric urolithiasis: summary of meta-analyses, systematic reviews and relevant randomized controlled trials[J]. Pediatr Surg Int, 2022, 38(10): 1349-1361. doi: 10.1007/s00383-022-05190-3
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(3)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (49) PDF downloads(3) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return