Category: Clinical Stones: PCNL

MP26-17 - How safe tubeless pcnl in toddler

Sun, Sep 23
10:00 AM - 12:00 PM

Introduction & Objective :

We retrospectively analyzed the outcomes of tubeless mini percutaneous nephrolithotomy in toddler group of children, and compared them with age matched controls who underwent nephrostomy drainage.

Methods : A total of 75 children were operated on for stone disease using the mini percutaneous nephrolithotomy technique. Ultrasound and pneumatic lithotriptor were used for stone fragmentation. Children who underwent complete caculi removal and had a clear nephrostomy tract only had a ureteral catheter placed. Those with residual stones or bleeding from the nephrostomy tract underwent nephrostomy drainage. We compared both groups with regard to patient and stone characteristics, and postoperative findings.

Results : A total of 64 renal units had only a ureteral catheter for diversion, while 11 had nephrostomy drainage. Surgery times were shorter in the tubeless group. Complication rates were higher and duration of hospitalization was longer in the nephrostomy group. Stone-free rates were higher in the tubeless as compare to nephrostomy groups

Conclusions : Tubeless percutaneous nephrolithotomy was observed to be a safe option for children with stone disease. The success and safety of tubeless percutaneous nephrolithotomy depends on patient selection criteria, including low volume and infection-free calculi that are removed completely without any bleeding from the access tract.

Anees Soomro

Lecturer Urology
Tabba Kidney Institute
Karachi, Sindh, Pakistan

I did my graduation in 2008 from Dow university of Health sciences Karachi.
I did my general surgery training from 2009 to 2012 from Jinnah Post Graduate Medical Centre, Karachi
I did my urology training from december 2012 to september 2016 from Sindh Institute of Urology & Transplatation Karachi

Sherjeel Saulat

Head of Department Urology
Tabba Kidney Institute
Karachi, Sindh, Pakistan

Murtaza Azad

Senior Registrar Urology
Tabba Kidney Institute
Karachi, Sindh, Pakistan

Saeed Qadri

karachi, Sindh, Pakistan