Percutaneous Nephrolithotomy in Children

The surgical management of pediatric stone disease has evolved significantly over the last three decades. Prior to the introduction of shockwave lithotripsy (SWL) in the 1980s, open lithotomy was the lone therapy for children with upper tract calculi. Since then, SWL has been the procedure of choice...

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Main Author: Romano T. DeMarco
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Advances in Urology
Online Access:http://dx.doi.org/10.1155/2011/123606
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author Romano T. DeMarco
author_facet Romano T. DeMarco
author_sort Romano T. DeMarco
collection DOAJ
description The surgical management of pediatric stone disease has evolved significantly over the last three decades. Prior to the introduction of shockwave lithotripsy (SWL) in the 1980s, open lithotomy was the lone therapy for children with upper tract calculi. Since then, SWL has been the procedure of choice in most pediatric centers for children with large renal calculi. While other therapies such as percutaneous nephrolithotomy (PNL) were also being advanced around the same time, PNL was generally seen as a suitable therapy in adults because of the concerns for damage in the developing kidney. However, recent advances in endoscopic instrumentation and renal access techniques have led to an increase in its use in the pediatric population, particularly in those children with large upper tract stones. This paper is a review of the literature focusing on the indications, techniques, results, and complications of PNL in children with renal calculi.
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spelling doaj-art-721f9c7d341840f1b42f1b3cdc0879d82025-02-03T06:44:26ZengWileyAdvances in Urology1687-63691687-63772011-01-01201110.1155/2011/123606123606Percutaneous Nephrolithotomy in ChildrenRomano T. DeMarco0Departments of Surgery and Pediatrics, Division of Pediatric Urology, Sanford Children's Hospital, 1600 W. 22nd Street, Sioux Falls, SD 57104, USAThe surgical management of pediatric stone disease has evolved significantly over the last three decades. Prior to the introduction of shockwave lithotripsy (SWL) in the 1980s, open lithotomy was the lone therapy for children with upper tract calculi. Since then, SWL has been the procedure of choice in most pediatric centers for children with large renal calculi. While other therapies such as percutaneous nephrolithotomy (PNL) were also being advanced around the same time, PNL was generally seen as a suitable therapy in adults because of the concerns for damage in the developing kidney. However, recent advances in endoscopic instrumentation and renal access techniques have led to an increase in its use in the pediatric population, particularly in those children with large upper tract stones. This paper is a review of the literature focusing on the indications, techniques, results, and complications of PNL in children with renal calculi.http://dx.doi.org/10.1155/2011/123606
spellingShingle Romano T. DeMarco
Percutaneous Nephrolithotomy in Children
Advances in Urology
title Percutaneous Nephrolithotomy in Children
title_full Percutaneous Nephrolithotomy in Children
title_fullStr Percutaneous Nephrolithotomy in Children
title_full_unstemmed Percutaneous Nephrolithotomy in Children
title_short Percutaneous Nephrolithotomy in Children
title_sort percutaneous nephrolithotomy in children
url http://dx.doi.org/10.1155/2011/123606
work_keys_str_mv AT romanotdemarco percutaneousnephrolithotomyinchildren