Абстрактный

Pediatric PCNL-Our tertiary centre care experience.

Dhanajay Selukar, Mahesh Borikar*

Background: Nephrolithiasis is major problem in India. Maharashtra and especially Vidarbha region is not an exception to this. Percutaneous Nephrolithotomy (PCNL) has been accepted globally as a safe procedure with great success rate with less complication, and it is safe, effective, and suitable for pediatric cases. The aims and objectives of the study were to evaluate the indication of PCNL in children, to identify the complication, prevention and treatment of complication and to evaluate the efficacy and safety for management of kidney stones in children. Methods: Study period extended from December 2016 to March 2020, total 27 cases of renal stones in pediatric age group admitted in our hospital, a tertiary care centre. All the patients are evaluated for complete urine analysis, urine culture and sensitivity, complete hemogram, renal parameter, X-ray KUB (Kidney, Ureter and Bladder), ultrasound KUB etc. Then patients were undergone for PCNL without any sandwich therapy such as ESWL. The post-op outcomes were evaluated and scrutinized. Results: 27 patients were undergone in this study of which 16 were male and 11 were female. Smallstone (<2 cm) seen in 25.9% patients and large stone 51.8%. Following complications were noted-pain (33.3%), haematuria (11.1%), sepsis (7.4%), lung atelectasis (7.4%), fever (3.7%), lleus (3.7%). Of all patients, 2 patients were having ectopic renal units. Conclusion: PCNL is safe and effective procedure for the managements of renal stones in children with acceptable morbidity.