| Background and Objective: Urinary calculus is commonly and frequently encountered disease in the Department of Urology, inpatients in urinary surgery department ranks first in, Europe and the United States epidemiological data show 5%- 10% of a person’s life at least a kidney stones. After the introduction of tubeless super-mini percutaneous nephrolithotomy(SMP), many studies conducted in adult patients have confirmed its efficacy and safety. There are limited studies reporting that tubeless SMP can be safely applied in children, however. Furthermore, there are no reports that evaluate the use of totally tubeless SMP in children. The present study evaluates the results of totally tubeless SMP in children.Patients and Methods: The data of children seen in our clinic who were considered suitable for totally tubeless SMP were analyzed. Of 32 children, 16 patients underwent totally tubeless SMP(group 1) and 16 standard PNL(group 2). The two groups of patients were compared with regard to length of hospitalization, analgesic requirements,transfusion rates, hemoglobin(Hb) decrease, and immediate, early, and late complications.Results: The mean ages of the patients were 56.6 months(8–80mos) and 54.0 months(6–89mos), and the mean follow-up was 26 months(3–44mos) and 35months(31–54 mos) in groups 1 and 2, respectively. Both groups were similar with regard to age, stone size, Hb change, and complications. Although operation duration,hospitalization period, and analgesic requirement were less in the totally tubeless SMP group, these differences were not statistically significant.Conclusions: The latest application of PNL, totally tubeless SMP, is also a safe and effective procedure in very small children if they are selected properly and if the surgeon has sufficient experience with the procedure. |
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