Comparative analyses of percutaneous nephrolithotomy versus open surgery in pediatric urinary stone disease.
OBJECTIVE
The aim of this study is to compare the efficiency and reliability of percutaneous nephrolithotomy (PCNL) and open surgery for pediatric urinary stone disease.


METHODS
The retrospective analysis included 116 patients (69 PCNL, 47 open stone surgery). The stone surface area, stone-free rates, hospitalization time, blood transfusion rates, and the D-J implantation rates of patients in each group in whom PCNL and open surgery were performed were analyzed.


RESULTS
The average age of the patients in the PCNL group was 10.01 ± 0.51 years, and in the open surgery group 8.55 ± 0.68 years. No statistically significant difference was observed between the two groups in average age, stone surface area or stone-free rates. However, hospitalization time (PCNL 2.31 ± 0.46 days, open surgery 3.36 ± 0.64 days), blood transfusion rate (PCNL 10.1 %, open surgery 42.5 %) and D-J catheter implantation rate (PNL 7.24 %, open surgery 42.5 %) of patients who underwent PCNL were determined to be statistically low.


CONCLUSIONS
In light of the results, it is concluded that PCNL supersedes open surgery in terms of the use of advanced instruments and technological developments for modern pediatric surgery.
University of Gaziantep, Gaziantep, Turkey. dromerbayrak@yahoo.com
Omer
O
Bayrak
Ilker
I
Seckiner
Sakip
S
Erturhan
Ibrahim
I
Duzgun
Faruk
F
Yagci
D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D007813:Laparotomy / Q000379:methods*; D007902:Length of Stay / Q000639:trends; D009403:Nephrostomy, Percutaneous / Q000379:methods*; D015203:Reproducibility of Results; D012189:Retrospective Studies; D016896:Treatment Outcome; D014545:Urinary Calculi / Q000601:surgery*