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ISSN 0185-3252 (Print)
Revista de la Asociación Médica del Centro Médico ABC

2016, Number 4

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An Med Asoc Med Hosp ABC 2016; 61 (4)

Surgical treatment for renal staghorn calculi in a pediatric patient

Rodríguez-Wyler LO, Gamiño SC, Luna SRA, Simental OFG

Language: Spanish
References: 12
Page: 300-304
PDF size: 539.19 Kb.


ABSTRACT

The presence of staghorn calculi is rare in the pediatric population. The goal of treatment is the fragmentation and the complete removal of the stone in order to preserve renal function and reduce litho-related infections. The diagnostic imaging starts with renal ultrasonography to observe changes characteristic of this lesion, then with the stone characterization with other imaging methods within them the computed tomography and nuclear medicine. Surgical treatment usually used consists in open exploration with high risk of injury to the urinary tract. The percutaneous nephrolithotomy is the standard treatment in the adult population and is reported as a less invasive alternative with favorable results. Endourology techniques, described in adults, as laser lithotripsy and appropriate flexible ureteroscopes have been possible on children. A case of a unilateral staghorn calculi on a 3 year old female patient with normal renal function, in which is used laser lithotripsy with flexible ureteroscopy is presented. Two-year follow-up reports.


REFERENCES

  1. Sarica K. Pediatric urolithiasis: etiology, specific pathogenesis and medical treatment. Urol Res. 2006; 34 (2): 96-101.

  2. Horuz R, Sarica K. The management of staghorn calculi in children. Arab J Urol. 2012; 10 (3): 330-335.

  3. Kumar R, Anand A, Saxena V, Seth A, Dogra PN, Gupta NP. Safety and efficacy of PCNL for management of staghorn calculi in pediatric patients. J Pediatr Urol. 2011; 7 (3): 248-251.

  4. Erhard MJ, Bagley DH. Urologic applications of the holmium laser: preliminary experience. J Endourol. 1995; 9 (5): 383-386.

  5. Papatsoris AG, Skolarikos A, Buchholz N. Intracorporeal laser lithotripsy. Arab J Urol. 2012; 10 (3): 301-306.

  6. Johnson DE, Cromeens DM, Price RE. Use of the holmium: YAG laser in urology. Lasers Surg Med. 1992; 12 (4): 353-363.

  7. Atar M, Bodakci MN, Sancaktutar AA, Penbegul N, Soylemez H, Bozkurt Y et al. Comparison of pneumatic and laser lithotripsy in the treatment of pediatric ureteral stones. J Pediatr Urol. 2013; 9 (3): 308-312.

  8. Breda A, Ogunyemi O, Leppert J, Lam JS, Shulam G. Flexible ureteroscopy and laser lithotripsy for single intrarenal stones 2 cm or greater-is this the new frontier? J Urol. 2008; 179 (3): 981-984.

  9. Breda A, Ogunyemi O, Leppert JT, Schulam PG. Flexible ureteroscopy and laser lithotripsy for multiple unilateral intrarenal stones. Eur Urol. 2009; 55 (5): 1190-1196.

  10. Harmon WJ, Sershon PD, Blute ML, Patterson DE, Segura JW. Ureteroscopy: current practice and longterm complications. J Urol. 1997; 157 (1): 28-32.

  11. Türk C, Petrík A, Sarica K, Seitz C, Skolarikos A, Straub M et al. EAU Guidelines on interventional treatment for urolithiasis. Eur Urol. 2016; 69 (3): 475-482.

  12. Thomas JC, DeMarco RT, Donohoe JM, Adams MC, Brock JW 3rd, Pope JC 4th. Pediatric ureteroscopic stone management. J Urol. 2005; 174 (3): 1072-1074.




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