Comparative analyses of percutaneous nephrolithotomy versus open surgery in pediatric urinary stone disease

Abstract

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