Abstract

To analyze and share our experience with ultra-mini-PCNL using the urological Dyna-CT in small infants. A retrospective analysis was performed on all infants younger than 3years of age who underwent ultra-mini-PCNL at our institution since 2016. Operating time, fluoroscopy time, dose area product (DAP), stone-free status, intra- and postoperative complications and the duration of hospital stay were analyzed. A total of nine interventions conducted on eight children were evaluated. The mean age of infantswas 22.8 ± 11.9months. The mean operation time and the mean fluoroscopy time were 119.2 ± 51.8min, and 190.4 ± 93.8s, respectively. The mean DAP was 11.4 ± 6.9μGym2 and the stone clearance at 3months was 87.5%. No major postoperative complications were assessed, and no transfusion was given. The mean hospital stay was 4 (IQR 3-6) days. Ultra-mini-PCNL utilizing the urological Dyna-CT can safely and effectively be performed in small infants with kidney stones. In this setting, the urological Dyna-CT allows for a very low radiation exposure.

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