You have accessJournal of UrologyStone Disease: SWL, Ureteroscopy or Percutaneous Stone Removal (II)1 Apr 20131683 MINI-PERCUTANEOUS NEPHROLITHOTOMY FOR UPPER URINARY TRACT CALCULI IN CHILDREN (REPORT OF 134 CASES) Dazhi Long, Xiaofeng Zou, Yuting Wu, Rihai Xiao, Yuanhu Yuan, Xiaoning Wang, Guoxi Zhang, Gengqing Wu, Jun Yang, and Yijun Xue Dazhi LongDazhi Long Ganzhou, China, People's Republic of More articles by this author , Xiaofeng ZouXiaofeng Zou Ganzhou, China, People's Republic of More articles by this author , Yuting WuYuting Wu Ganzhou, China, People's Republic of More articles by this author , Rihai XiaoRihai Xiao Ganzhou, China, People's Republic of More articles by this author , Yuanhu YuanYuanhu Yuan Ganzhou, China, People's Republic of More articles by this author , Xiaoning WangXiaoning Wang Ganzhou, China, People's Republic of More articles by this author , Guoxi ZhangGuoxi Zhang Ganzhou, China, People's Republic of More articles by this author , Gengqing WuGengqing Wu Ganzhou, China, People's Republic of More articles by this author , Jun YangJun Yang Ganzhou, China, People's Republic of More articles by this author , and Yijun XueYijun Xue Ganzhou, China, People's Republic of More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.3045AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES To evaluate the clinical value of mini-percutaneous nephrolithotomy (MPCNL) for upper urinary tract calculi in children. METHODS A total of 134 cases with upper urinary tract calculi underwent MPCNLs (including 16 cases drinking highly melamine-tainted powdered formula). There were 76 boys and 58 girls, with mean age of 9.4 years (range 1 to 16). The calculi were found on left side in 71 cases, on right side in 52 and on both side in 11. One hundred and nine cases had renal calculi, including 20 cases with calculi in the proximal ureter as well. Twenty five cases had calculi in the proximal or middle ureter. RESULTS All the procedures were successful. Of them, 119 cases were stone-free after a single MPCNL procedure and 9 cases had residual stones removed by MPCNL after a week. Flexible ureteroscopy was also used in 3 cases in whom the residual stones in renal infer-calices were found. Eleven patients simultaneously underwent bilateral MPCNLs and 13 underwent tubeless MPCNLs (a 27 month-old boy was performed using totally tubeless MPCNL). There was no major perioperative complication. Patients were followed up from 1 to 95 months, no stone recurred except 1 melamine-asssociated case with proximal ureter calculus, who was found a bladder calculus recurrence after 4 months and treated by URL. The kidney and ureter developed well by intravenous pyelography and no perinephric urinary cyst was found by B ultrasound. CONCLUSIONS MPCNL appears to be a safe, minimally invasive, and quick-recovery procedure for upper urinary tract calculi in children. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e692 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Dazhi Long Ganzhou, China, People's Republic of More articles by this author Xiaofeng Zou Ganzhou, China, People's Republic of More articles by this author Yuting Wu Ganzhou, China, People's Republic of More articles by this author Rihai Xiao Ganzhou, China, People's Republic of More articles by this author Yuanhu Yuan Ganzhou, China, People's Republic of More articles by this author Xiaoning Wang Ganzhou, China, People's Republic of More articles by this author Guoxi Zhang Ganzhou, China, People's Republic of More articles by this author Gengqing Wu Ganzhou, China, People's Republic of More articles by this author Jun Yang Ganzhou, China, People's Republic of More articles by this author Yijun Xue Ganzhou, China, People's Republic of More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...