Ultra-mini-PCNL using the urological Dyna-CT in small infants: a single-center experience : urology : original paper

To analyze and share our experience with ultra-mini-PCNL using the urological Dyna-CT in small infants. Methods A retrospective analysis was performed on all infants younger than 3 years of age who underwent ultra-mini-PCNL at our institution since 2016. Operating time, luoroscopy time, dose area pr...

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Main Authors: Grüne, Britta (Author) , Rassweiler-Seyfried, Marie-Claire (Author) , Müller, Kim (Author) , Nuhn, Philipp (Author) , Michel, Maurice Stephan (Author) , Younsi, Nina (Author) , Stein, Raimund (Author) , Herrmann, Jonas (Author)
Format: Article (Journal)
Language:English
Published: 26 February 2022
In: International urology and nephrology
Year: 2022, Volume: 54, Issue: 5, Pages: 979-984
ISSN:1573-2584
DOI:10.1007/s11255-022-03150-3
Online Access:Verlag, lizenzpflichtig, Volltext: https://doi.org/10.1007/s11255-022-03150-3
Verlag, lizenzpflichtig, Volltext: https://link.springer.com/article/10.1007/s11255-022-03150-3
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Author Notes:Britta Grüne, Marie-Claire Rassweiler-Seyfried, Kim Müller, Philipp Nuhn, Maurice Stephan Michel, Nina Younsi, Raimund Stein, Jonas Herrmann

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520 |a To analyze and share our experience with ultra-mini-PCNL using the urological Dyna-CT in small infants. Methods A retrospective analysis was performed on all infants younger than 3 years of age who underwent ultra-mini-PCNL at our institution since 2016. Operating time, luoroscopy time, dose area product (DAP), stone-free status, intra- and postoperative complications and the duration of hospital stay were analyzed. Results A total of nine interventions conducted on eight children were evaluated. The mean age of infants was 22.8 ± 11.9 months. The mean operation time and the mean fluoroscopy time were 119.2 ± 51.8 min, and 190.4 ± 93.8 s, respectively. The mean DAP was 11.4 ± 6.9 μGym 2 and the stone clearance at 3 months was 87.5%. No major postoperative complications were assessed, and no transfusion was given. The mean hospital stay was 4 (IQR 3–6) days. Conclusion 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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