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Urgent percutaneous nephrolithotomy for acute kidney injury secondary to bilateral stones: Is it safe and effective in infants?

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Abstract

Purpose

To evaluate the efficacy and safety of urgent percutaneous nephrolithotomy (PNL) for acute kidney injury secondary to bilateral upper urinary stones in infants.

Methods

A total of seven infants (five boys and two girls), aged from 5 to 12 months, underwent urgent PNL for calculus anuria from September 2011 to March 2013. The initial blood test revealed acute renal injury in all infants. After correcting electrolyte imbalance and acid–base status through medical treatment in a short time without dialysis, all urgent PNL procedures were performed with 16F percutaneous access and small-diameter nephroscopes designed specifically for pediatric surgery on the side with the more dilated pelvis. Stones were fragmented with a pneumatic lithotripter.

Results

Stones were completely removed from the operative side kidneys. The operating time ranged from 35 to 57 min. Blood BUN, serum creatinine, and electrolyte levels returned to normal on postoperative 36 h. There were no major perioperative or postoperative complications and deaths.

Conclusions

When performed by experienced endourologists, urgent PNL is a safe and effective procedure in infants for acute kidney injury secondary to bilateral upper urinary stones.

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Acknowledgments

Support by the National Natural Science Foundation of China (Grant 81200504).

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical standard

The study was approved by our ethics committee, and all infants’ parents were provided with an informed written consent.

Author information

Authors and Affiliations

  1. Department of Urology, Shanghai First People’s Hospital, Shanghai Jiao Tong University, No. 100, Haining Road, Hongkou District, Shanghai, 200080, China

    Yi Shao, Jun Lu & Shu-Jie Xia

  2. Department of Urology, The Second People’s Hospital of Kashi Area, Kashi, 844000, Xinjiang Province, China

    Yi Shao, Wei-Hua Li, Shayitaji Hasimu & Dou-lian Shan

Authors
  1. Yi Shao
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  2. Wei-Hua Li
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  3. Shayitaji Hasimu
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  4. Dou-lian Shan
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  5. Jun Lu
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  6. Shu-Jie Xia
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Corresponding authors

Correspondence to Jun Lu or Shu-Jie Xia.

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Shao, Y., Li, WH., Hasimu, S. et al. Urgent percutaneous nephrolithotomy for acute kidney injury secondary to bilateral stones: Is it safe and effective in infants?. World J Urol 33, 1345–1349 (2015). https://doi.org/10.1007/s00345-014-1445-8

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  • DOI: https://doi.org/10.1007/s00345-014-1445-8

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