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Flexible ureteroscopy and lasertripsy (FURSL) for paediatric renal calculi: results from a systematic review

Flexible ureteroscopy and lasertripsy (FURSL) for paediatric renal calculi: results from a systematic review
Flexible ureteroscopy and lasertripsy (FURSL) for paediatric renal calculi: results from a systematic review
Objective: to understand the role, safety and efficacy of flexible ureterorenoscopy and lasertripsy (FURSL) for paediatric renal stones.Material and methods: asystematic review was conducted using studies identified by a literature search between January 1990 and March 2014. All English language articles reporting on a minimum of five patients ≤18-years old, treated with flexible ureteroscopy and lasertripsy for stone disease were included.Results: a  total of six studies (282 patients) were reported, with a mean age of 7.3 years (range 0.25–17 years). The stone sizes ranged from 1 to 30 mm. The mean stone-free rate across the three studies was 85.5% (range 58.0–93.0%) after initial ureteroscopy, with a postoperative stent inserted in 81.8% (range 66.7–98.0%). There were a total of 35 complications (12.4%), with the most severe complication being a Clavien class III (five ureteral injuries, one urinoma). There were no deaths in any of the studies.Conclusion: the present review shows that FURSL for management of renal calculi in the paediatric population is an effective and safe procedure. To ensure that outcomes keep on improving, these procedures should be undertaken by experienced surgeons who are familiar with the difficulties encountered in the paediatric population.
Child, Humans, Kidney Calculi, Lithotripsy, Laser, Severity of Illness Index, Ureteroscopy, Journal Article, Review
1477-5131
1020-1025
Ishii, H
78353ce9-5d63-495d-bb37-7ae738543e30
Griffin, S
838a9881-0208-4911-bdb9-343bce0f3a55
Somani, B K
ab5fd1ce-02df-4b88-b25e-8ece396335d9
Ishii, H
78353ce9-5d63-495d-bb37-7ae738543e30
Griffin, S
838a9881-0208-4911-bdb9-343bce0f3a55
Somani, B K
ab5fd1ce-02df-4b88-b25e-8ece396335d9

Ishii, H, Griffin, S and Somani, B K (2014) Flexible ureteroscopy and lasertripsy (FURSL) for paediatric renal calculi: results from a systematic review. Journal of Pediatric Urology, 10 (6), 1020-1025. (doi:10.1016/j.jpurol.2014.08.003).

Record type: Review

Abstract

Objective: to understand the role, safety and efficacy of flexible ureterorenoscopy and lasertripsy (FURSL) for paediatric renal stones.Material and methods: asystematic review was conducted using studies identified by a literature search between January 1990 and March 2014. All English language articles reporting on a minimum of five patients ≤18-years old, treated with flexible ureteroscopy and lasertripsy for stone disease were included.Results: a  total of six studies (282 patients) were reported, with a mean age of 7.3 years (range 0.25–17 years). The stone sizes ranged from 1 to 30 mm. The mean stone-free rate across the three studies was 85.5% (range 58.0–93.0%) after initial ureteroscopy, with a postoperative stent inserted in 81.8% (range 66.7–98.0%). There were a total of 35 complications (12.4%), with the most severe complication being a Clavien class III (five ureteral injuries, one urinoma). There were no deaths in any of the studies.Conclusion: the present review shows that FURSL for management of renal calculi in the paediatric population is an effective and safe procedure. To ensure that outcomes keep on improving, these procedures should be undertaken by experienced surgeons who are familiar with the difficulties encountered in the paediatric population.

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More information

Published date: December 2014
Additional Information: Copyright © 2014 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
Keywords: Child, Humans, Kidney Calculi, Lithotripsy, Laser, Severity of Illness Index, Ureteroscopy, Journal Article, Review

Identifiers

Local EPrints ID: 419119
URI: https://eprints.soton.ac.uk/id/eprint/419119
ISSN: 1477-5131
PURE UUID: 699c7fa8-c04d-432e-b59d-47adc77c582c

Catalogue record

Date deposited: 05 Apr 2018 16:30
Last modified: 25 Sep 2018 16:31

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