Update on Surgical Management of Pediatric Urolithiasis

Frontiers in Pediatrics

article

Sajid Sultan¹  Bashir Ahmed¹  Syed Ali Anwar Naqvi¹  Syed Adibul Hasan Rizvi¹ 

[1] Philip G. Ransley Department of Paediatric Urology, Sindh Institute of Urology and Transplantation

关键词: urolithiasis;    minimally invasive surgery;    extracorporeal shockwave lithotripsy;    endoscopic intracorporeal lithotripsy;    retrograde intrarenal surgery;    percutaneous nephrolithotomy;    robotics;    pediatric urolithiasis;   

DOI  :  10.3389/fped.2019.00252

学科分类：社会科学、人文和艺术（综合）

来源: Frontiers

【 摘 要 】

Urolithiasis has always been a fascinating disease, even more so in children. There are many intriguing facets to this pathology. This article is a nonsystematic review to provide an update on the surgical management of pediatric urolithiasis. It highlights the pros and cons of various minimally invasive surgical options such as extracorporeal shockwave lithotripsy (ESWL), retrograde intrarenal surgery (RIRS), percutaneous nephrolithotomy (PCNL), laparoscopy, and robotics. This article also describes the various intracorporeal disintegration technologies available to fragment the stone, including the newer advancements in laser technology. It also emphasizes the cost considerations especially with reference to the emerging economies. Thus, this manuscript guides how to select the least-invasive option for an individual patient, considering age and gender; stone size, location, and composition; and facilities and expertise available.

【 授权许可】

CC BY