{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:19:38Z","timestamp":1783948778591,"version":"3.55.0"},"reference-count":28,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To assess the feasibility, safety, and efficacy of supine minitubeless percutaneous nephrolithotomy (PCNL) for managing renal stones in paediatric patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patients and Methods:<\/jats:title>\n                    <jats:p>A prospective, observational, single-surgeon study was conducted at Ford Hospital and Research Centre over 2 years, including paediatric patients (&lt;14 years) presenting with renal stones. Patient demographics, stone characteristics, intraoperative parameters, postoperative outcomes, stone-free rates (SFRs), complications, and hospital stay were recorded. Statistical analysis was performed using XLSTAT 2021. Double-J stents were placed in all cases without a nephrostomy tube. SFR was defined as complete clearance or residual fragments &lt;2 mm in the computed tomography scan. The Clavien\u2013Dindo system was used for grading the complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fifty paediatric patients were analyzed. The mean age was 6.45 years. Mean stone size was 15.24 mm, with a mean Hounsfield Unit of 829.54 \u00b1 161.94. Mean operative time was 38.38 min. Stone-free status was achieved in 96% of patients at 3 months, with two patients requiring retrograde intrarenal surgery for residual stones. The mean haemoglobin drop was 0.51 g\/dL and the mean hospital stay was 1.4 days. Minor Clavien\u2013Dindo Grade I\/II complications occurred in 12% of cases (fever 4%, pain 6%, and mild ascites 2%), all resolving spontaneously. No major complications or blood transfusions occurred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Supine mini-tubeless PCNL appears to be a safe and effective surgical management of paediatric renal stones, offering high SFRs with minimal complications, and short hospital stays. This technique may represent a useful minimally invasive treatment option, particularly when flexible ureteroscopy is limited.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ua.ua_44_26","type":"journal-article","created":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T13:00:10Z","timestamp":1783947610000},"page":"266-272","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Supine minitubeless percutaneous nephrolithotomy for the management of renal stones in paediatric population: A prospective single-centre experience"],"prefix":"10.4103","volume":"18","author":[{"given":"Nitesh","family":"Kumar","sequence":"first","affiliation":[{"name":"Department of Urology, Ford Hospital and Research Centre, Patna, Bihar, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhaskar K.","family":"Somani","sequence":"additional","affiliation":[{"name":"Department of Urology, University Hospital 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