Fluoroscopy-free mini-PCNL using CT–ultrasound fusion guidance in a pediatric patient with recurrent cystine stones: A case report
Issued Date
2026-03-01
Resource Type
ISSN
22144420
Scopus ID
2-s2.0-105029594452
Journal Title
Urology Case Reports
Volume
65
Rights Holder(s)
SCOPUS
Bibliographic Citation
Urology Case Reports Vol.65 (2026)
Suggested Citation
Piyawannarat S., Sirisopana K., Phengsalae Y., Sangkum P., Kongchareonsombat W., Ketsuwan C. Fluoroscopy-free mini-PCNL using CT–ultrasound fusion guidance in a pediatric patient with recurrent cystine stones: A case report. Urology Case Reports Vol.65 (2026). doi:10.1016/j.eucr.2026.103367 Retrieved from: https://repository.li.mahidol.ac.th/handle/123456789/115058
Title
Fluoroscopy-free mini-PCNL using CT–ultrasound fusion guidance in a pediatric patient with recurrent cystine stones: A case report
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Abstract
Pediatric patients are particularly susceptible to ionizing radiation risks. A fluoroscopy-free mini-percutaneous nephrolithotomy (mini-PCNL) was performed using computed tomography (CT)–ultrasound fusion guidance for recurrent cystine nephrolithiasis in a 12-year-old boy. Renal access and complete stone clearance were achieved. Integrating preoperative CT with real-time ultrasonography enabled precise targeting, overcoming limitations of ultrasound-only guidance. The procedure was completed safely, with minimal blood loss and 90-min operative time. CT–ultrasound fusion-guided mini-PCNL is a feasible radiation-sparing approach for pediatric patients with complex renal stones.