Staghorn Stones: Surgery or PCN and ESWL

2015 ◽  
pp. 145-148 ◽  
Author(s):  
F. Eisenberger ◽  
A. Schmidt
Keyword(s):  
Staghorn Stones

V935: Laparoscopic Pyelolithotomy for Staghorn Stones

2006 ◽  
Vol 175 (4S) ◽  
pp. 302-303 ◽  
Author(s):  
Mirandolina B. Mariano ◽  
Rene J. Sotelo ◽  
Alberto C. Stein ◽  
Federico Gaviria ◽  
Alejandro J. Garcia ◽  
...  
Keyword(s):  
Laparoscopic Pyelolithotomy ◽  
Staghorn Stones

1458 LONG-TERM RESULTS OF PERCUTANEOUS NEPHROLITHOTOMY FOR TREATMENT OF STAGHORN STONES

2010 ◽  
Vol 183 (4S) ◽  
Author(s):  
Ahmed Elnahas ◽  
Ibrahim Eraky ◽  
Mahmoud Elkenawy ◽  
Ahmed Shoma ◽  
Ahmed Shokeir ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Long Term Results ◽  
Staghorn Stones

scholarly journals The Pattern of Day Case (Ambulatory) Percutaneous (PCNL): A Descriptive Retrospective Study from a Tertiary Care Hospital

2021 ◽  
Vol 13 (1) ◽  
Author(s):  
Rehan Fareed ◽  
Huma Shamim
Keyword(s):  
Retrospective Study ◽  
Tertiary Care ◽  
Ureteral Stones ◽  
Transfusion Rate ◽  
Care Hospital ◽  
High Grade ◽  
High Grade Fever ◽  
Access Methods ◽  
The Mean ◽  
Staghorn Stones

Background: Percutaneous nephrolithotomy (PCNL) has experienced remarkable development and alteration since it was first described in 1976 by Fernstorm et al. It has also experienced miniaturization of equipment, improvement in operative systems, and refining renal access methods leading to the achievement of maximum clearance of stone while causing minimal morbidity. For example, in endourological practice, when the patient is subjected to PCNL, he traditionally needs programmed inpatient admission, as part of their recovery, it is applicable as an outpatient method in properly selected cases. Objectives: We aimed at evaluating the safety and applicability of the outpatient PCNL procedure. Methods: This retrospective study was done on 210 cases of tubeless PCNL performed by a single urologist at our institute from January 2016 to January 2019. Patients’ mean age (134 males and 76 females) was 57 ± 11.8 years, and 7 patients aged 8 - 12 years. There were 71 pelvic or calyceal solitary stones, 62 non-complete staghorn stones, 17 ureteral stones, 32 renal + ureteric stones (simultaneous renal and ureteral stones) , and 28 complete staghorn stones. The average stone size was 3.5 ± 2.8 (range: 0.7 to 11.8 cm). Results: The mean operation duration was 85.0 ± 29.4 min, and the mean hospital stay was 21.7 ± 3.4 h. Out of 210 patients, 6 patients had longer stay due to high-grade fever and 3 patients due to severe pain, and also 7 patients refused discharge due to personal and social reasons. Our ambulatory PCNL rate was 97 % ( 194 out of 210). Within 72 h, 5 patients were readmitted due to high-grade fever, 3 patients due to haematuria, and 4 patients due to pain and dysuria, and all patients were discharged 2 - 4 days after conservative treatment. Thus, the readmission rate was 6.18% (12 cases were readmitted out of 194 cases). Patients showed a blood transfusion rate of 1.4 %. Also, 19 cases (9.02%) were found with post-operative fever, and no urosepsis was reported. No pulmonary complications and mortality were noted. No re-exploration was done, and no major leak was noted. The angio-embolization rate was 0.59%. We did not use HEMO-SEAL technology, cautery, or suture in the tracks. Conclusions: In conclusion, the outpatient PCNL procedure is an applicable and feasible procedure under selected criteria; however, more investigations using a larger sample size are needed.

Staghorn renal stone: Which therapeutic strategy?

1992 ◽  
Vol 59 (3) ◽  
pp. 53-55
Author(s):  
G. Mobilio ◽  
G. Bianchi ◽  
G. Malossini ◽  
P. Beltrami ◽  
G. Carluccio
Keyword(s):  
Kidney Stones ◽  
Therapeutic Strategy ◽  
Renal Stone ◽  
Adequate Treatment ◽  
Percutaneous Access ◽  
Free Status ◽  
Residual Fragments ◽  
Staghorn Stones

We report our experience in the treatment of renal staghorn stones. 74 patients were treated with PCNL followed, when necessary, by one or more ESWL treatments for residual fragments, achieving a stone-free status in 64/74 patients (86.5%). Treatment with ESWL monotherapy (6 cases) resulted in a stone-free status in 3 patients (50%). According to our experience, PCNL followed by ESWL, is the most adequate treatment for staghorn kidney stones. We reserve PCNL with multiple percutaneous access and ESWL monotherapy for selected patients.

Nephrostomy tube-free percutaneous nephrolithotomy for patients with large stones and staghorn stones

Urology ◽  
2006 ◽  
Vol 67 (1) ◽  
pp. 30-34 ◽  
Author(s):  
Yeong-Chin Jou ◽  
Ming-Chin Cheng ◽  
Chang-Te Lin ◽  
Pi-Che Chen ◽  
Jang-Huang Shen
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Nephrostomy Tube ◽  
Staghorn Stones

N101 The analysis of the way of the treatment of staghorn stones in a kidney

2009 ◽  
Vol 8 (8) ◽  
pp. 603-604
Author(s):  
J. Kawecki ◽  
W. Duda ◽  
H. Augustyniak ◽  
P. Chwastek
Keyword(s):  
Staghorn Stones ◽  
The Way

Staghorn Stones Combined with Transitional Cell Carcinoma of the Renal Pelvis

2009 ◽  
Vol 50 (10) ◽  
pp. 1027 ◽  
Author(s):  
Min Gyun Kim ◽  
Jai Hyun Chung ◽  
In Sung Hwang ◽  
C One Cho ◽  
Yong Il Park ◽  
...  
Keyword(s):  
Transitional Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Pelvis ◽  
Transitional Cell ◽  
Staghorn Stones

Laparoscopic Pyelolithotomy for Partial Staghorn Stones

2010 ◽  
Vol 4 (2) ◽  
pp. 85-88
Author(s):  
Abdulmalik M.S. Tayib ◽  
Ahmed J. Alsayyad
Keyword(s):  
Laparoscopic Pyelolithotomy ◽  
Staghorn Stones

scholarly journals Safety and efficacy of the supracostal access for percutaneous nephrolithotomy: Our initial experience

1970 ◽  
Vol 37 (1) ◽  
pp. 34-38 ◽  
Author(s):  
M Hossain ◽  
ATMA Ullah ◽  
S Regmi ◽  
H Rahman ◽  
SAMG Kibria
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Complication Rate ◽  
Postoperative Hospital Stay ◽  
Initial Experience ◽  
Safety And Efficacy ◽  
Stone Clearance ◽  
Secondary Procedures ◽  
Residual Stones ◽  
Staghorn Stones ◽  
Made In

The aim of this study was to evaluate the safety and efficacy of the supracostal access for percutaneous nephrolithotomy (PCNL). Between July 2007 and June 2010, 122 patients underwent PCNL, of whom 28 (23%) had supracostal access. All procedures were performed in a single sitting under general anesthesia. The data were analysed for indications, stone clearance rates and the complications associated with supracostal puncture. The indications for a supracostal access were staghorn stones (50%), pelvis stones (28.5%), calyceal stones in high-lying kidney (18%) and upper ureter/ureteric stones (3.5%). All tracts were made in the 11th intercostal space. Single tract access was used in 22 cases (78%), but 6 (22%) required a second tract. Additional punctures were required mainly for staghorn stones (4 out of 14). Overall, 82% of the patients were rendered stone free or had clinically insignificant residual stones with PCNL monotherapy, and this increased to 96% with secondary procedures. In patients with staghorn stones, they were completely cleared in 78%. Overall complication rate was 28% and included hydrothorax in 3 (10%) patients, which required insertion of a chest tube. One (3.5%) patient developed haemothorax secondary to injury of the intercostal artery, pelvic perforation in 1 (3.5%), perinephric collection in 1 (3.5%), infection/sepsis in 2 (7%). Except those patients who had complication, all other patient recovered uneventfully. Postoperative hospital stay ranged from 2 to 9 days. In conclusion, supracostal access gives high clearance rate with acceptable complications and should not be avoided for fear of chest complications. DOI:  http://dx.doi.org/10.3329/bmrcb.v37i1.7797 Bangladesh Med Res Counc Bull 2011; 37: 34 - 38  

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