Place of percutaneous nephrolithotomy in the treatment of staghorn stones. About 83 cases
Keywords:
Staghorn stone, Percutaneous nephrolithotomy, Extracorporeal shock wave lithotripsyAbstract
Background : Staghorn stone is considered as a dreadful type of renal stones. The choice of the best treatment is always difficult.
Aim: To evaluate the results of percutaneous nephrolithotomy in the treatment of staghorn stones.
Methods:We report 83 cases of staghorn stones that were treated by percutaneous nephrolithotomy during a period of 10 years from 1994 to 2004.
Results: The mean age was 44 years and sex-ratio was 2,2. The right kidney was treated alone in 42% of cases, the left one in 56% of cases and both kidneys in only two cases. The mean area of stones was 6,6 cm2. One renal punction was necessary in 97% of cases. The rate of stone free after percutaneous nephrolithotomy only was about 54% and when combined with lithotripsy the rate was 64%.
Conclusion: Combined treatment using percutaneous nephrolithotomy and lithotripsy is considered as the best procedure for staghorn stones treatment.
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References
Gleeson M, Lerner SP, Griffith DP. Treatment of staghorn calculi with extra-corporeal shock wave lithotripsy and percutaneous nephrolithotomy. Urology 1991;38:145-51.
Ponthieu A, Basile P, Lorca J, Ivaldi A. Abord percutané premier dans la lithiase rénale coralliforme. Prog Urol 1995;5:82-9.
Segura JW. Perminger GM, Kahn RI, Lingman JE. Nephrolithiasis clinical guidlines panel summary report on the management of staghorn calculi. J Urol 1994;151:1648-51.
Viville C. Le traitement des calculs coralliformes par néphrolithotomie percutanée. J Urol 1988;94:133-136.
Viville C. La néphrolithotomie percutanée : bilan de 250 NLPC par le même opérateur. Prog Urol 1993;3:238-251.
Saad F, Faucher R, Mauffette F, Paquin JM, Perrault JP, Valiquette L. Staghorn calculi treated by percutaneous nephrolithotomy: risk factors for recurrence. Urology 1993;41:141-143.
Joseph W, Segura JW .Staghorn calculi. Urol Clin North Am 1997;24:71-80.
Schullze H, Hertle L, Kutta A, Graff J, Senge T. Critical evaluation of treatment of staghorn calculi by percutaneous nephrolithotomy and extra corporeal shock wave lithotripsy. J Urol 1989;141:822- 825.
Meretyk S, Gofrit ON, Gafni O, Pode D, Shapiro A, Verstandig A. Complete staghorn calculi : random prospective comparaison between extracorporeal shock wave lithotripsy monotherapy and combined with percutaneous nephrolithotomy. J Urol 1997;157:780-6.
Preminger GM, Assimos DG, Lingeman JE, Nakada SY, Pearle J. Wolf S. AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. J Urol 2005;173:1991-2000.
