PMID: 9531142Apr 8, 1998Paper

Treatment of staghorn calculi by percutaneous nephrolithotomy and SWL: the Hotel Dieu de France experience

Journal of Endourology
S MerhejR Chaiban

Abstract

To evaluate the combined approach of percutaneous nephrolithotomy (PCNL) and extracorporeal shockwave lithotripsy (SWL) in the treatment of staghorn calculi, we carried out a retrospective review of 101 patients. The stone surface area ranged from 654 to 3042 mm2 (1535 mm2 on average). During PCNL, a single access tract was used in 22 patients, a double tract in 65 patients, and a triple tract in 14 patients. A double-J stent was placed percutaneously in 62 patients. Extracorporeal lithotripsy was scheduled at the patient's convenience on an outpatient basis approximately 2 weeks after PCNL. The mean hospital stay was 4.4 days. The combined approach showed a stone-free rate of 67% on the initial evaluation, an insignificant residual fragment rate of 26%, and a residual stone rate of 7%. With a follow-up of 52 months on average, the global stone growth rate was 17%, being 4.4% only among the stone-free group and 27% among the group with insignificant residual fragments. The global transfusion rate was 10%. Percutaneous stone debulking combined with SWL on an outpatient basis is an efficient, minimally invasive treatment for staghorn renal calculi. Reducing the number of access tracts, using the flexible nephroscope liberally, an...Continue Reading

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Citations

Nov 9, 2000·BJU International·J J RassweilerF Eisenberger
Jun 21, 2003·Journal of Endourology·Abbas BasiriPejman Shadpour
May 26, 2007·Journal of Endourology·Seyed Habib Mosavi-BaharShahryar Amirhasani
Sep 15, 2009·Journal of Endourology·Andreas Skolarikos, Athanasios G Papatsoris
Oct 18, 2015·The Urologic Clinics of North America·Tracy Marien, Nicole L Miller
Aug 7, 2007·The Urologic Clinics of North America·Kelly A Healy, Kenneth Ogan
Nov 27, 2008·Progrès en urologie : journal de l'Association française d'urologie et de la Société française d'urologie·C SaussineO Traxer
Apr 17, 2018·Renal Failure·Akif Diri, Banu Diri
Jul 23, 2005·Urologia Internationalis·Ran KatzShimon Meretyk
Dec 1, 1999·Current Opinion in Urology·P E Clark, E A Klein
Oct 9, 2020·New Directions for Child and Adolescent Development·Kaichiro FurutaniKen'ichiro Nakashima

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