TREATMENT OF COMPLETE STAGHORN STONES: A PROSPECTIVE RANDOMIZED COMPARISON OF OPEN SURGERY VERSUS PERCUTANEOUS NEPHROLITHOTOMY

2005 ◽  
Vol 173 (2) ◽  
pp. 469-473 ◽  
Author(s):  
KHALED M. AL-KOHLANY ◽  
AHMED A. SHOKEIR ◽  
AHMED MOSBAH ◽  
TAREK MOHSEN ◽  
AHMED M. SHOMA ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Open Surgery ◽  
Staghorn Stones

scholarly journals Percutaneous nephrolithotomy versus open surgery for treatment of staghorn stones in pediatric patients

2014 ◽  
Vol 8 (11-12) ◽  
pp. 906 ◽  
Author(s):  
Ahmed R. EL-Nahas ◽  
Ahmed A Shokeir ◽  
Ahmed M Shoma ◽  
Ibrahim Eraky ◽  
Osama M Sarhan ◽  
...  
Keyword(s):  
Hospital Stay ◽  
Percutaneous Nephrolithotomy ◽  
Open Surgery ◽  
Renal Stones ◽  
Small Sample ◽  
Stone Free Rate ◽  
Significant Difference ◽  
Group 2 ◽  
Free Rate ◽  
Staghorn Stones

Introduction: We compare percutaneous nephrolithotomy (PCNL) and open surgery in the treatment of staghorn stones in children.Methods: We retrospectively reviewed the electronic records of children who underwent treatment for staghorn stones between September 2000 and August 2013. They were divided between Group 1 (patients who underwent PCNL) and Group 2 (patients who underwent open surgery). We compared stone-free and complications rates, need for multiple procedures, and hospital stay.Results: The study included 41 patients (35 boys and 6 girls), with mean age 7.4 ± 3.1 years (range: 2–15). Of these 41 patients, 26 had unilateral renal stone and 15 had bilateral renal stones. The total number of treated renal units was 56: 28 underwent PCNL and 28 underwent open surgery. The complication rate was comparable for both groups (32% for open surgery vs. 28.6%, p = 0.771). Multiple procedures were more needed in PCNL group (60.7% vs. 32% in open surgery, p = 0.032). The stone-free rate was 71.4% after PCNL and 78.6% after open surgery (p = 0.537). A significant difference was observed in shorter hospital stay after PCNL (5 vs. 8.8 days, p < 0.001). Our study’s limitations include its retrospective design and relatively small sample size.Conclusions: For the treatment of staghorn stones in children, PCNL was comparable to open surgery in complication and stone-free rates. PCNL had the advantage of a shorter hospital stay and open surgery showed a decreased need for multiple procedures. 

scholarly journals Differences Effectiveness of Percutaneous Nephrolithotomy and Open Surgery in Staghorn Stone Patients: Systematic Review

2020 ◽  
Vol 4 (11) ◽  
pp. 381-385
Author(s):  
Ramandita Duta Dewangga ◽  
Tarmono Djojodimedjo ◽  
Dyah Erawati
Keyword(s):  
Systematic Review ◽  
Percutaneous Nephrolithotomy ◽  
Open Surgery ◽  
Meta Analysis ◽  
Number Of Patients ◽  
Stone Free Rate ◽  
Additional Therapy ◽  
Staghorn Stone ◽  
Free Rate ◽  
Staghorn Stones

This study purpose to analyze the differences in the effectiveness of PCNL and open surgery in patients with staghorn stones. We searched the literatures from PubMed and ScienceDirect from year 2005 until 2020. The method used in this study was a systematic review with a quantitative statistical approach (meta-analysis) using primary research data. From 4 studies there were 148 cases of PCNL and 98 cases of open surgery. PCNL had lower postoperative stone-free rate than open surgery (OR 0.168). PCNL had a lower final stone-free rate than open surgery (OR 0.603). The number of patients who had complications with PCNL was lower than open surgery (OR 0.451). The number of patients receiving blood transfusions on PCNL was lower than for open surgery (OR 0.494). Patients who received PCNL procedure required a shorter hospital stay than open surgery (MD -3,234). The number of patients who received additional therapy modalities on PCNL was lower than open surgery (OR 1.917). The conclusions obtained in this study indicate that there are differences in the effectiveness of PCNL and open surgery for patients with staghorn stones. Keywords: percutaneous nephrolithotomy; open surgery; staghorn stone

Percutaneous Nephrolithotomy Versus Open Surgery for Patients with Renal Staghorn Stones

2009 ◽  
Vol 02 (05) ◽  
Author(s):  
Siavash Falahatkar ◽  
Zahra Panahandeh ◽  
Ainaz Sourati ◽  
Marzieh Akbarpour ◽  
Negin Khaki ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Open Surgery ◽  
Staghorn Stones

scholarly journals Percutaneous nephrolithotomy versus open surgery for surgical treatment of patients with staghorn stones: A systematic review and meta-analysis

PLoS ONE ◽  
2019 ◽  
Vol 14 (1) ◽  
pp. e0206810 ◽  
Author(s):  
Yiwen Chen ◽  
Jianhua Feng ◽  
Haifeng Duan ◽  
Youwei Yue ◽  
Chaofeng Zhang ◽  
...  
Keyword(s):  
Systematic Review ◽  
Surgical Treatment ◽  
Percutaneous Nephrolithotomy ◽  
Open Surgery ◽  
Meta Analysis ◽  
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

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

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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