Repository of Research and Investigative Information

Repository of Research and Investigative Information

Rafsanjan University of Medical Sciences

Laparoscopic Anatrophic Nephrolithotomy for Management of Staghorn Renal Calculi

(2013) Laparoscopic Anatrophic Nephrolithotomy for Management of Staghorn Renal Calculi. Journal of Laparoendoscopic & Advanced Surgical Techniques. pp. 306-310. ISSN 1092-6429

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Abstract

Background: Management of staghorn renal stones is still challenging. We present our experience with laparoscopic anatrophic nephrolithotomy as an alternative option for management of staghorn renal calculi. Patients and Methods: Twenty-four patients with staghorn renal calculi underwent 25 laparoscopic anatrophic nephrolithtomy procedures. Characteristics of patients and stones along with perioperative features such as operation time, transfusion, ischemic time, hospitalization, stone-free rate, and biochemical data were recorded prospectively. We applied the one-layer knotless technique for renorrhaphy repair. Results: The mean age of the patients was 55.1 +/- 10.9 years (range, 28-74 years). Eleven (44) operations were done on the right side, and 14 (56) were done on the left side. Complete and partial staghorn stones existed in 17 (68) and 8 (32) renal units, respectively. The mean stone size was 61.5 +/- 11.5 mm. Ischemic time was 30.4 +/- 7.55 minutes. The stone-free rate was 88 on discharge and 92 after one session of extracorporeal shockwave lithotripsy. Conclusions: Although percutaneous nephrolithotomy is the standard of care for treatment of staghorn stone, laparoscopic anatrophic nephrolithotomy seems to be a safe and feasible option in select patients.

Item Type: Article
Keywords: percutaneous nephrolithotomy partial nephrectomy transperitoneal pyelolithotomy surgery stones tumors Surgery
Page Range: pp. 306-310
Journal or Publication Title: Journal of Laparoendoscopic & Advanced Surgical Techniques
Journal Index: ISI
Volume: 23
Number: 4
Identification Number: https://doi.org/10.1089/lap.2012.0275
ISSN: 1092-6429
Depositing User: مهندس مهدی شریفی
URI: http://eprints.rums.ac.ir/id/eprint/4713

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