Laparoscopic anatrophic nephrolithotomy for management of staghorn renal calculi
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. Twenty-four patients with staghorn renal calculi underwent 25 laparoscopic anatrophic nephrolithtomy pro...
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| Veröffentlicht in: | Journal of laparoendoscopic & advanced surgical techniques. Part A 2013-04, Vol.23 (4), p.306-310 |
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| container_title | Journal of laparoendoscopic & advanced surgical techniques. Part A |
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| creator | Simforoosh, Nasser Radfar, Mohammad Hadi Nouralizadeh, Akbar Tabibi, Ali Basiri, Abbas Mohsen Ziaee, Seyed Amir Sarhangnejad, Reza Abedinzadeh, Mehdi |
| description | 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.
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.
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.
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. |
| doi_str_mv | 10.1089/lap.2012.0275 |
| format | Article |
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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.
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.
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.</description><identifier>ISSN: 1092-6429</identifier><identifier>EISSN: 1557-9034</identifier><identifier>DOI: 10.1089/lap.2012.0275</identifier><identifier>PMID: 23448123</identifier><language>eng</language><publisher>United States</publisher><subject>Adult ; Aged ; Female ; Humans ; Kidney Calculi - surgery ; Kidney Pelvis ; Laparoscopy ; Male ; Middle Aged ; Nephrostomy, Percutaneous - methods ; Prospective Studies</subject><ispartof>Journal of laparoendoscopic & advanced surgical techniques. Part A, 2013-04, Vol.23 (4), p.306-310</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c293t-19c6505a10cafbfd342313541131d6709b1ba828d4c32d11f70378740217bdd23</citedby><cites>FETCH-LOGICAL-c293t-19c6505a10cafbfd342313541131d6709b1ba828d4c32d11f70378740217bdd23</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/23448123$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Simforoosh, Nasser</creatorcontrib><creatorcontrib>Radfar, Mohammad Hadi</creatorcontrib><creatorcontrib>Nouralizadeh, Akbar</creatorcontrib><creatorcontrib>Tabibi, Ali</creatorcontrib><creatorcontrib>Basiri, Abbas</creatorcontrib><creatorcontrib>Mohsen Ziaee, Seyed Amir</creatorcontrib><creatorcontrib>Sarhangnejad, Reza</creatorcontrib><creatorcontrib>Abedinzadeh, Mehdi</creatorcontrib><title>Laparoscopic anatrophic nephrolithotomy for management of staghorn renal calculi</title><title>Journal of laparoendoscopic & advanced surgical techniques. Part A</title><addtitle>J Laparoendosc Adv Surg Tech A</addtitle><description>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.
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.
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.
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.</description><subject>Adult</subject><subject>Aged</subject><subject>Female</subject><subject>Humans</subject><subject>Kidney Calculi - surgery</subject><subject>Kidney Pelvis</subject><subject>Laparoscopy</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nephrostomy, Percutaneous - methods</subject><subject>Prospective Studies</subject><issn>1092-6429</issn><issn>1557-9034</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2013</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kD1PwzAQhi0EoqUwsqKMLCk-f8TxiCq-pEowwGw5jtMEOXGwk6H_Hlct3HKvdI9e6R6EbgGvAZfywelxTTCQNSaCn6ElcC5yiSk7TxlLkheMyAW6ivEbp5GUXaIFoYyVQOgSfWz1qIOPxo-dyfSgp-DHNsXBjm3wrptaP_l-nzU-ZH2672xvhynzTRYnvWt9GLJgB-0yo52ZXXeNLhrtor057RX6en763Lzm2_eXt83jNjdE0ikHaQqOuQZsdFM1NWWEAuUMgEJdCCwrqHRJypoZSmqARmAqSsEwAVHVNaErdH_sHYP_mW2cVN9FY53Tg_VzVEBJISjhhUxofkRNejQG26gxdL0OewVYHSSqJFEdJKqDxMTfnarnqrf1P_1njf4Cdr5tJg</recordid><startdate>201304</startdate><enddate>201304</enddate><creator>Simforoosh, Nasser</creator><creator>Radfar, Mohammad Hadi</creator><creator>Nouralizadeh, Akbar</creator><creator>Tabibi, Ali</creator><creator>Basiri, Abbas</creator><creator>Mohsen Ziaee, Seyed Amir</creator><creator>Sarhangnejad, Reza</creator><creator>Abedinzadeh, Mehdi</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201304</creationdate><title>Laparoscopic anatrophic nephrolithotomy for management of staghorn renal calculi</title><author>Simforoosh, Nasser ; Radfar, Mohammad Hadi ; Nouralizadeh, Akbar ; Tabibi, Ali ; Basiri, Abbas ; Mohsen Ziaee, Seyed Amir ; Sarhangnejad, Reza ; Abedinzadeh, Mehdi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c293t-19c6505a10cafbfd342313541131d6709b1ba828d4c32d11f70378740217bdd23</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2013</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Female</topic><topic>Humans</topic><topic>Kidney Calculi - surgery</topic><topic>Kidney Pelvis</topic><topic>Laparoscopy</topic><topic>Male</topic><topic>Middle Aged</topic><topic>Nephrostomy, Percutaneous - methods</topic><topic>Prospective Studies</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Simforoosh, Nasser</creatorcontrib><creatorcontrib>Radfar, Mohammad Hadi</creatorcontrib><creatorcontrib>Nouralizadeh, Akbar</creatorcontrib><creatorcontrib>Tabibi, Ali</creatorcontrib><creatorcontrib>Basiri, Abbas</creatorcontrib><creatorcontrib>Mohsen Ziaee, Seyed Amir</creatorcontrib><creatorcontrib>Sarhangnejad, Reza</creatorcontrib><creatorcontrib>Abedinzadeh, Mehdi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of laparoendoscopic & advanced surgical techniques. Part A</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Simforoosh, Nasser</au><au>Radfar, Mohammad Hadi</au><au>Nouralizadeh, Akbar</au><au>Tabibi, Ali</au><au>Basiri, Abbas</au><au>Mohsen Ziaee, Seyed Amir</au><au>Sarhangnejad, Reza</au><au>Abedinzadeh, Mehdi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Laparoscopic anatrophic nephrolithotomy for management of staghorn renal calculi</atitle><jtitle>Journal of laparoendoscopic & advanced surgical techniques. Part A</jtitle><addtitle>J Laparoendosc Adv Surg Tech A</addtitle><date>2013-04</date><risdate>2013</risdate><volume>23</volume><issue>4</issue><spage>306</spage><epage>310</epage><pages>306-310</pages><issn>1092-6429</issn><eissn>1557-9034</eissn><abstract>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.
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.
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.
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.</abstract><cop>United States</cop><pmid>23448123</pmid><doi>10.1089/lap.2012.0275</doi><tpages>5</tpages></addata></record> |
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| source | MEDLINE; Alma/SFX Local Collection |
| subjects | Adult Aged Female Humans Kidney Calculi - surgery Kidney Pelvis Laparoscopy Male Middle Aged Nephrostomy, Percutaneous - methods Prospective Studies |
| title | Laparoscopic anatrophic nephrolithotomy for management of staghorn renal calculi |
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