Percutaneous nephrolithotomy for complete staghorn renal stones

To evaluate the effectiveness of percutaneous nephrolithotomy (PNL) in the management of patients with complete staghorn stones, a retrospective study was conducted on 110 patients at the Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia. The study was performed between September 1990 and Sept...

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Veröffentlicht in:Saudi journal of kidney diseases and transplantation 2007-01, Vol.18 (1), p.47-53
Hauptverfasser: Koko, Abdelmoniem H, Onuora, Vincent C, Al-Turkey, Mohamamed A, Al Moss, Mohammed, Meabed, Ahmed H, Al Jawani, Nasser A
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container_issue 1
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container_title Saudi journal of kidney diseases and transplantation
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creator Koko, Abdelmoniem H
Onuora, Vincent C
Al-Turkey, Mohamamed A
Al Moss, Mohammed
Meabed, Ahmed H
Al Jawani, Nasser A
description To evaluate the effectiveness of percutaneous nephrolithotomy (PNL) in the management of patients with complete staghorn stones, a retrospective study was conducted on 110 patients at the Riyadh Medical Complex, Riyadh, Kingdom of Saudi Arabia. The study was performed between September 1990 and September 1999. 144 procedures were performed on 119 renal units including 22 units (18.5%) that needed more than one sitting. Of them, 85 units (71.4%) were completely cleared after PNL and 11 units (9.2%) were left with insignificant residual fragments (< 4 mm). This gives a success rate of 78.6% for PNL as a monotherapy. Twelve patients with significant residual fragments required Extracorporal Shock Wave Lithotripsy (SWL) in addition to PNL. The overall success rate after PNL and SWL in 108 renal units was 89.4%. We found PNL useful in the management of patients with complete staghorn stones, either as monotherapy or in combination with SWL. It was associated with little morbidity and the procedure can be instituted even in centers with limited facilities.
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source MEDLINE; DOAJ Directory of Open Access Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals
subjects Adolescent
Adult
Care and treatment
Female
Health aspects
Humans
Kidney Calculi - surgery
Kidney Calculi - therapy
Kidney stones
Lithotripsy - statistics & numerical data
Male
Middle Aged
Nephrostomy, Percutaneous - adverse effects
Nephrostomy, Percutaneous - statistics & numerical data
Patient outcomes
Percutaneous nephrostomy
Retrospective Studies
Saudi Arabia - epidemiology
Treatment Outcome
title Percutaneous nephrolithotomy for complete staghorn renal stones
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