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 |
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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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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.</description><identifier>ISSN: 1319-2442</identifier><identifier>PMID: 17237891</identifier><language>eng</language><publisher>Saudi Arabia: Medknow Publications and Media Pvt. Ltd</publisher><subject>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</subject><ispartof>Saudi journal of kidney diseases and transplantation, 2007-01, Vol.18 (1), p.47-53</ispartof><rights>COPYRIGHT 2007 Medknow Publications and Media Pvt. 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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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Care and treatment</subject><subject>Female</subject><subject>Health aspects</subject><subject>Humans</subject><subject>Kidney Calculi - surgery</subject><subject>Kidney Calculi - therapy</subject><subject>Kidney stones</subject><subject>Lithotripsy - statistics & numerical data</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Nephrostomy, Percutaneous - adverse effects</subject><subject>Nephrostomy, Percutaneous - statistics & numerical data</subject><subject>Patient outcomes</subject><subject>Percutaneous nephrostomy</subject><subject>Retrospective Studies</subject><subject>Saudi Arabia - epidemiology</subject><subject>Treatment Outcome</subject><issn>1319-2442</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkE9LxDAQxXNQ3HX1K0hB2FulzTRNc5Jl8R8s6EHPJZtMtpW0qUl62G9vl1VwQeYwzPB7jzdzRuY55CKlRUFn5DKEzyxjTJTlBZnlnAKvRD4n92_o1Rhlj24MSY9D451tY-Oi6_aJcT5RrhssRkxClLvG-T7x2Es7ja7HcEXOjbQBr3_6gnw8Pryvn9PN69PLerVJd5DxmHK15YUSsqKCo6iMUsBFjrrcGg2SAQNBc621LEBWpUAsyqwCnVXSCOAqgwVZHn0H775GDLHu2qDQ2mPyuqwEUMZgAm-P4E5arNveuOilOsD1KhesYBzowe7uH2oqjV2rpsNMO-1PBMs_ggaljU1wdoyt68MpePMTdNx2qOvBt530-_r35fANC6h6vA</recordid><startdate>20070101</startdate><enddate>20070101</enddate><creator>Koko, Abdelmoniem H</creator><creator>Onuora, Vincent C</creator><creator>Al-Turkey, Mohamamed A</creator><creator>Al Moss, Mohammed</creator><creator>Meabed, Ahmed H</creator><creator>Al Jawani, Nasser A</creator><general>Medknow Publications and Media Pvt. 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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.</abstract><cop>Saudi Arabia</cop><pub>Medknow Publications and Media Pvt. Ltd</pub><pmid>17237891</pmid><tpages>7</tpages></addata></record> |
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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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