Two Combined Invasive Percutaneous Nephrolithotomy Treatment of the Giant Staghom Renal Calculi

Objective:To evaluate the minimally invasive percutaneous nephrolithotomy and new combined application of percutaneous treatment of the giant staghom clinical results and methods.Method: 57 patients with giant staghorn calculi in patients with a view to percutaneous renal biosy uniform ostomy: two lines of minimally invasive percutaneous nephrolithotomy and percutaneous nephrolithotomy new combination therapy.9 cases in which bilateral kidney stones combined upper ureteral stones in 6 cases,merged with renal abscess in 7 cases,combined with obstructive renal failure in 5 cases,mild hydronephrosis in 23 cases,moderate and severe hydronephrosis in 34 cases.Result: 57 cases in a single pass to take stones in 39 cases,dual-channel to take stones in 16 cases,three-channel to take stones in 2 cases,a time to take the net stones in 41 cases,2 stones were removed in 9 cases,3 stones were removed in 1 case,the net rate of stone taken 89.5%.The mean operative time was 125 minutes,the average amount of bleeding 30mL,average length of stay 14.4d,2 cases with postoperative high fever(39℃),no other serious complications.Conclusion: The two kinds of combined application of percutaneous nephrolithotomy in treatment of large staghorn calculi with a safe and effective traumatic small,less bleeding,shorter operative century and the advantages of fewer complications,especially kidney stones combined with renal abscess,obstructive renal function failure,such as poor body condition in patients with more secure.