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2004•Journal of Clinical UrologyRequires access

Contemporary management of staghorn calculi

Mei Hongbing

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Abstract

Objective:To review our experience on management of 102 staghorn calculi cases.Methods:From January of 2000 to October of 2003, we performed extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotomy (PCNL) followed by ESWL and open surgery combined with ESWL for 57,9 and 36 staghorn calculi patients, respectively. The therapeutic effect and complication were analysed. Results:Stone free rate was 86% in ESWL group after 3 monthes follow up, 89% for PCNL group and 92% for operation+ESWL group.Conclusions:PCNL should be the first-line therapeutic means for patients with staghorn calculi, monotherapy ESWL can be used for part staghorn calculi cases with normal renal anatomy, and open surgery is a appropriate way when the staghorn calculi can not be managed by PCNL or ESWL.

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Objective:To review our experience on management of 102 staghorn calculi cases.Methods:From January of 2000 to October of 2003, we performed extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotomy (PCNL) followed by ESWL and open surgery combined with ESWL for 57,9 and 36 staghorn calculi patients, respectively. The therapeutic effect and complication were analysed. Results:Stone free rate was 86% in ESWL group after 3 monthes follow up, 89% for PCNL group and 92% for operation+ESWL group.Conclusions:PCNL should be the first-line therapeutic means for patients with staghorn calculi, monotherapy ESWL can be used for part staghorn calculi cases with normal renal anatomy, and open surgery is a appropriate way when the staghorn calculi can not be managed by PCNL or ESWL.

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Available abstract

Objective:To review our experience on management of 102 staghorn calculi cases.Methods:From January of 2000 to October of 2003, we performed extracorporeal shock wave lithotripsy (ESWL), percutaneous nephrolithotomy (PCNL) followed by ESWL and open surgery combined with ESWL for 57,9 and 36 staghorn calculi patients, respectively. The therapeutic effect and complication were analysed. Results:Stone free rate was 86% in ESWL group after 3 monthes follow up, 89% for PCNL group and 92% for operation+ESWL group.Conclusions:PCNL should be the first-line therapeutic means for patients with staghorn calculi, monotherapy ESWL can be used for part staghorn calculi cases with normal renal anatomy, and open surgery is a appropriate way when the staghorn calculi can not be managed by PCNL or ESWL.

Key concepts: Medicine, Staghorn calculus, Percutaneous nephrolithotomy, Extracorporeal shock wave lithotripsy, Surgery, Lithotripsy, Open surgery, Extracorporeal

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