2014•Chin J Postgrad MedRequires access

Clinical effect of percutaneous nephrostolithotomy in the treatment of renal staghorn calculi

毕建斌, 张乃文, 毕晓军, 张祥宇, 孔垂泽

Abstract

Objective To evaluate the safety,efficacy,experience and techniques of percutaneous nephrostolithotomy (PCNL) in treating renal staghorn calculi.Methods The clinical data of 60 patients with staghorn renal stone who underwent PCNL were analyzed retrospectively.Results The stone free rate was 68.3％(41/60) in the first procedure.Three patients were performed a secondary procedure.The stone free rate was 73.3％ (44/60) in the second procedure.The total stone free rate was 93.3％(56/60) after the procedure of extracorporeal shock wave lithotripsy (ESWL) and ureteroscopic lithotripsy (URL).Conclusions PCNL is a safe and effective method for the staghorn renal calculi.The stone free rate may be improved with skilled operation experience and combination with ESWL and/or URL. Key words: Nephrostomy, percutaneous; Kidney calculi; Surgical procedures, minimally invasive; Stone free rate

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Key concepts: Medicine, Staghorn calculus, Extracorporeal shock wave lithotripsy, Percutaneous nephrolithotomy, Lithotripsy, Surgery, Lithotomy position, Percutaneous