Multitract percutaneous nephrolithotomy in staghorn calculus.
Kidney
Multitract
Percutaneous nephrolithotomy
Staghorn
Stone
Journal
Asian journal of urology
ISSN: 2214-3882
Titre abrégé: Asian J Urol
Pays: Singapore
ID NLM: 101699720
Informations de publication
Date de publication:
Apr 2020
Apr 2020
Historique:
received:
04
03
2019
revised:
14
06
2019
accepted:
27
06
2019
entrez:
8
4
2020
pubmed:
8
4
2020
medline:
8
4
2020
Statut:
ppublish
Résumé
Staghorn calculi are branched stones which occupy a majority portion of the pelvicaliceal system. An untreated staghorn calculus over time can damage the kidney and deteriorate its function and/or cause life threatening sepsis. Total stone clearance is an important goal in order to eradicate any infective focus, relieve obstruction, prevent recurrence and preserve the kidney function. Percutaneous nephrolithotomy (PCNL) is currently the accepted first-line treatment option for staghorn calculi. The options available are single-tract PCNL with an auxiliary procedure like shockwave lithotripsy, single-tract PCNL with flexible nephroscopy, or multitract PCNL. Each has its own pros and cons. But the ultimate goal of treatment for any patient with staghorn calculi should be safety, cost-effectiveness, and to achieve total stone clearance. With this article, we review the management of staghorn calculi with multiple percutaneous ("multitract") access, its advantages and disadvantages and its current position by studying the various published materials across the globe.
Identifiants
pubmed: 32257801
doi: 10.1016/j.ajur.2019.10.001
pii: S2214-3882(19)30100-6
pmc: PMC7096673
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
94-101Informations de copyright
© 2020 Editorial Office of Asian Journal of Urology. Production and hosting by Elsevier B.V.
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