The role of ureteroscopy for treatment of staghorn calculi: A systematic review.
Combined approach
Intrarenal surgery
Percutaneous nephrolithotomy
Simultaneous bilateral endoscopic surgery
Staghorn calculi
Ureteroscopy
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:
02
06
2019
revised:
16
09
2019
accepted:
16
10
2019
entrez:
8
4
2020
pubmed:
8
4
2020
medline:
8
4
2020
Statut:
ppublish
Résumé
To define the role of ureteroscopy for treatment of staghorn calculi. A systematic review was conducted using the Scopus and Medline databases. Original articles and systematic reviews were selected according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Only studies relating to the role of ureteroscopy for treatment of staghorn calculi were included. In five studies on ureteroscopic monotherapy, stone-free rate (SFR) ranged from 33% to 93%, with a maximum four ureteroscopy sessions per patient and no major complications. Endoscopic combined intrarenal surgery (ECIRS) was compared with percutaneous nephrolithotomy (PNL) in two studies and reached significantly higher SFR (88%-91% Ureteroscopy plays a pivotal role in the setting of a combined approach to staghorn calculi. Ureteroscopy is also particularly suitable for clearance of residual stones. In specific cases, ureteroscopy may become the sole applicable therapeutic option to staghorn calculi. Technological advances and refinement of techniques suggest a major role of ureteroscopy for staghorn calculi treatment in close future.
Identifiants
pubmed: 32257803
doi: 10.1016/j.ajur.2019.10.012
pii: S2214-3882(19)30116-X
pmc: PMC7096690
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
110-115Informations de copyright
© 2020 Editorial Office of Asian Journal of Urology. Production and hosting by Elsevier B.V.
Déclaration de conflit d'intérêts
Dr. Etienne Xavier Keller is a consultant for Olympus, Recordati and Debiopharm. Dr. Vincent De Coninck is a consultant for Boston Scientific. Dr. Steeve Doizi is a consultant for Coloplast. Prof. Olivier Traxer is a consultant for Coloplast, Rocamed, Olympus, EMS, Boston Scientific and IPG Medical.
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