Percutaneous nephrolithotomy for staghorn calculi: Troubleshooting and managing complications.
Complications
Management
Percutaneous nephrolithotomy
Staghorn
Urolithiasis
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:
19
02
2019
revised:
06
05
2019
accepted:
17
07
2019
entrez:
8
4
2020
pubmed:
8
4
2020
medline:
8
4
2020
Statut:
ppublish
Résumé
Staghorn calculi comprise a unique subset of complex kidney stone disease. Percutaneous nephrolithotomy (PCNL) is the gold standard treatment for staghorn stones. Despite continuous refinements to the technique and instrumentation of PCNL, these stones remain a troublesome challenge for endourologists and are associated with a higher rate of perioperative complications than that for non-staghorn stones. Common and notable intraoperative complications include bleeding, renal collecting system injury, injury of visceral organs, pulmonary complications, thromboembolic complications, extrarenal stone migration, and misplacement of the nephrostomy tube. Postoperative complications include infection and urosepsis, bleeding, persistent nephrocutaneous urine leakage, infundibular stenosis, and death. In this review, we report recommendations regarding troubleshooting measures that can be used to identify and characterize these complications. Additionally, we include information regarding management strategies for complications associated with PCNL for staghorn calculi.
Identifiants
pubmed: 32257807
doi: 10.1016/j.ajur.2019.10.004
pii: S2214-3882(19)30103-1
pmc: PMC7096695
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
139-148Informations de copyright
© 2020 Editorial Office of Asian Journal of Urology. Production and hosting by Elsevier B.V.
Déclaration de conflit d'intérêts
The authors declare no conflict of interest.
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