A Clinical Observation on Staghorn Calculi of the Kidney

Kim, Sung Yong; Yang, Kou Young

Abstract

A clinical observation was made on 23 patients of renal staghorn calculi which were treated at the Department of Urology, Hangang sacred Heart Hospital, Hallym College. The results were as follows: 1. Patients ranged in age from 17 to 62 years and there were 12 males and 11 females, giving a male to female ratio of approximated 1.1 to 1. The right kidney was involved more than the left. Eleven patients (47.8%) had multiple renal calculi and 1 of the 23 patients had bilateral renal staghorn calculi. 2. As for methods of surgery, extended pyelolithotomy in 9 cases, nephrolithotomy in 5 cases, nephrolithotomy with partial nephrectomy in 1 case and nephrectomy in 8 cases were performed. 3. Postoperative complications included 3 cases of residual stone and 3 cases of urinary infection. 4. Recommendable surgical method for renal staghorn calculi is the preservation of kidney according to operation technique.