J Korean Radiol Soc.  1989 Oct;25(5):680-688. 10.3348/jkrs.1989.25.5.680.

Percutaneous management of staghorn renal calculi

• Lee WJ

• KMID: 2359045
• DOI: http://doi.org/10.3348/jkrs.1989.25.5.680

Abstract

During a four year period, ending May 1987, 154 cases of symptomatic staghorn calculi have been treated by percutaneous nephrolithotomy. Of these patients, 86% were discharged completely stone free with the remainder having fragments less than 5mm in greatest diameter. More than one operative procedure during the same hospitalization was required in 24% of patients and multiple percutaneous tracts were established in excess of 73% of them. Significant complications occured in 16% of patients and there was one death. Most complications can begenerally be minimized by careful approach and manageable by interventional radiological means. The management of patients with staghorn calculi requires a comprehensive understanding of the renal anatomy, selection of appropriate percutaneous nephrostomy tract sites, and radiologic-urologic expertise needed to remove the largestone mass. The advent of extracorporeal shock wave lithotripsy will not abolish the need for nephrolithotomy, particulariy complex stones such as staghorn calculi.

MeSH Terms

Calculi
Hospitalization
Humans
Kidney Calculi*
Lithotripsy
Nephrostomy, Percutaneous
Shock
Surgical Procedures, Operative