| Autor: |
Lam, H. Shang, Lingeman, James E., Mosbaugh, Phillip G., Steele, Ronald E., Knapp, Peter M., Scott, John W., Newman, Daniel M. |
| Zdroj: |
The Journal of Urology; September 1992, Vol. 148 Issue: 3 p1058-1062, 5p |
| Abstrakt: |
Percutaneous nephrostolithotomy with or without extracorporeal shock wave lithotripsy (ESWL*) has been extensively used in the management of staghorn calculi, with stone-free rates varying from 23 to 86%. Explanations for the variability of such results include differences in stone burden, differences in percutaneous techniques and an overreliance on ESWL. The results and changing trends in the relative roles of percutaneous nephrostolithotomy and ESWL in the management of staghorn calculi at the Methodist Hospital of Indiana were examined. We reviewed 343 cases of staghorn calculi (partial and complete) with adequate followup data, which were managed with initial percutaneous nephrostolithotomy. Cases were divided into 2 groups: group 1 (252 cases) from 1984 to 1987 when access was performed by a radiologist and group 2 (91 cases) from 1988 to 1990 when access was performed by a urologist. |
| Databáze: |
Supplemental Index |
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