Evaluating outcomes of complete supine percutaneous nephrolithotomy for staghorn vs multiple non-staghorn renal stones: a 10-year study
| Autor: | Tamkin Shahraki, Siavash Falahatkar, Parham Mashouf, Samaneh Esmaeili, Reza Falahatkar |
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| Rok vydání: | 2021 |
| Předmět: |
Male
Nephrology medicine.medical_specialty Transfusion rate Supine position Percutaneous Urology medicine.medical_treatment Urinary system 030232 urology & nephrology Hydronephrosis Nephrolithotomy Percutaneous Patient Positioning Kidney Calculi 03 medical and health sciences chemistry.chemical_compound Postoperative Complications 0302 clinical medicine Internal medicine Outcome Assessment Health Care Supine Position medicine Humans Blood Transfusion Percutaneous nephrolithotomy Creatinine business.industry Middle Aged Surgery Cross-Sectional Studies chemistry 030220 oncology & carcinogenesis Urinary Tract Infections Female Staghorn Calculi business Body mass index Nephrotomy |
| Zdroj: | World Journal of Urology. 39:3071-3077 |
| ISSN: | 1433-8726 0724-4983 |
| DOI: | 10.1007/s00345-020-03563-8 |
| Popis: | To evaluate the outcomes of complete supine percutaneous nephrolithotomy (csPCNL) for staghorn stones and multiple large non-staghorn stones.The records of 886 patients who underwent csPCNL from September 2009 to October 2019 were considered. Out of them, 201 cases met the eligibility criteria and they were divided into three groups: 63 cases of staghorn, 68 cases of multiple medium (20 mm diameter ≤ 30 mm) non-staghorn and 70 cases of multiple large non-staghorn ( 30 mm) stones. Almost all outcomes and stone-related factors were analyzed.There was not any significant difference regarding age, body mass index, history of urinary tract infection, transfusion rate, complication rate, pre and post-surgery serum creatinine, hemoglobin drop and total hospital stay between the three groups. Stone free rate was 98.5% in multiple medium group, 97.1% in multiple large group and 84.1% in staghorn group (P = 0.001). The operation duration was significantly shorter for the multiple medium group (P 0.001) but it was not significantly different between the multiple large non-staghorn and staghorn group.The results demonstrated that almost all outcomes were not significantly different between the three groups (especially between staghorn and larger non-staghorn ones). These findings reveal that surgeons could choose csPCNL for treatment of staghorn stones and multiple large non-staghorn stones and consider staghorn stones as challenging as multiple large (especially diameter 30 mm) non-staghorn stones. |
| Databáze: | OpenAIRE |
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