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Pyelolithotomy with endoscopic lithotripsy for staghorn calculi in a solitary kidney
Author(s) -
Liu Bianjiang,
Zhang Wei,
Song Rijin,
Li Pengchao,
Zhang Jiexiu,
Li Jie,
Wang Zengjun,
Yin Changjun
Publication year - 2015
Publication title -
surgical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.109
H-Index - 10
eISSN - 1744-1633
pISSN - 1744-1625
DOI - 10.1111/1744-1633.12111
Subject(s) - medicine , renal pelvis , staghorn calculus , surgery , ureteroscope , lithotripsy , laser lithotripsy , renal function , urology , ureter , percutaneous , percutaneous nephrolithotomy
Aim The aim of the present study was to present our experience on pyelolithotomy with simultaneous endoscopic lithotripsy for the treatment of staghorn calculi in a solitary kidney. Patients and Methods Five patients were recruited from J anuary 2010 to A pril 2012. A small, oblique lumbar incision was used to expose the renal pelvis for pyelolithotomy. The cystoscope and/or ureteroscope was/were inserted through the pyelic incision to monitor holmium laser lithotripsy of calculi in renal pelvis and calyces. Results No complications were observed. The patients resumed activity 1 day postoperatively and were discharged 3 days postoperatively. The stone‐free rate was 100 per cent. The serum creatinine rate and glomerular filtration rate 6 months postoperatively were not different from preoperative levels. Stone recurrence was not observed during the follow up. Conclusions Pyelolithotomy with simultaneous endoscopic holmium laser lithotripsy combines the simplicity and safety of open surgery and the minimal invasion and efficient stone removal of endoscopic techniques.