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Staghorn Calculi of the Kidney: Classification and Therapy
Author(s) -
SILVERIO F. DI,
GALLUCCI M.,
ALPI G.
Publication year - 1990
Publication title -
british journal of urology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.773
H-Index - 148
eISSN - 1464-410X
pISSN - 0007-1331
DOI - 10.1111/j.1464-410x.1990.tb14784.x
Subject(s) - medicine , staghorn calculus , extracorporeal shockwave lithotripsy , percutaneous , surgery , percutaneous nephrolithotomy , lithotripsy , open surgery , extracorporeal , urology
Summary— Following the introduction of new techniques, the reclassification of staghorn calculi is indicated in order to establish the most suitable form of treatment. Of 269 patients with staghorn calculi treated over a 3‐year period, 56% underwent extracorporeal Shockwave lithotripsy (ESWL) monotherapy; 16% required open surgery and the remaining 28% underwent percutaneous nephrolithotripsy (PCNL) with ultrasound in association with ESWL. The latter group has been reviewed, taking into account invasiveness, results, complications and cost effectiveness. A combination of PCNL and ESWL was beneficial in patients in whom percutaneous access through a single tract removed more than 70% of the stone. As a result of these findings, the authors propose a revised classification of staghorn calculi.