Factors Affecting Kidney Function and Stone Recurrence Rate After Percutaneous Nephrolithotomy for Staghorn Calculi: Outcomes of a Long-Term Followup

Akman, Tolga; Binbay, Murat; Kezer, Cem; Yürük, Emrah; Tekinarslan, Erdem; Özgör, Faruk; Sarı, Esin Söğütlü; Aslan, Rahmi; Berberoğlu, Y.; Müslümanoğlu, Ahmet Yaser

doi:10.1016/j.juro.2011.12.061

Cited by 34 publications

(28 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…[1] In a study by Akman et al [4] a total of 77 complications were observed in 64 patients. The most frequently seen complication was bleeding, and angioembolization was performed in 2 out of 47 patients because of development of pseudoaneurysm, and arteriovenous fistula.…”

Section: Discussionmentioning

confidence: 98%

“…[6] Increased number or dimensions of stones bring with them more frequent interventions, Kaya et al The outcome of percutaneous nephrolithotomy on ≥50 mm staghorn and multiple calyceal stones higher number of complications, and lower stone-free rates. In a study by Akman et al [4] PNL was performed on 272 renal units because of the presence of staghorn kidney stone, and median stone-free rate at a single session was reported as 76.5%. More than one accesses were made into 102 (37.5%) units, while only a single access was made for 170 (62.5%) units.…”

Section: Discussionmentioning

confidence: 99%

“…In a study,m ESWL was performed for 29 patients after PNL, 3 patients received recurrent PNL, and another 3 patients underwent ureterorenoscopy. [4] As additional treatments El Nahas et al [7] performed PNL in 30%, ESWL in 17%, and as previously unplanned treatment they used DJ implantation, ureteroscopy, and open surgery in 10.4% of their patients. In our study we performed ESWL in 5, and F-URS in 6 patients with residual kidney stones.…”

Section: Discussionmentioning

confidence: 99%

“…As the number of access sites increases, complication rates, and especially risk of bleeding also increase. [4] In recent years, decrease in the complication rates has been reported with the use of small sized access instruments.…”

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

The outcome of percutaneous nephrolithotomy on ≥50 mm staghorn and multiple calyceal stones

Kaya¹,

Ebiloğlu²,

Zor³

et al. 2018

Turkish Journal of Urology

View full text Add to dashboard Cite

Objective: To determine the success rate of percutaneous nephrolithotomy (PNL) in kidney stones over 50 milimeters. Material and methods:Twenty-four patients with a renal stone size of >50 mm between January 2007 and December 2016 were enrolled. Stone-free and complication rates were investigated.Results: Twenty-one (87.5%) patients were male and 3 (12.5%) were female. Fifteen (62.5%) stones were located in the right, and 9 (37.5%) in the left kidney. Twenty-one (87.5%) patients were operated using single-access, and three (12.5%) patients were double-access. Thirteen (54%) patients were found to have no stone after operation and 11 (46%) patients had residual stones. Extracorporal shock wave lithotripsy was applied to 5 of 11 patients with residual stones, while flexible ureteroscopy was applied to 6 of them. After additional treatments, 8 (33.5%) patients were observed to be stone free. The stone-free rate was 87.5%. The mean operation time was 135.43 (85-240) minutes. Hemoglobin levels before and after operation were 14.8 (12-16.7) and 12.6 (9.3-15.5), respectively (p= 0.001). The hospital stay was 6.04 (4-8) days. Complications were observed in four patients (16.6%).Conclusion: PNL has high stone-free rate on staghorn type large stones compared with multiple calyceal scattered large stones.

show abstract

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The outcome of percutaneous nephrolithotomy on ≥50 mm staghorn and multiple calyceal stones

Kaya¹,

Ebiloğlu²,

Zor³

et al. 2018

Turkish Journal of Urology

View full text Add to dashboard Cite

show abstract

“…Several studies have assessed the impact of PNL on renal function [25][26][27][28][29][30][31][32] . Usually there is an immediate decrease on renal function after surgery with return to baseline on long term.…”

Section: Vs Anatrophic Nephrolithotomymentioning

confidence: 99%

Review on renal recovery after anatrophic nephrolithotomy: Are we really healing our patients?

Abreu¹,

Camilo-Silva²,

Fiedler³

et al. 2015

WJN

View full text Add to dashboard Cite

The main goals for urinary stone treatment are to preserve renal function, reduce or avoid complications related to calculi, and to render the patient free of calculi as soon as possible. Anatrophic nephrolithotomy (ANL) is a valid and useful alternative for conventional staghorn calculi excision. Although excellent stone free rates can be achieved with ANL there are some drawbacks that may be of concern. Morbidity related to intraoperative and postoperative complications is one of them. Another, great concern is the possibility of reduction on renal function related to the procedure itself. This may be related to nephron injury during nephrotomy and parenchymal closure or to ischemic injury. In this review we assess functional results after anatrophic nephrolithotomy.

show abstract

Laparoscopic Applications to Renal Calculus Disease

Han

Elsamra

2018

Smith's Textbook of Endourology

View full text Add to dashboard Cite

Factors Affecting Kidney Function and Stone Recurrence Rate After Percutaneous Nephrolithotomy for Staghorn Calculi: Outcomes of a Long-Term Followup

Abstract: In almost 80% of patients with staghorn stones renal function was improved or maintained after percutaneous nephrolithotomy, as documented during long-term followup. Stones recurred in a third of the patients with staghorn calculi.

Cited by 34 publications

References 21 publications

The outcome of percutaneous nephrolithotomy on ≥50 mm staghorn and multiple calyceal stones

The outcome of percutaneous nephrolithotomy on ≥50 mm staghorn and multiple calyceal stones

Review on renal recovery after anatrophic nephrolithotomy: Are we really healing our patients?

Laparoscopic Applications to Renal Calculus Disease

Contact Info

Product

Resources

About