Partial Nephrectomy: An Option in Calculus Disease?

Timoney, Anthony G.; Payne, S. R.; Walmsley, B.H.; Vinnicombe, J.; Abercrombie, Gavin

doi:10.1111/j.1464-410x.1988.tb04416.x

Cited by 5 publications

(2 citation statements)

References 21 publications

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“…Koraliform taşların tedavisinde nefropyelolitotomi ile %76, pyelolitotomi ile %78, anatrofik nefrolitotomi ile %85-95 oranında taşsızlık elde edilebilmektedir. [13][14][15][16][17] Koraliform taşların PNL ile tedavisinde kombine edilen ESWL seçeneğinin de başarıyı arttırabileceği düşünülmekte, ancak anlamlı sonuçlar bildirilmemektedir. 18 Staghorn taş, büyük veya çoklu üst kaliks taşı, üreteropelvik darlıkla birlikte taş veya üst üreteral patolojilerin tedavisinde üst pol girişi gerekli olabilmektedir.…”

Section: Discussionunclassified

Results of percutaneous nephrolithotomy performed in a regional state hospital

Akarer¹,

Akay²,

Akar³

et al. 2011

J Clin Exp Invest

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To evaluate percutaneous nephrolithotomy (PNL) operation, which is widely used and successfully performed in current practice, its applicability in district hospitals and to present the results of our operations. Between March 2014-2016, 32 PNL operations, which were performed in Urology Clinic of the Silvan County State Hospital, were retrospectively evaluated. All patients were assessed by routine urine tests, serum biochemical and coagulation tests, ultrasonography and computerized tomography. All operations were done by the same surgeon and performed at prone position under epidural or general anesthesia. Age, sex, stone size, laterality, operative time, fluoroscopy time, complications, stone-free rate were recorded. The sample included 17 women and 15 men with a mean age of 24.6 (11-42), and the mean stone size was 3.05 (2-5) cm. 29 patients had kidney stone (16 left-13 right) and 3 patients had proximal ureteral calculi. Incomplete duplex system was present in 6 patients. The total success rate was 93.75%. The mean operative time was 56 (28-120) minutes and mean hospitalization time was 2.6 (2-4) days. The operation failed in two patients. Blood transfusion was performed in 1 case (3.1 %). 4 patients who had postoperative hematuria were managed conservatively. However, none of the patients had intraabdominal organ injuries or required open surgery. PNL, which has become the gold standard in the treatment of large kidney stones, may be applied with similar success and complication rates of the literature, despite some difficulties arising from limited facilities in peripheral state hospitals.

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Section: Discussionunclassified

Results of percutaneous nephrolithotomy performed in a regional state hospital

Akarer¹,

Akay²,

Akar³

et al. 2011

J Clin Exp Invest

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“…Endoscopic procedures were in the majority of cases limited to the removal of concrements from the distal ureter with a Zeiss loop [15] or Dormia Basket [16]. Currently, according to EAU guidelines the surgical treatment of a solitary kidney is reserved only for a large coral calculus [17], concrements in the transplanted kidney [18, 19], concrements in the ectopic kidney, scheduled resection of the renal pole, obese patients and anatomical anomalies [20]. In all the cases where mini-invasive procedures are either contraindicated or unsuccessful, surgical treatment is still advisable.…”

Section: Operative Treatmentmentioning

confidence: 99%

Modern management of stone disease in patients with a solitary kidney.

Kupajski¹,

Tkocz²,

Ziaja³

2011

Videosurgery and Other Miniinvasive Techniques

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Analysing the data available in the literature, contemporary methods of treatment of nephrolithiasis are limited to the methods of minimally invasive percutaneous nephrolithotomy (PCNL) and ureterorenoscopic lithotripsy (URSL), not excluding their use in the presence of developmental abnormalities and kidney impairment only. Minimally invasive methods have become standard procedures. A complement to ineffective URSL and PCNL treatment is extracorporeal shock wave lithotripsy. This is confirmed by 30 years of observation in the only treatment of kidney calculi by Alken launched in 1981 and continued by Jones et al. Before the era of endoscopic procedures (PCNL and URSL) effectively removed the only deposits in the kidney in open operations. Minimally invasive treatments are recommended for patients with localized deposits in the pelvicalyceal system or solitary kidney ureter. They are recognized as safe and effective treatment in a solitary kidney in particular in patients who have already been operated on.

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The recurrence rate of stones following ESWL

Rassweiler

Alken

1993

World J Urol

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With extracorporeal shockwave lithotripsy (ESWL) stone fragmentation and the potential creation of residual stones has become an integral part of the treatment strategy. Therefore true recurrence, regrowth and pseudo-recurrence determine the rate of new stone formation. In unselected series the overall recurrence rate after ESWL varies between 6% after 1 year and 20% after 4 years. The comparison between the recurrence rate after ESWL and the natural recurrence rate reveals that the results of ESWL are better than expected. Lithotripsy has no special effect on true stone recurrence, and even pseudo-recurrence is of minor clinical significance.

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Partial Nephrectomy: An Option in Calculus Disease?

Cited by 5 publications

References 21 publications

Results of percutaneous nephrolithotomy performed in a regional state hospital

Results of percutaneous nephrolithotomy performed in a regional state hospital

Modern management of stone disease in patients with a solitary kidney.

The recurrence rate of stones following ESWL

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