Treatment Selection and Outcomes: Renal Calculi

Wen, C. Charles; Nakada, Stephen Y.

doi:10.1016/j.ucl.2007.04.005

Cited by 109 publications

(68 citation statements)

References 94 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Furthermore, models typically standardize terminology and improve communication in reports. In stone disease, features affecting the success of ESWL such as skin-to-stone distance, optimal location, density (Hounsfield Units), and size have all been adequately reported (7,14,16). On the other hand, there is presently a paucity of nomograms or score systems to predict stone free rates for URS.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

The S.T.O.N.E. Score: A new assessment tool to predict stone free rates in ureteroscopy from pre-operative radiological features

et al. 2014

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…Hounsfield Units < 750 received 1 point, between 750 and 1000 HU received 2 points, and 3 points for ≥ 1000HU. These minimum and maximum values were chosen due to known SFR correlations (13,14). Ureteroscopy and stone treatment was performed with the patient in the lithotomy position.…”

Section: Methodsmentioning

confidence: 99%

The S.T.O.N.E. Score: A new assessment tool to predict stone free rates in ureteroscopy from pre-operative radiological features

et al. 2014

View full text Add to dashboard Cite

show abstract

“…Postoperative fever is a common medical complication associated with PNL (23%-25%), 27 and urosepsis develops in only a small fraction of these febrile patients (1%-2%). 28 Meria and colleagues 21 reported an insignificant difference in the stone-free rate between LPL (88%) and PNL (82%).…”

Section: Associated Anomaliesmentioning

confidence: 99%

Comparative study of laparoscopic pyelolithotomy versus percutaneous nephrolithotomy in the management of large renal pelvic stones

Haggag

Morsy

Badr

et al. 2013

CUAJ

View full text Add to dashboard Cite

Background: The aim of the study is to investigate whether laparoscopic pyelolithotomy (LPL) could be used to manage large renal pelvic stones, generally considered excellent indications for percutaneous nephrolithotomy (PNL). Methods: This study was performed from May 2009 to March 2012 at Al-Azhar University Hospitals (Assiut and Cairo), Egypt. It included two groups of patients with large renal pelvic stones; only patients with stones 2.5 cm 2 or greater were included. Group 1 included 40 patients treated by PNL and Group 2 included 10 patients treated by LPL. The differences between the two procedures were compared and analyzed. Results: There was no difference between the two groups regarding patient demographics and stone size. There was a statistically significant difference between the groups regarding mean estimated blood loss (65 ± 12.25 [range: 52.75-77.25] vs. 180 ± 20.74 [range: 159.26-200.74] mL, p ≤ 0001), mean hospital stay (2.3 ± 0.64 [range: 1.66-2.94] vs. 3.7 ± 1.4 [range: 2.3-5.1] days, p ≤ 0.006), rate of postoperative blood transfusion (0% vs. 4.8%, p ≤ 0.0024), and stone-free rate (80% vs. 78.6%, p ≤ 0.23). The mean operative time was significantly longer in Group 2 (LPL) (131 ± 22.11 [range: 108.89-153.11) vs. 51.19 ± 24.39 [range: 26.8-75.58] min, p ≤ 0001), respectively. Conclusion: Although PNL is the standard treatment in most cases of renal pelvic stones, LPL is another feasible surgical technique for patients with large renal pelvic stones. IntroductionWith the advances in shock wave lithotripsy (SWL) and endourological procedures, such as percutaneous nephrolithotomy (PNL) and ureterorenoscopy (URS), the treatment of urinary stone disease has changed markedly. The indications for open renal surgery to treat renal calculi are limited to special situations; it is needed in only 0.47% to 5.4% of the time.1-4 To treat renal calculi of 2.5 cm 2 or larger in diameter, PNL has been used successfully. With low complication rates, PNL has been accepted as first-line therapy. There are some advantages to laparoscopy despite to its rarity and limited indications. However, advanced experience and high skills are needed for the laparoscopic management of complex stones, such as anatrophric nephrolithotomy. 6,7 With the increase in stone size, success, complications and additional treatment rates differ in patients treated with PNL. 8In centres with established experience in advanced reconstructive laparoscopy, LPL can be a feasible alternative to PNL. 9 In this study, we compared PNL versus LPL in large pelvic stone and investigated the role of LPL. MethodsFrom May 2009 to March 2012, 10 patients with large renal pelvic calculi (2.5 cm 2 or more) were treated with LPL. In the same period, PNL was performed in 42 patients (2 patients had staged bilateral PNL and we therefore excluded from the analysis). An informed written consent was taken from each patient.All patients were documented prospectively in our database. We tallied age, stone location and size. Preoperative complete blood...

show abstract

“…Por medio de este trayecto se realiza la litotripsia o se pueden extraer los cálculos usando pinzas especiales (con previa nefroscopia). La NLP se ha convertido en la principal indicación para litos coraliformes, semicoraliformes de 1-2 cm 4 . Las principales complicaciones menores observadas en la NLP son la necesidad de transfusión (11.2-17.5%), la fiebre (21-32%) y el urinoma (0-1%); y las complicaciones mayores pueden ser lesión cólica (0.2-0.8%) o pulmonar (0.0-3.1%), sepsis (0.3-4.7%) y muerte (0.0-0.3%).…”

Section: Introductionunclassified

Abordaje para nefrolitotomía percutánea. Comparación del procedimiento en un solo paso contra la secuencial con dilatadores metálicos

Sedano‐Portillo

Ochoa-León

Irusteta-Jiménez

et al. 2017

GMM

View full text Add to dashboard Cite

Treatment Selection and Outcomes: Renal Calculi

Cited by 109 publications

References 94 publications

The S.T.O.N.E. Score: A new assessment tool to predict stone free rates in ureteroscopy from pre-operative radiological features

The S.T.O.N.E. Score: A new assessment tool to predict stone free rates in ureteroscopy from pre-operative radiological features

Comparative study of laparoscopic pyelolithotomy versus percutaneous nephrolithotomy in the management of large renal pelvic stones

Abordaje para nefrolitotomía percutánea. Comparación del procedimiento en un solo paso contra la secuencial con dilatadores metálicos

Contact Info

Product

Resources

About