Standard-tract combined with mini-tract in percutaneous nephrolithotomy for renal staghorn calculi.

Abstract:

PURPOSE:To compare the safety and efficacy of standard-tract combined with mini-tract to single standard-tract in percutaneous nephrolithotomy (PCNL) for renal staghorn calculi. METHODS:The records of 216 patients with staghorn calculi (110 (50.9%) had complete and 106 (49.1%) had partial) who received PCNL were reviewed retrospectively. 58 patients received standard-tract combined with mini-tract PCNL (group A) and 158 patients underwent single standard-tract PCNL (group B). Both groups had comparable demographic data. Operation time, stone-free rate, blood transfusion rate, hospital stay and complications were analyzed. RESULTS:Postoperative Clavien score in the two groups was similar. The rate of blood transfusion and perioperative bleeding requiring superselective embolization were not statistically significant between the groups (p = 0.557, 0.463, respectively). The mean operation time was comparable between groups in the standard-tract combined with mini-tract group. The stone-free rate was significantly higher (89.7 vs. 78.5%, p = 0.044) in group A than in group B. The rate of second PCNL was higher in group B. CONCLUSION:The standard-tract combined with mini-tract results had higher success rates with no increase in the incidence of complications, and should be the first option for renal staghorn calculi.

journal_name

Urol Int

journal_title

Urologia internationalis

authors

Wang Y,Hou Y,Jiang F,Wang Y,Chen Q,Lu Z,Hu J,Wang X,Lu J,Wang C

doi

10.1159/000354427

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

422-6

issue

4

eissn

0042-1138

issn

1423-0399

pii

000354427

journal_volume

92

pub_type

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