Skip to main content
SpringerLink
Log in

Open stone surgery: Is it still a preferable procedure in the management of staghorn calculi?

  • Published:
International Urology and Nephrology Aims and scope Submit manuscript

Abstract

We reviewed 43 patients with staghorn calculi to determine the effectiveness of various treatment modalities such as extracorporeal shock wave lithotripsy (ESWL) monotherapy, ESWL and percutaneous nephrolithotomy (PCNL) combined therapy, and open stone surgery.

While ESWL monotherapy and ESWL+PCNL were performed in 25 and 8 patients, respectively, 10 patients underwent open stone surgery. Of the 25 patients treated with ESWL, 8 were stone-free, whereas 4 out of 8 patients treated with ESWL+PCNL and 8 out of 10 patients treated with open surgery were stone-free. The complications of ESWL monotherapy consisted of pyelonephritis in one patient, and stone street formations in three. In the group of ESWL+PCNL, one patient developed pyonephrosis, and another perinephritic abscess. No serious complication was noted in patients who underwent open surgery, but an average of 525 ml of blood transfusion was required.

We conclude that open stone surgery, although invasive, is still beneficial in the treatment of staghorn calculi.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Bossche, M. V., Simon, J., Schulman, C. C.: Shocks wave monotherapy of staghorn calculi.Eur. Urol., 17, 1 (1990).

    Google Scholar 

  2. Schulze, H., Hertle, L., Kutta, A., Graff, J., Senge, T.: Critical evaluation of treatment of staghorn calculi by percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy.J. Urol., 141, 822 (1989).

    PubMed  CAS  Google Scholar 

  3. Assimos, D. G., Wrenn, J. J., Harrison, L. H., McCullough, D. L., Boyce, W. H., Taylor, C. L., Zagoria, R. J., Dyer, R. B.: A comparison of anatrophic nephrolithotomy with and without extracorporeal shock wave lithotripsy for management of patients with staghorn calculi.J. Urol., 145, 710 (1991).

    PubMed  CAS  Google Scholar 

  4. Gleeson, M., Lerner, S. P., Griffith, D. P.: Treatment of staghorn calculi with extracorporeal shock wave and percutaneous nephrolithotomy.Urology, 38, 145 (1991).

    Article  PubMed  CAS  Google Scholar 

  5. Vandeursen, H., Baert, L.: Extracorporeal shock wave lithotripsy monotherapy for staghorn stones with the second generation lithotriptors.J. Urol., 143, 252 (1990).

    PubMed  CAS  Google Scholar 

  6. Winfield, H. N., Clayman, R. V., Chaussy, C. G., Weyman, P. J., Fuchs, G. J., Lupu, A. N.: Monotherapy of staghorn renal calculi: A comparative study between percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy.J. Urol., 139, 895 (1988).

    PubMed  CAS  Google Scholar 

  7. Assimos, D. G., Boyce, W. H., Harrison, L. H., McCullough, D. L., Kroovand, R. L., Sweat, K. R.: The role of open stone surgery since extracorporeal shock wave lithotripsy.J. Urol., 142, 263 (1989).

    PubMed  CAS  Google Scholar 

  8. Koga, S., Arakaki, Y., Matsuoka, M., Ohyama, C.: Staghorn calculi—Long-term results of management.Br. J. Urol., 68, 122 (1991).

    Article  PubMed  CAS  Google Scholar 

  9. Lingemann, J. E., Smith, L., Woods, J. R., Newman, D. M.: Urinary Calculi: ESWL, Endourology and Medical Therapy. Lea & Febiger, Philadelphia 1989, pp. 163–191.

    Google Scholar 

  10. Constantinides, C., Recker, F., Jaeger, P., Hauri, D.: Extracorporeal shock wave lithotripsy as monotherapy of staghorn renal calculi: 3 years of experience.J. Urol., 142, 1415 (1989).

    PubMed  CAS  Google Scholar 

  11. Rao, P. N., Holden, D.: Management of staghorn stones using a combination of lithotripsy, percutaneous nephrolithotomy and solution R irrigation.Br. J. Urol., 167, 13 (1991).

    Google Scholar 

  12. Eisenberger, F.: Differentiated approach to staghorn calculi using extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy. An analysis of 151 consecutive cases.World J. Urol., 5, 248 (1987).

    Article  Google Scholar 

  13. Sohn, M.: Anesthesia-free ESWL monotherapy with double J stents versus PCNL/ESWL combined approach in staghorn disease. A retrospective randomized study. In: Lingemann, J. E., Newman, D. M. (eds). Shock Wave Lithotripsy: State of the Art. Plenum Press, New York 1988, Chapter 18, pp. 95–100.

    Google Scholar 

  14. Fuchs, G. J., Fuchs, A. M., Royce, P. L., Stenzl, A., Chaussy, C. G.: Staghorn stone treatment with extracorporeal shock wave lithotripsy: The fate of residual stones. In: Lingemann, J. E., Newman, D. M. (eds): Shock Wave Lithotripsy State of the Art. Plenum Press, New York 1988, Chapter 19, pp. 101–104.

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Urology, Dokuz Eylül University, School of Medicine, Inciralti, Izmir, Turkey

    A. A. Esen, Z. Kirkali & C. Güler

Authors
  1. A. A. Esen
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Z. Kirkali
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. C. Güler
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Esen, A.A., Kirkali, Z. & Güler, C. Open stone surgery: Is it still a preferable procedure in the management of staghorn calculi?. Int Urol Nephrol 26, 247–253 (1994). https://doi.org/10.1007/BF02768205

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02768205

Keywords

Search

Navigation