Standard percutaneous nephrolithotomy alone versus in combination with intraoperative anterograde flexible nephroscopy for staghorn stones: A retrospective study

Abstract This study aimed to compare the outcomes of standard percutaneous nephrolithotomy (PCNL) to PCNL with intraoperative antegrade flexible nephroscopy (IAFN) for treating stones of staghorn nature. We retrospectively analyzed patients treated using PCNL between January 2007 and July 2013. A to...

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Bibliographic Details
Published in:The Kaohsiung journal of medical sciences 2015-11, Vol.31 (11), p.568-571
Main Authors: Goktug, Goksel, Karakoyunlu, Nihat, Sener, Nevzat Can, Zengin, Kursad, Nalbant, Ismail, Karabacak, Osman, Ozturk, Ufuk, Imamoglu, Abdurrahim
Format: Article
Language:English
Subjects:
Antegrage flexible
Female
Humans
Internal Medicine
Intraoperative Care
Male
Middle Aged
Nephrostomy, Percutaneous - adverse effects
PCNL
Postoperative Complications - etiology
Retrospective Studies
Staghorn
Staghorn Calculi - surgery
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Summary:Abstract This study aimed to compare the outcomes of standard percutaneous nephrolithotomy (PCNL) to PCNL with intraoperative antegrade flexible nephroscopy (IAFN) for treating stones of staghorn nature. We retrospectively analyzed patients treated using PCNL between January 2007 and July 2013. A total of 1250 patients were treated using PCNL, and 166 patients had staghorn stones. All patients had been subjected to a complete blood count, routine biochemical analyses, coagulation tests, a complete urine analysis, and urine cultures. Patients with a positive urine culture had been treated with appropriate antibiotics until the urine culture became negative. After purchasing a flexible renoscope in March 2012, we routinely used this tool to improve the stone-free (SF) rate. The 105 patients who underwent standard PCNL prior to March 2012 were classified as Group 1, and the 61 patients who underwent PCNL + IAFN after that date were classified as Group 2. The two groups had similar and homogeneous demographic data. The fluoroscopy and total operative times were significantly higher in Group 2 than in Group 1 ( p  
ISSN:1607-551X
2410-8650
DOI:10.1016/j.kjms.2015.08.004