Clinical results of treatment bilateral staghorn nephrolithiasis

Chernyshev I.V., Katibov M.I., Shvangiradze I.A., Gadzhiev G.D., Anohin N.V.

The Federal State Organization Research Institute of Urology in 115 patients with bilateral staghorn nephrolithiasis in the period from 2009 to 2011 compared three methods of surgical treatment: percutaneous nephrolitholapaxy, combined treatment ( percutaneous nephrolitholapaxy and SWL ) and open surgery – efficacy stone removal, the rate of complications and length of hospitalization. Before surgery all patients underwent a standard examination and performed the above methods of surgical intervention. Our study showed that the percutaneous nephrolitholapaxy was a high efficiency to get rid of stones with minimal timing of treatment and the rate of complications. With this type of surgery most frequently encountered the following complications: acute exacerbation of chronic pyelonephritis (15.4 % cases), postoperative bleeding (12.3%), intraoperative complications (9,2 ). In the combined treatment was good enough results to remove the stones, but it is necessary to carry out treatment in 2 stages, which increases total time of hospital treatment. Along with the same complications that have occurred during percutaneous operations in the combined treatment is sufficiently high probability of "stone path" (25%). When open surgery is also able to achieve a high success remove staghorn, but the indicators of treatment time and number of complications were the worst. The most frequent: exacerbation of chronic renal failure in 38.5 % of patients, intra-and postoperative bleeding in 34.6 % of patients, other complications in 19.2 % of cases.

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