Online citations, reference lists, and bibliographies.

Combined Percutaneous And Retrograde Approach To Staghorn Calculi With Application Of The Ureteral Access Sheath To Facilitate Percutaneous Nephrolithotomy.

J. Landman, R. Venkatesh, D. Lee, J. Rehman, Maged Ragab, M. Darcy, C. Sundaram
Published 2003 · Medicine
Cite This
Download PDF
Analyze on Scholarcy
PURPOSE We describe our technique and clinical experience with application of the ureteral access sheath for single access ablation of staghorn and partial staghorn calculi. MATERIALS AND METHODS We retrospectively reviewed our experience with 9 patients who underwent percutaneous nephrolithotomy for staghorn (6) or partial staghorn (3) renal calculi using a combined antegrade and retrograde approach. Patient data, operative parameters, efficacy of stone ablation and convalescence parameters were reviewed. RESULTS Mean operative time for the primary procedure was 3.1 hours with a mean estimated blood loss of 290 ml. Postoperatively, the mean analgesic requirement was 33.2 mg. MSO(4) equivalents. Hospital stay was 3.2 days. There were no major and 4 minor (44%) complications. No patient required transfusion. Complete stone clearance was achieved in 7 of the 9 cases (78%) using a single percutaneous nephrostomy tract. CONCLUSIONS Our preliminary clinical experience using the ureteral access sheath during percutaneous nephrolithotomy for simultaneous antegrade and retrograde stone treatment has been favorable. A large renal stone burden can be successfully managed with a single percutaneous access and limited blood loss.

This paper is referenced by
Flexible Ureteroscopy: Access Sheath
Bodo E Knudsen (2013)
Percutaneous Stone Removal
Markus Ritter (2011)
Lithiase urinaire d'infection
Nicolas Noël (2013)
Pathophysiology and management of infection stones
Seong Jin Park (2009)
Instrumentation and Surgical Technique
Farhan Khan (2013)
ECIRS: Access Creation
Cesare Marco Scoffone (2014)
Contemporary best practice in the management of staghorn calculi
Adam J. Sharbaugh (2019)
Management of staghorn renal stones
Akif Diri (2018)
Manejo endourológico de la litiasis renoureteral con ureteroscopia flexible
Luisa Fernández López (2012)
Management of distal ureter in laparoscopic nephroureterectomy--a comprehensive review of techniques.
Amanda M. Macejko (2008)
Combined Minimally Invasive Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery for Staghorn Calculi in Patients with Solitary Kidney
Dehui Lai (2012)
Prone retrograde laser lithotripsy facilitates endoscope-guided percutaneous renal access for staghorn calculi: two scopes are better than one.
James F. Borin (2008)
Calculs coralliformes ou calculs complexes : traitement chirurgical Staghorn or complex calculi : Surgical considerations
C. Saussinea (2008)
Special Problems with Staghorn Calculi
Kevan M. Sternberg (2012)
Infection-Related Kidney Stones
Amy E. Krambeck (2011)
Current trends and pitfalls in endoscopic treatment of urolithiasis
Takaaki Inoue (2018)
Advances in percutaneous nephrolithotomy.
Jodi A. Antonelli (2013)
Retrograde Access for Percutaneous Renal Surgery
Burak Turna (2012)
Treatment of the Infected Stone.
Tracy P. Marien (2015)
Litiasis urinaria infecciosa
Natalie Noël (2013)
Supine And Modified Lithotomy Position For Simultaneous Antegrade And Retrograde Endourological Access
The role of ureteroscopy for treatment of staghorn calculi: A systematic review
Etienne Xavier Keller (2020)
Percutaneous Access to the Kidney: Endoscopic
A. Kaplan (2013)
Struvite Stones, Diet and Medications
Ben H. Chew (2015)
Concurrent urinary tract infection and stone disease: pathogenesis, diagnosis and management
Ben Thomas (2008)
The accessibility, efficiency, and cost analysis of flexible ureteroscopy with a holmium:YAG laser in treating large-sized renal calculi ☆
M. Lin (2012)
Staged single-tract minimally invasive percutaneous nephrolithotomy and flexible ureteroscopy in the treatment of staghorn stone in patients with solitary kidney
Guibin Xu (2012)
Renal struvite stones—pathogenesis, microbiology, and management strategies
Ryan K Flannigan (2014)
Echo-assisted percutaneous nephrolithotomy in the supine position. Technical notes
Arianna Turci (2008)
Percutaneous Approaches to the Upper Urinary Tract Collecting System
J. Stuart Wolf (2012)
A Novel Needle Puncture Technique to the Renal Calyx using Laser-Assisted Ultrasound Scanning (LAUS) Method just before Percutaneous Nephrolithotomy: Preliminary Report
Noritaka Ishito (2013)
Multiperc versus single perc with flexible instrumentation for staghorn calculi.
Arvind P Ganpule (2009)
See more
Semantic Scholar Logo Some data provided by SemanticScholar