Online citations, reference lists, and bibliographies.

The Role Of Ureteroscopy For Treatment Of Staghorn Calculi: A Systematic Review

Etienne Xavier Keller, Vincent de Coninck, Steeve Doizi, Olivier Traxer
Published 2020 · Medicine
Cite This
Download PDF
Analyze on Scholarcy
Objective To define the role of ureteroscopy for treatment of staghorn calculi. Methods A systematic review was conducted using the Scopus and Medline databases. Original articles and systematic reviews were selected according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Only studies relating to the role of ureteroscopy for treatment of staghorn calculi were included. Results In five studies on ureteroscopic monotherapy, stone-free rate (SFR) ranged from 33% to 93%, with a maximum four ureteroscopy sessions per patient and no major complications. Endoscopic combined intrarenal surgery (ECIRS) was compared with percutaneous nephrolithotomy (PNL) in two studies and reached significantly higher SFR (88%–91% vs. 59%–65%) and lower operative times (84–110 min vs. 105–129 min). The role of salvage ureteroscopy for residual stones after primary PNL has been highlighted by two studies with a final SFR of 83%–89%. One study reported on the feasibility of ureteroscopy for ureteral stones and same-session PNL for contralateral staghorn calculi, with a SFR of 92%. Conclusion Ureteroscopy plays a pivotal role in the setting of a combined approach to staghorn calculi. Ureteroscopy is also particularly suitable for clearance of residual stones. In specific cases, ureteroscopy may become the sole applicable therapeutic option to staghorn calculi. Technological advances and refinement of techniques suggest a major role of ureteroscopy for staghorn calculi treatment in close future.
This paper references
Prone split leg and flank roll positioning: simultaneous antegrade and retrograde access to the upper urinary tract.
Michael A Grasso (1993)
Ureteropyeloscopic treatment of large, complex intrarenal and proximal ureteral calculi.
Jacob Howard Cohen (2013)
Ureteroscopically assisted percutaneousrenal access. Urology 2003;61:1244e5
CF Kidd (2003)
Complete staghorn calculi: random prospective comparison between extracorporeal shock wave lithotripsy monotherapy and combined with percutaneous nephrostolithotomy.
Shimon Meretyk (1997)
The outcome of percutaneous nephrolithotomy on ≥50 mm staghorn and multiple calyceal stones.
Engin Kaya (2018)
Efficacy of endoscopic combined intrarenal surgery in the prone split-leg position for staghorn calculi.
Shuzo Hamamoto (2015)
Percutaneous nephrolithotomy and the solitary kidney.
Davey J. Jones (1991)
Treatment for residual stones using flexible ureteroscopy and holmium laser lithotripsy after the management of complex calculi with single-tract percutaneous nephrolithotomy
Liping Chen (2017)
Evolving technique of percutaneous nephrolithotomy in a developing country: Singapore General Hospital experience.
Melissa H. Y. Wong (1998)
Reverse lithotomy: modified prone position for simultaneous nephroscopic and ureteroscopic procedures in women.
Travis Lehman (1988)
Treatment of complete staghorn stones: a prospective randomized comparison of open surgery versus percutaneous nephrolithotomy.
Khaled M. Al-Kohlany (2005)
Percutaneous nephrolithotomy in treatment of large stones within horseshoe kidneys.
Ahmed A. Shokeir (2004)
Endoscopic combined intrarenal surgery in Galdakao-modified supine Valdivia position: a new standard for percutaneous nephrolithotomy?
Cesare Marco Scoffone (2008)
Simultaneous ureteroscopic lithotripsy and contralateral percutaneous nephrolithotomy for ureteral calculi combined with renal staghorn calculi.
Peng Fei Shen (2015)
EAU guidelines on urolithiasis, last update March 2019
C Turk (2019)
Ureteroscopically assisted percutaneousrenal access
Charles F. Kidd (2003)
Combined treatment of staghorn calculi by fiberoptic transurethral nephrolithotripsy and extracorporeal shock wave lithotripsy.
Soichi Mugiya (1998)
Staged single-tract minimally invasive percutaneous nephrolithotomy and flexible ureteroscopy in the treatment of staghorn stone in patients with solitary kidney
Guibin Xu (2012)
Percutaneous nephrolithotomy in the management of complex upper urinary tract calculi: the Singapore General Hospital experience.
H D Nguyen (2002)
Retrograde Ureteroscopic Management of Large Renal Calculi: A Single Institutional Experience and Concise Literature Review.
Kymora Scotland (2018)
EAU guidelines on urolithiasis
C Turk
Treatment of staghorn calculi by fiberoptic transurethral nephrolithotripsy.
Yoshio Aso (1990)
Percutaneous nephrolithotripsy with the patient in a modified supine position.
Elias Assad Chedid Neto (2007)
A Novel Flexible Ureteroscopy with Intelligent Control of Renal Pelvic Pressure: An Initial Experience of 93 Cases.
DengXiaolin (2016)
Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I.
Dean G. Assimos (2016)
Stone Composition and Morphology: A Window on Etiology
Michel Daudon (2012)
Ureteroscopic fragmentation followed by extracorporeal shock wave lithotripsy: a treatment alternative for selected large or staghorn calculi.
Stephen P. Dretler (1994)
Invited review: the tale of ECIRS (Endoscopic Combined IntraRenal Surgery) in the Galdakao-modified supine Valdivia position
Cesare Marco Scoffone (2017)
Combined therapy of staghorn calculi with ureteronephroscopy (URS) and extracorporeal shock wave lithotripsy (ESWL).
Franco Marini (1989)
Percutaneous-Based Management of Staghorn Calculi in Solitary Kidney: Combined Mini Percutaneous Nephrolithotomy versus Retrograde Intrarenal Surgery
Wen Zhong (2014)
Simultaneous combined use of flexible ureteroscopy and percutaneous nephrolithotomy to reduce the number of access tracts in the management of complex renal calculi.
Charles G. Marguet (2005)
Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations.
Glenn M. Preminger (2005)
Invited review: the tale of ECIRS (Endoscopic Combined IntraRenal Surgery) in the Galdakaomodified supine Valdivia position. Urolithiasis 2018;46: 115e23
CM Scoffone (2018)
Next-Generation Fiberoptic and Digital Ureteroscopes.
Etienne Xavier Keller (2019)
Supine percutaneous nephrolithotomy: Effective approach to high-risk and morbidly obese patients.
Thimmegowda Manohar (2007)
The Application of Suctioning Flexible Ureteroscopy With Intelligent Pressure Control in Treating Upper Urinary Tract Calculi on Patients With a Solitary Kidney.
Jianrong Huang (2018)
Multi-session retrograde endoscopic lithotripsy of large renal calculi in obese patients.
Jeffery C. Wheat (2009)
A Novel Flexible Ureteroscopy with Intelligent Control of Renal Pelvic Pressure: An Initial Experience of 93 Cases.
Xiaolin Deng (2016)
Supine valdivia and modified lithotomy position for simultaneous anterograde and retrograde endourological access.
Athanasios G. Papatsoris (2007)
Simultaneous Bilateral Endoscopic Surgery (SBES) for Patients with Bilateral Upper Tract Urolithiasis: Technique and Outcomes.
Guido Giusti (2018)
Challenge of percutaneous nephrolithotomy in patients with spinal neuropathy.
Stephanie Symons (2006)
Retrograde ureteropyeloscopic treatment of 2 cm. or greater upper urinary tract and minor Staghorn calculi.
Michael A Grasso (1998)
Percutaneous management of staghorn calculi in horseshoe kidneys: a multi-institutional experience.
Evangelos Liatsikos (2010)
Combination of debulking single-tract percutaneous nephrolithotomy followed by retrograde intrarenal surgery for staghorn stones in solitary kidneys
Guohua Zeng (2014)
Combined percutaneous ultrasonic lithotripsy and extracorporeal shock wave lithotripsy for struvite staghorn calculi
J Segura (1987)
Ureteroscopically assisted percuta - neousrenal access
CF Kidd (2003)
Percutaneous nephrolithotomy for treating staghorn stones: 10 years of experience of a tertiary-care centre
Ahmed R. El-Nahas (2012)
"Pass the ball!" Simultaneous flexible nephroscopy and retrograde intrarenal surgery for large residual upper-pole staghorn stone.
Shabnam Undre (2004)
Combined percutaneous and retrograde approach to staghorn calculi with application of the ureteral access sheath to facilitate percutaneous nephrolithotomy.
Jaime Landman (2003)
Combined Minimally Invasive Percutaneous Nephrolithotomy and Retrograde Intrarenal Surgery for Staghorn Calculi in Patients with Solitary Kidney
Dehui Lai (2012)
Minimally invasive percutaneous nephrolithotomy versus endoscopic combined intrarenal surgery with flexible ureteroscope for partial staghorn calculi: A randomised controlled trial.
Jiaming Wen (2016)
Thulium fiber laser: the new player for kidney stone treatment? A comparison with Holmium:YAG laser
Olivier Traxer (2019)
Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART II.
Dean G. Assimos (2016)
Flexible ureteroscopically assisted percutaneous renal access.
Michael A Grasso (1995)
Combined percutaneous and extracorporeal shock wave lithotripsy for staghorn calculi: an alternative to anatrophic nephrolithotomy.
Richard J. Kahnoski (1986)
Endoscopic management of the symptomatic caliceal diverticular calculus.
Michael A Grasso (1995)
Percutaneous nephrolithotomy guided solely by ultrasonography: a 5-year study of >700 cases.
Song Yuan Yan (2013)
Changing composition of staghorn calculi.
Davis P. Viprakasit (2011)

Semantic Scholar Logo Some data provided by SemanticScholar