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[The staghorn calculus: anatrophic nephrolithotomy versus percutaneous litholapxy and extracorporeal shockwave therapy versus extracorporeal shockwave lithotripsy monotherapy. A report of over 6 years' experience].
Urologe A. 1989 May; 28(3):152-7.U

Abstract

From 1982 to December 1987, 71 with incomplete (C4 by Rocco) and 37 with complete (C5 by Rocco) staghorn calculi underwent anatrophic nephrolithotomy (AN; n = 29), or combined percutaneous nephrostolithotomy and ESWL (PCNL + ESWL; n = 21), or ESWL monotherapy without or with preoperative JJ stenting (n = 37/21). The patients with incomplete staghorn calculi (C4) and preoperative ureteral stenting were free of stones after 6 months in 15 of 17 cases (88%), which is comparable to our results with AN (90%) and combined PCNL + ESWL (85%). ESWL without JJ stenting were free of stones in only 52%. The treatment of infected C4 calculi with JJ stenting was especially successful (92%). Complete staghorn calculi (C5) represented the best results after AN (78%) and combined PCNL + ESWL (75%), in contrast to ESWL without JJ stenting (44%). Four patients with C5 calculi were treated with ESWL and preoperative stenting, three of them were free of stones after 6 months. For incomplete staghorn calculi (C4), ESWL monotherapy with JJ stenting seems to be a justifiable noninvasive method which offers excellent results in stone elimination (88%), with lower costs than AN or PCNL + ESWL. More invasive procedures should be reserved for complete staghorn calculi.

Authors+Show Affiliations

Urologische Klinik, Universitätsspital Zürich, Schweiz.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article

Language

ger

PubMed ID

2741262

Citation

Recker, F, et al. "[The Staghorn Calculus: Anatrophic Nephrolithotomy Versus Percutaneous Litholapxy and Extracorporeal Shockwave Therapy Versus Extracorporeal Shockwave Lithotripsy Monotherapy. a Report of Over 6 Years' Experience]." Der Urologe. Ausg. A, vol. 28, no. 3, 1989, pp. 152-7.
Recker F, Konstantinidis K, Jaeger P, et al. [The staghorn calculus: anatrophic nephrolithotomy versus percutaneous litholapxy and extracorporeal shockwave therapy versus extracorporeal shockwave lithotripsy monotherapy. A report of over 6 years' experience]. Urologe A. 1989;28(3):152-7.
Recker, F., Konstantinidis, K., Jaeger, P., Knönagel, H., Alund, G., & Hauri, D. (1989). [The staghorn calculus: anatrophic nephrolithotomy versus percutaneous litholapxy and extracorporeal shockwave therapy versus extracorporeal shockwave lithotripsy monotherapy. A report of over 6 years' experience]. Der Urologe. Ausg. A, 28(3), 152-7.
Recker F, et al. [The Staghorn Calculus: Anatrophic Nephrolithotomy Versus Percutaneous Litholapxy and Extracorporeal Shockwave Therapy Versus Extracorporeal Shockwave Lithotripsy Monotherapy. a Report of Over 6 Years' Experience]. Urologe A. 1989;28(3):152-7. PubMed PMID: 2741262.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [The staghorn calculus: anatrophic nephrolithotomy versus percutaneous litholapxy and extracorporeal shockwave therapy versus extracorporeal shockwave lithotripsy monotherapy. A report of over 6 years' experience]. AU - Recker,F, AU - Konstantinidis,K, AU - Jaeger,P, AU - Knönagel,H, AU - Alund,G, AU - Hauri,D, PY - 1989/5/1/pubmed PY - 1989/5/1/medline PY - 1989/5/1/entrez SP - 152 EP - 7 JF - Der Urologe. Ausg. A JO - Urologe A VL - 28 IS - 3 N2 - From 1982 to December 1987, 71 with incomplete (C4 by Rocco) and 37 with complete (C5 by Rocco) staghorn calculi underwent anatrophic nephrolithotomy (AN; n = 29), or combined percutaneous nephrostolithotomy and ESWL (PCNL + ESWL; n = 21), or ESWL monotherapy without or with preoperative JJ stenting (n = 37/21). The patients with incomplete staghorn calculi (C4) and preoperative ureteral stenting were free of stones after 6 months in 15 of 17 cases (88%), which is comparable to our results with AN (90%) and combined PCNL + ESWL (85%). ESWL without JJ stenting were free of stones in only 52%. The treatment of infected C4 calculi with JJ stenting was especially successful (92%). Complete staghorn calculi (C5) represented the best results after AN (78%) and combined PCNL + ESWL (75%), in contrast to ESWL without JJ stenting (44%). Four patients with C5 calculi were treated with ESWL and preoperative stenting, three of them were free of stones after 6 months. For incomplete staghorn calculi (C4), ESWL monotherapy with JJ stenting seems to be a justifiable noninvasive method which offers excellent results in stone elimination (88%), with lower costs than AN or PCNL + ESWL. More invasive procedures should be reserved for complete staghorn calculi. SN - 0340-2592 UR - https://www.unboundmedicine.com/medline/citation/2741262/[The_staghorn_calculus:_anatrophic_nephrolithotomy_versus_percutaneous_litholapxy_and_extracorporeal_shockwave_therapy_versus_extracorporeal_shockwave_lithotripsy_monotherapy__A_report_of_over_6_years'_experience]_ DB - PRIME DP - Unbound Medicine ER -