Multitract percutaneous nephrolithotomy in staghorn calculus
Staghorn calculi are branched stones which occupy a majority portion of the pelvicaliceal system. An untreated staghorn calculus over time can damage the kidney and deteriorate its function and/or cause life threatening sepsis. Total stone clearance is an important goal in order to eradicate any inf...
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| Format: | Article |
| Language: | English |
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Elsevier
2020-04-01
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| Series: | Asian Journal of Urology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214388219301006 |
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| author | Arvind P. Ganpule M. Naveen Kumar Reddy S.B. Sudharsan Shaishav B. Shah Ravindra B. Sabnis Mahesh R. Desai |
| author_facet | Arvind P. Ganpule M. Naveen Kumar Reddy S.B. Sudharsan Shaishav B. Shah Ravindra B. Sabnis Mahesh R. Desai |
| author_sort | Arvind P. Ganpule |
| collection | DOAJ |
| description | Staghorn calculi are branched stones which occupy a majority portion of the pelvicaliceal system. An untreated staghorn calculus over time can damage the kidney and deteriorate its function and/or cause life threatening sepsis. Total stone clearance is an important goal in order to eradicate any infective focus, relieve obstruction, prevent recurrence and preserve the kidney function. Percutaneous nephrolithotomy (PCNL) is currently the accepted first-line treatment option for staghorn calculi. The options available are single-tract PCNL with an auxiliary procedure like shockwave lithotripsy, single-tract PCNL with flexible nephroscopy, or multitract PCNL. Each has its own pros and cons. But the ultimate goal of treatment for any patient with staghorn calculi should be safety, cost-effectiveness, and to achieve total stone clearance. With this article, we review the management of staghorn calculi with multiple percutaneous (“multitract”) access, its advantages and disadvantages and its current position by studying the various published materials across the globe. Keywords: Percutaneous nephrolithotomy, Staghorn, Multitract, Kidney, Stone |
| format | Article |
| id | doaj-art-af2b34cc6ae44fa5b2332b208300abc2 |
| institution | OA Journals |
| issn | 2214-3882 |
| language | English |
| publishDate | 2020-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Urology |
| spelling | doaj-art-af2b34cc6ae44fa5b2332b208300abc22025-08-20T02:12:53ZengElsevierAsian Journal of Urology2214-38822020-04-01729410110.1016/j.ajur.2019.10.001Multitract percutaneous nephrolithotomy in staghorn calculusArvind P. Ganpule0M. Naveen Kumar Reddy1S.B. Sudharsan2Shaishav B. Shah3Ravindra B. Sabnis4Mahesh R. Desai5Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, India; Corresponding author.Department of Urology, Muljibhai Patel Urological Hospital, Nadiad, IndiaDepartment of Urology, Muljibhai Patel Urological Hospital, Nadiad, IndiaNHL Municipal Medical College, Ahmedabad, IndiaDepartment of Urology, Muljibhai Patel Urological Hospital, Nadiad, IndiaDepartment of Urology, Muljibhai Patel Urological Hospital, Nadiad, IndiaStaghorn calculi are branched stones which occupy a majority portion of the pelvicaliceal system. An untreated staghorn calculus over time can damage the kidney and deteriorate its function and/or cause life threatening sepsis. Total stone clearance is an important goal in order to eradicate any infective focus, relieve obstruction, prevent recurrence and preserve the kidney function. Percutaneous nephrolithotomy (PCNL) is currently the accepted first-line treatment option for staghorn calculi. The options available are single-tract PCNL with an auxiliary procedure like shockwave lithotripsy, single-tract PCNL with flexible nephroscopy, or multitract PCNL. Each has its own pros and cons. But the ultimate goal of treatment for any patient with staghorn calculi should be safety, cost-effectiveness, and to achieve total stone clearance. With this article, we review the management of staghorn calculi with multiple percutaneous (“multitract”) access, its advantages and disadvantages and its current position by studying the various published materials across the globe. Keywords: Percutaneous nephrolithotomy, Staghorn, Multitract, Kidney, Stonehttp://www.sciencedirect.com/science/article/pii/S2214388219301006 |
| spellingShingle | Arvind P. Ganpule M. Naveen Kumar Reddy S.B. Sudharsan Shaishav B. Shah Ravindra B. Sabnis Mahesh R. Desai Multitract percutaneous nephrolithotomy in staghorn calculus Asian Journal of Urology |
| title | Multitract percutaneous nephrolithotomy in staghorn calculus |
| title_full | Multitract percutaneous nephrolithotomy in staghorn calculus |
| title_fullStr | Multitract percutaneous nephrolithotomy in staghorn calculus |
| title_full_unstemmed | Multitract percutaneous nephrolithotomy in staghorn calculus |
| title_short | Multitract percutaneous nephrolithotomy in staghorn calculus |
| title_sort | multitract percutaneous nephrolithotomy in staghorn calculus |
| url | http://www.sciencedirect.com/science/article/pii/S2214388219301006 |
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