Percutaneous nephrolithotomy for large and staghorn calculi. Surgical Management of Stones: American Urological Association/ Endourological Society Guideline, PART I. 2020 7(2):130-8.Īssimos D, Krambeck A, Miller NL, Monga M, Murad MH, Nelson CP, et al. Management of staghorn stones in special situations. Gao X, Fang Z, Lu C, Shen R, Dong H, Sun Y. Turk C, Skolarikos A, Neisius A, Petrik A, Seitz C, Thomas K. Determination of stone composition by noncontrast spiral computed tomography in the clinical setting. Nakada SY, Hoff DG, Attai S, Heisey D, Blankenbaker D, Pozniak M. Outcomes of percutaneous nephrolithotomy: comparison of elderly and younger patients. Nakamon T, Kitirattrakarn P, Lojanapiwat B. Percutaneous nephrolithotomy for staghorn calculi: Troubleshooting and managing complications. Gadzhiev N, Malkhasyan V, Akopyan G, Petrov S, Jefferson F, Okhunov Z. Staghorn renal stones: what the urologist needs to know. Pathophysiology and management of infectious staghorn calculi. Chemolitholysis and lithotripsy of infectious urinary stones - an in vitro study. Heimbach D, Jacobs D, Müller SC, Hesse A. Contemporary best practice in the management of staghorn calculi. Sharbaugh A, Morgan Nikonow T, Kunkel G, Semins MJ. The role of ureteroscopy for treatment of staghorn calculi: A systematic review. Keller EX, De Coninck V, Doizi S, Traxer O. Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. Preminger GM, Assimos DG, Lingeman JE, Nakada SY, Pearle MS, Wolf JS Jr AUA Nephrolithiasis Guideline Panel. ![]() Conservative management is related to renal loss and urosepsis, reporting a mortality of 28 % up to 30% within 10 years, as well as a 36% risk of developing chronic kidney disease. The guidelines of the European Association of Urology and the American Association of Urology mention that percutaneous nephrolithotomy continues to be the treatment of choice for large stones. Complete stone cleaning is the cornerstone of staghorn lithiasis treatment. ![]() Allowing an accurate assessment of the morphology and location of the stones that will set the standard for guiding percutaneous access. Computed tomography without intravenous contrast is the imaging method of choice for diagnosis and planning of surgical intervention. In the complete one, the stones occupy the renal pelvis and the calyceal system, or more than 80% of the collecting system unlike the partial ones that occupy the renal pelvis and at least two calyces. ![]() It is classified as complete and partial. The composition of the stone usually consists of pure magnesium ammonium phosphate (struvite), or a mixture of struvite and calcium carbonate apatite. ![]() It has a strong association with urinary tract infections caused by urea-splitting organisms. Staghorn lithiasis is described as the presence of stones in the urinary tract that create a mold of the renal collecting system, with the characteristic of being branched. Renal lithiasis, Urology, Staghorn lithiasis, Lithiasis, Percutaneous nephrolithotomy Abstract Eduardo Liceaga CDMX, Mexicoĭepartment of Surgery, PEMEX General Hospital, Ciudad del Carmen, Mexicoĭepartment of Angiology, Vascular and Endovascular Surgery, General Hospital of Mexico, Dr. Eduardo Liceaga CDMX, Mexicoĭepartment of Physiology, Faculty of Medicine, UNAM, Mexicoĭepartment of Pediatrics, General Hospital of Mexico, Dr. Eduardo Liceaga CDMX, Mexicoĭepartment of Surgery, Endocrine and Advanced Laparoscopic Surgery Service, North Central Hospital PEMEX, Mexico City, Mexicoĭepartment of Pediatrics, 6Department of Angiology, Vascular and Endovascular Surgery, General Hospital of Mexico, Dr. Department of General Surgery, General Hospital of Mexico, Dr.
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