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Multicenter Study
. 2017 Jul:(3):40-45.
doi: 10.18565/urol.2017.3.40-45.

[Laparoscopic pyelolithotomy for staghorn kidney stones. multi-center study]

[Article in Russian]
A D Kochkin  1   2   3   4   5   6 , E A Gallyamov  1   2   3   4   5   6 , V L Medvedev  1   2   3   4   5   6 , R G Biktimirov  1   2   3   4   5   6 , A G Martov  1   2   3   4   5   6 , F A Sevryukov  1   2   3   4   5   6 , A B Novikov  1   2   3   4   5   6 , A E Sanzharov  1   2   3   4   5   6 , V P Sergeev  1   2   3   4   5   6
Affiliations
Multicenter Study

[Laparoscopic pyelolithotomy for staghorn kidney stones. multi-center study]

[Article in Russian]
A D Kochkin et al. Urologiia. 2017 Jul.

Abstract

Aim: To analyze the effectiveness and safety of laparoscopic pyelolithotomy (LP) in treating staghorn stones.

Materials and methods: A multicentre retrospective analysis of the results of LP performed from January 2004 to December 2016 was conducted.

Inclusion criteria: patients with staghorn calculi K3-K4, who underwent LP as an alternative to percutaneous nephrolithotripsy. The analysis included the incidence and structure of intra- and postoperative complications, the causes of access conversion, operating time, duration of postoperative hospital stay and stone clearance.

Results: A total of 137 patients met the inclusion criteria, including 78 (56.93%) men. There was no mortality and access conversion. Intraoperative complications occurred in 2 (1.46%) patients. Operating time was 130 [100; 150] min, blood loss was 150 [100; 200] ml. No need for blood transfusion was observed. The cumulative rate of postoperative complications was 5.11%, stone clearance was achieved in 86.13% of observations, the duration of postoperative hospital stay was 7 [7; 11] days.

Conclusion: In cases of dense staghorn calculi located in a large "extra-renal" pelvis and have calyceal branches equal to the diameter of their necks, laparoscopic pyelolithotomy is an alternative not only to open, but also to percutaneous surgery.

Keywords: laparoscopic pyelolithotomy; staghorn nephrolithiasis.

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