Abstract
The results and complications of 122 percutaneous debulkings of staghorn stones are carefully reviewed, discriminating between dilated and non-dilated kidneys. Percutaneous debulking was satisfactory in about 70% of cases. In the remaining 30% of cases (mostly non-dilated kidneys), debulking provided poor results. The overall complication rate is quite low, and most of the common complications can be prevented. Percutaneous procedures in non-dilated kidneys have a much higher overall complication rate than that of dilated kidneys.
The preferred procedures for staghorn stones (ESWL monotherapy, combined PCN/ESWL, or open surgery) should be selected according to the nature of the stone, the dilation of the renal collecting system, and previous surgery. Struvite stones in non-dilated kidneys should be treated by ESWL monotherapy. Other staghorn stones in non-operated, non-dilated kidneys should be treated surgically. All other cases should be approached by combined PCN/ESWL treatment.
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© 1988 Springer Science+Business Media New York
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Puppo, P., Bottino, P., Germinale, F., Caviglia, C., Ricciotti, G. (1988). A Simple Guideline for Treating Staghorn Stones. In: Lingeman, J.E., Newman, D.M. (eds) Shock Wave Lithotripsy. Springer, Boston, MA. https://doi.org/10.1007/978-1-4757-1977-2_15
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DOI: https://doi.org/10.1007/978-1-4757-1977-2_15
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