Русский
Multimodal approach to the treatment of staghorn stones in modern clinic
DOI: https://dx.doi.org/10.18565/urology.2020.3.133-136
S.V. Popov, I.N. Orlov, F.R. Asfandiyarov, O.N. Skryabin, M.M. Suleymanov, D.A. Sytnik
1) Department of Urology of FGBOU VO North-Western State Medical University named after I.I. Mechnikov, GBUZ “Public Hospital of Saint Luca”, Saint Petersburg, Russia; 2) Astrakhan State Medicine University, Astrakhan, Russia
This lecture is dedicated to increasing stone free rate (SFR) in patients with staghorn renal stones by using a multimodal approach. Percutaneous nephrolithotomy (PCNL) is the “gold standard” for the treatment of this group of patients. Depending on a stone size and complexity, SFR for PCNL varies from 55 to 98%. Due to low SFR, which is a main criterion for the effective procedure, various approaches currently are being suggested. In this lecture, we highlighted the following approaches: multi-access PCNL, a use of a ureteroscope in case of antegrade stone migration, a use of flexible instruments, ureterorenoscopy in combination with PCNL. Various lithotripsy techniques are briefly described. The advantage of ultrasound-guided puncture of the kidney is also discussed.
About the Autors
Corresponding author: M.M. Suleymanov – Ph.D., urologist at the Department of Urology of GBUZ “Public Hospital of Saint Luca”, Saint Petersburg, Russia; e-mail: doc.suleimanov@gmail.com
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