ISSN: 1859 - 2872
Results of combination of percutaneous nephrolithotomy and extracoporeal shock wave lithotripsy in treatment of staghorn calculi
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Objective: To evaluate the outcomes of treatment of staghorn calculi by combination therapeutic approach of percutaneous nephrolithotomy (PCNL) and extracorporeal shock wave lithotripsy (ESWL). Subject and method: A prospective study carried out from September 2014 to September 2017, 80 patients with staghorn calculus underwent combination therapeutic approach of PCNL and ESWL. Result: Mean age was 54 ± 11 years (27 - 78), size of stone was 46 ± 13mm, average operation time for PCNL was 129 ± 27 minutes, the mean of the number of shock wave in the first time was 2410 ± 797 and the second time was 2614 ± 561. Postoperative length of stay was 7.3 ± 2.2 days. The number of tracts required per patient was 1 tract in 92.5% (74/80) and 2 tracts in 17.5% (6/80). The stone free rate after 3 months was 55.2%. Common complication rate was 27.5% (22/80), bleeding required transfusion was 6.2% (5/80), fever was 22.5% (18/80) and there were 1 case had ureter stone after removing double J stent (1.3%) that was required ureterorenoscopy. Conclusion: Combination therapeutic approach of percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy is a good option, safety and effectiveness for treatment of staghorn calculi.
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Các tài liệu tham khảo
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