Following the introduction of new techniques, the reclassification of staghorn calculi is indicated in order to establish the most suitable form of treatment. Of 269 patients with staghorn calculi treated over 3-year period, 56% underwent extracorporeal shockwave lithotripsy (ESWL) monotherapy; 16% required open surgery and the remaining 28% underwent percutaneous nephrolithotripsy (PCNL) with ultrasound in association with ESWL. The latter group has been reviewed, taking into account invasiveness, results, complications and cost effectiveness. A combination of PCNL and ESWL was beneficial in patients in whom percutaneous access through a single tract removed more than 70% of the stone. As a result of these findings, the authors propose a revised classification of staghorn calculi.

Staghorn calculi of the kidney: Classification and therapy / DI SILVERIO, Franco; Gallucci, M.; Alpi, Giorgio. - In: BRITISH JOURNAL OF UROLOGY. - ISSN 0007-1331. - 65:5(1990), pp. 449-452.

Staghorn calculi of the kidney: Classification and therapy

DI SILVERIO, Franco;M. Gallucci;ALPI, Giorgio
1990

Abstract

Following the introduction of new techniques, the reclassification of staghorn calculi is indicated in order to establish the most suitable form of treatment. Of 269 patients with staghorn calculi treated over 3-year period, 56% underwent extracorporeal shockwave lithotripsy (ESWL) monotherapy; 16% required open surgery and the remaining 28% underwent percutaneous nephrolithotripsy (PCNL) with ultrasound in association with ESWL. The latter group has been reviewed, taking into account invasiveness, results, complications and cost effectiveness. A combination of PCNL and ESWL was beneficial in patients in whom percutaneous access through a single tract removed more than 70% of the stone. As a result of these findings, the authors propose a revised classification of staghorn calculi.
1990
01 Pubblicazione su rivista::01a Articolo in rivista
Staghorn calculi of the kidney: Classification and therapy / DI SILVERIO, Franco; Gallucci, M.; Alpi, Giorgio. - In: BRITISH JOURNAL OF UROLOGY. - ISSN 0007-1331. - 65:5(1990), pp. 449-452.
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/112692
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