![]() Wiesenthal JD, Ghiculete D, D’A Honey RJ, Pace KT (2011) A comparison of treatment modalities for renal calculi between 100 and 300 mm 2: are shockwave lithotripsy, ureteroscopy, and percutaneous nephrolithotomy equivalent? J Endourol 25:481–5īozkurt OF, Resorlu B, Yildiz Y, Can CE, Unsal A (2011) Retrograde intrarenal surgery versus percutaneous nephrolithotomy in the management of lower-pole renal stones with a diameter of 15 to 20 mm. Tiselius HG, Ackermann D, Alken P, Buck C, Conort P, Gallucci M (2001) Guidelines on urolithiasis. ![]() Li LY, Gao X, Yang M, Li JF, Zhang HB, Xu WF et al (2010) Does a smaller tract in percutaneous nephrolithotomy contribute to less invasiveness? A prospective comparative study. Zhong W, Zeng G, Wu W, Chen W, Wu K (2011) Minimally invasive percutaneous nephrolithotomy with multiple mini tracts in a single session in treating staghorn calculi. J Endourol 28:775–9Īkman T, Sari E, Binbay M, Yuruk E, Tepeler A, Kaba M et al (2010) Comparison of outcomes after percutaneous nephrolithotomy of staghorn calculi in those with single and multiple accesses. J Endourol 12:403–5įayad AS, Elsheikh MG, Mosharafa A, El-Sergany R, Abdel-Rassoul MA, Elshenofy A et al (2014) Effect of multiple access tracts during percutaneous nephrolithotomy on renal function: evaluation of risk factors for renal function deterioration. Golijanin D, Katz R, Verstandig A, Sasson T, Landau EH, Meretyk S (1998) The supracostal percutaneous nephrostomy for treatment of staghorn and complex kidney stones. Wendt-Nordahl G, Mut T, Krombach P, Michel MS, Knoll T (2011) Do new generation flexible ureterorenoscopes offer a higher treatment success than their predecessors? Uro Res 39:185–8Īboumarzouk OM, Monga M, Kata SG, Traxer O, Somani BK (2012) Flexible ureteroscopy and laser lithotripsy for stones >2 cm: a systematic review and meta-analysis. Eur Urol 51:1688–93Įl-Nahas AR, Ibrahim HM, Youssef RF, Sheir KZ (2012) Flexible ureterorenoscopy versus extracorporeal shockwave lithotripsy for treatment of lower pole stones of 10–20 mm. Urol Int 77:340–6Įl-Nahas AR, El-Assmy AM, Mansour O, Sheir KZ (2007) A prospective multivariate analysis of factors predicting stone disintegration by extracorporeal shock wave lithotripsy: the value of high-resolution noncontrast computed tomography. Muslumanoglu AY, Tefekli A, Karadag MA, Tok A, Sari E, Berberoglu Y (2006) Impact of percutaneous access point number and location on complication and success rates in percutaneous nephrolithotomy. Kukreja R, Desai M, Patel S, Bapat S, Desai M (2004) Factors affecting blood loss during percutaneous nephrolithotomy: prospective study. ![]() Gu Z, Qi J, Shen H, Liu J, Chen J (2010) Percutaneous nephroscopic with holmium laser and ultrasound lithotripsy for complicated renal calculi. This approach also reduced the number of treatment sessions, the number of percutaneous access tracts, and the blood loss and potential morbidity associated with multiple tracts. The current approach tested here combines the advantages of both PCNL and fURS and effectively manages complex calculi with a high stone-free rate (SFR) (88.9%). The overall postoperative complication rate was 14.8% (Clavien grade I 11.1% Clavien grade II 3.7%). After the fURS procedure, the overall stone-free rate was 88.9%. The mean decrease in the hemoglobin level was 7.3 ± 6.5 g/l. The mean operative time of the fURS procedure was 69.1 ± 23.6 min, and the mean hospital stay was 5.3 ± 2.4 days. Treatment for residual stones with fURS and holmium laser lithotripsy was successfully completed and was performed without intraoperative complications. After the first single-tract PCNL session, the mean stone size and mean stone surface area were 18.0 ± 10.7 mm and 181.9 ± 172.2 mm 2, respectively. ![]() ![]() Among the 27 patients with complex calculi, 9 had full staghorn calculi, 7 had partial staghorn calculi, and 11 had multiple calculi. Between January 2014 and June 2016, 27 consecutive patients with complex calculi underwent fURS and holmium laser lithotripsy after a planned single-tract PCNL. This study validated the effectiveness and safety of the treatment for residual stones using flexible ureteroscopy (fURS) and holmium laser (0.6–1.2 J, 20–30 Hz) lithotripsy via a fiber with a 200-μm core diameter and 0.22 numerical aperture (NA) after the management of complex calculi with single-tract percutaneous nephrolithotomy (PCNL). ![]()
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