Article Sidebar

PDF (Tiếng Việt)
Published: 2025-12-30
Abstract Views: 0
Views PDF (Tiếng Việt): 0
DOI: https://doi.org/10.52852/tcncyh.v197i12.4064
Issue
Vol. 197 No. 12 (2025)
Section
Các bài báo
How to Cite
Quân, P. V., Hoàng, N. H., & Sơn, Đỗ N. (2025). Outcome of standard percutaneous nephrolithotomy under ultrasound guidance for the treatment of staghorn calculi at Nghe An Friendship General Hospital. Journal of Medical Research, 197(12), 444-455. https://doi.org/10.52852/tcncyh.v197i12.4064

Outcome of standard percutaneous nephrolithotomy under ultrasound guidance for the treatment of staghorn calculi at Nghe An Friendship General Hospital

Pham Van Quan, Nguyen Huy Hoang, Do Ngoc Son

Main Article Content

Abstract

Staghorn calculi are branched stones that occupy a large portion of the renal collecting system, filling the renal pelvis and extending into several or all calyces. The current preferrred treatment modality is percutaneous nephrolithotomy (PCNL). The study aimed to evaluate the outcomes of treating staghorn calculi using standard PCNL under ultrasound guidance at Nghe An Friendship General Hospital. This study included 62 patients with staghorn stones who underwent standard-tract PCNL between January 2023 and December 2024. Results: A single access tract was used in 58 patients (93.5%), while 4 patients (6.5%) required a second tract. The immediate postoperative stone-free rate was 77.4%, increasing to 88.5% at one month postoperatively. Minor complications occurred in 9.67% of case, and major complications were observed in 4.84%. The study shows that ultrasound-guided standard PCNL for the treatment of staghorn calculi is a safe and effective, with a low rate of complications and adverse events.

Article Details

Keywords

Staghorn calculi, percutaneous nephrolithotomy

References

1. Çakici ÖU, Ener K, Keske M, et al. Open stone surgery: a still-in-use approach for complex stone burden. Cent Eur J Urol. 2017; 70(2): 179.
2. Tzelves L, Türk C, Skolarikos A. European association of urology urolithiasis guidelines: where are we going? Eur Urol Focus. 2021; 7(1): 34-38.
3. Ruhayel Y, Tepeler A, Dabestani S, et al. Tract sizes in miniaturized percutaneous nephrolithotomy: a systematic review from the European Association of Urology Urolithiasis Guidelines Panel. Eur Urol. 2017; 72(2): 220-235.
4. Proietti S, Giusti G, Desai M, Ganpule AP. A critical review of miniaturised percutaneous nephrolithotomy: is smaller better? Eur Urol Focus. 2017; 3(1): 56-61.
5. Shen Z, Xie L, Luo D, Xie H, Chen H, Liu G. Comparison of standard-percutaneous nephrolithotomy combined ultrasonic lithotripsy system and mini-percutaneous nephrolithotomy combined high-power holmium laser for staghorn calculus: A retrospective comparative study. Research Square. 2023. doi:10.53350/pjmhs2023175320.
6. Rassweiler JJ, Renner C, Eisenberger F. The management of complex renal stones. BJU Int. 2000; 86(8): 919-928. doi:10.1046/j.1464-410x.2000.00906.x.
7. Kiều Đức Vinh, Trần Các, Nguyễn Phú Việt. Kết hợp lấy sỏi thận qua da và tán sỏi ngoài cơ thể điều trị sỏi san hô thận. Tạp Chí Y Học Quân Sự. 2021; 9(7): 171-176.
8. De La Rosette JJ, Opondo D, Daels FP, et al. Categorisation of complications and validation of the Clavien score for percutaneous nephrolithotomy. Eur Urol. 2012; 62(2): 246-255.
9. Opondo D, Gravas S, Joyce A, et al. Standardization of Patient Outcomes Reporting in Percutaneous Nephrolithotomy. J Endourol. 2014; 28(7): 767-774. doi:10.1089/end.2014.0057.
10. Assimos D, Krambeck A, Miller NL, et al. Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I. J Urol. 2016; 196(4): 1153-1160. doi:10.1016/j.juro.2016.05.090.
11. Khadgi S, El-Nahas AR, El-Shazly M, Al-Terki A. Comparison of standard- and mini-percutaneous nephrolithotomy for staghorn stones. Arab J Urol. 2021; 19(2): 147-151. doi:10.1080/2090598X.2021.1878670.
12. EL-Nahas AR, Elshal AM, EL-Tabey NA, EL-Assmy AM, Shokeir AA. Percutaneous nephrolithotomy for staghorn stones: a randomised trial comparing high-power holmium laser versus ultrasonic lithotripsy. BJU Int. 2016; 118(2): 307-312. doi:10.1111/bju.13418.
13. Wan C, Wang D, Xiang J, Yang B, Xu J, Zhou G. Comparison of postoperative outcomes of mini percutaneous nephrolithotomy and standard percutaneous nephrolithotomy: A meta-analysis. Urolithiasis 50, 523-533. Published online 2022.
14. Shoukry E, Taha DE, Ibrahim A, et al. Efficacy and safety of Standard percutaneous nephrolithotomy for the management of staghorn calculi: A Single Centre experience. 2024; 14:6. doi:10.5455/jcmr.2023.14.05.50.
15. EL-Nahas AR, Khadgi S, Diab M, AL-Terki A. Definition and Unfavorable Risk Factors of Trifecta in Mini-Percutaneous Nephrolithotomy. J Endourol. 2021; 35(8): 1140-1145. doi:10.1089/end.2020.1192.
16. Large T, Assmus MA, Valadon C, et al. A multi-institutional review of single-access percutaneous nephrolithotomy for complex staghorn stones. Eur Urol Focus. 2021; 7(5): 1170-1175.