Percutaneous nephrolithotomy for staghorn calculi: Troubleshooting and managing complications
Staghorn calculi comprise a unique subset of complex kidney stone disease. Percutaneous nephrolithotomy (PCNL) is the gold standard treatment for staghorn stones. Despite continuous refinements to the technique and instrumentation of PCNL, these stones remain a troublesome challenge for endourologis...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2020-04-01
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| Series: | Asian Journal of Urology |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2214388219301031 |
| _version_ | 1818600978108121088 |
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| author | Nariman Gadzhiev Vigen Malkhasyan Gagik Akopyan Sergei Petrov Francis Jefferson Zhamshid Okhunov |
| author_facet | Nariman Gadzhiev Vigen Malkhasyan Gagik Akopyan Sergei Petrov Francis Jefferson Zhamshid Okhunov |
| author_sort | Nariman Gadzhiev |
| collection | DOAJ |
| description | Staghorn calculi comprise a unique subset of complex kidney stone disease. Percutaneous nephrolithotomy (PCNL) is the gold standard treatment for staghorn stones. Despite continuous refinements to the technique and instrumentation of PCNL, these stones remain a troublesome challenge for endourologists and are associated with a higher rate of perioperative complications than that for non-staghorn stones. Common and notable intraoperative complications include bleeding, renal collecting system injury, injury of visceral organs, pulmonary complications, thromboembolic complications, extrarenal stone migration, and misplacement of the nephrostomy tube. Postoperative complications include infection and urosepsis, bleeding, persistent nephrocutaneous urine leakage, infundibular stenosis, and death. In this review, we report recommendations regarding troubleshooting measures that can be used to identify and characterize these complications. Additionally, we include information regarding management strategies for complications associated with PCNL for staghorn calculi. Keywords: Percutaneous nephrolithotomy, Staghorn, Complications, Management, Urolithiasis |
| first_indexed | 2024-12-16T12:44:04Z |
| format | Article |
| id | doaj.art-1608f1442c3d44c5b6813cd4c9ea2388 |
| institution | Directory Open Access Journal |
| issn | 2214-3882 |
| language | English |
| last_indexed | 2024-12-16T12:44:04Z |
| publishDate | 2020-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Asian Journal of Urology |
| spelling | doaj.art-1608f1442c3d44c5b6813cd4c9ea23882022-12-21T22:31:20ZengElsevierAsian Journal of Urology2214-38822020-04-0172139148Percutaneous nephrolithotomy for staghorn calculi: Troubleshooting and managing complicationsNariman Gadzhiev0Vigen Malkhasyan1Gagik Akopyan2Sergei Petrov3Francis Jefferson4Zhamshid Okhunov5Department of Urology, Pavlov First Saint Petersburg State Medical University, Russia; Corresponding author.Institute for Urology and Reproductive Health, Sechenov University, Moscow, RussiaDepartment of Urology, Sechenov First Moscow State Medical University, RussiaDepartment of Urology, Pavlov First Saint Petersburg State Medical University, RussiaDepartment of Urology, University of California, Oakland, CA, USADepartment of Urology, University of California, Oakland, CA, USAStaghorn calculi comprise a unique subset of complex kidney stone disease. Percutaneous nephrolithotomy (PCNL) is the gold standard treatment for staghorn stones. Despite continuous refinements to the technique and instrumentation of PCNL, these stones remain a troublesome challenge for endourologists and are associated with a higher rate of perioperative complications than that for non-staghorn stones. Common and notable intraoperative complications include bleeding, renal collecting system injury, injury of visceral organs, pulmonary complications, thromboembolic complications, extrarenal stone migration, and misplacement of the nephrostomy tube. Postoperative complications include infection and urosepsis, bleeding, persistent nephrocutaneous urine leakage, infundibular stenosis, and death. In this review, we report recommendations regarding troubleshooting measures that can be used to identify and characterize these complications. Additionally, we include information regarding management strategies for complications associated with PCNL for staghorn calculi. Keywords: Percutaneous nephrolithotomy, Staghorn, Complications, Management, Urolithiasishttp://www.sciencedirect.com/science/article/pii/S2214388219301031 |
| spellingShingle | Nariman Gadzhiev Vigen Malkhasyan Gagik Akopyan Sergei Petrov Francis Jefferson Zhamshid Okhunov Percutaneous nephrolithotomy for staghorn calculi: Troubleshooting and managing complications Asian Journal of Urology |
| title | Percutaneous nephrolithotomy for staghorn calculi: Troubleshooting and managing complications |
| title_full | Percutaneous nephrolithotomy for staghorn calculi: Troubleshooting and managing complications |
| title_fullStr | Percutaneous nephrolithotomy for staghorn calculi: Troubleshooting and managing complications |
| title_full_unstemmed | Percutaneous nephrolithotomy for staghorn calculi: Troubleshooting and managing complications |
| title_short | Percutaneous nephrolithotomy for staghorn calculi: Troubleshooting and managing complications |
| title_sort | percutaneous nephrolithotomy for staghorn calculi troubleshooting and managing complications |
| url | http://www.sciencedirect.com/science/article/pii/S2214388219301031 |
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