ABSTRACT
Introduction: open surgery is the gold standard of treating the saghorn calculus which all other forms of treatment are compared with it. New endourological techniques leads to treating staghorn calculus with more effective and less invasive methods
Objective: compare the complication of PNL [percutaneous nephrolithotomy] versus open surgery in staghorn stones
Materials and Methods: in this study 120 patients with staghorn stones who admitted in Razi hospital during September 2005 to September 2007 were considered. The requested information was extracted such as age, sex, treatment method, intraoperative and postoperative complications [including Obstructive uropathy, Massive hematuria, and Wound infection] and hospital stay. The results and complications were compared in patients who underwent PCNL with open surgery and were compared and data were analyzed by T-test and chi- square
Results: we studied 72 patients [60%] underwent PNL and 48 patients [40%] underwent open surgery. We recorded intraoperative complication in 18.8% and 13.9% in PNL and open surgery respectively. The most common intraoperative complication was bleeding requiring blood transfusion. We recorded postoperative complication in 12.5% and 4.2% of patients in PNL and open surgery repectively. Mean hospital stay was 3.93 +/- 1.76 and 5.08 +/- 2.42 day in PNL and open surgery respectively. Stone free rate was 81.9% and 91.6% of patients who underwent PNL of patients and open surgery respectively
Conclusion: PNL is a valuable treatment option for staghorn stones with complication and stone free rate approaching that of open surgery. Moreover, it has advantages such as shorter hospital stay that because it is the first stage in treatment of most patients with staghorn stones