Clinical Analysis for Management of Renal Staghorn Calculi in 42 Cases / 대한비뇨기과학회지

ABSTRACT

Clinical evaluation was made on management of 40 patients with 42 staghorncalculi from April, 1991 to September, 1993. Treatment modalities were PCNL + ESWL(35.7%), PCNL(16.7%), ESWL(14.3%), anatrophic nephrolithotomy(14.3%), nephrectomy(9.5%), extended pyelo1ithotomy(7.1%) and anatrophic nephrolithotomy + ESWU2.4%). Stone free rate was l00% with PCNL+ESWL, 85.7% with anatrophic nephrolithotomy, 66.7% with ESWL, 66.7% with extended pyelolithotomy and 38.99S with PCNL. 1n ESWL monotherapy, the mean sessions of ESWL were 12 for complete staghorn calculi and 5 for partial staghorn calculi respectively. In PCNL + ESWL combined therapy, 3.6 sessions for complete staghorn calculi and 2.6 sessions for partial staghorn calculi were needed. The number of ESWL session increased with presence of caliceal dilatation. (the average ESWL sessions of normal caliceal system compared with dilated caliceal system were 5.3 vs. 7 in ESWL monotherapy, 2.7 vs. 3.4 in PCNL + ESWL combined therapy) We conclude that PCNL + ESWL may be the most reliable therapeutic modality on management of complete or partial staghorn calculi.