Selection of incision in the treatment of kidney staghorn calculi

ABSTRACT

Though Extracorporeal shock wave lithotrysy (Eswl) combined with Percutaneous nephrostolithotomy (PNL) have revolutioned the treatment of kidkey stones, open surgical treatment of staghorn calcului is reasonable in certain circumstances. Of 169 kidney stones, 72 staghorn calculi (19.51 per cent) were treated by surgery. Age of patients are from 21 to 73 (29 males and 43 females). Left renal culculi 31 and right renal calculi 41; procedures included pyelolithotone (5); pyelolithotomy + limited nephrolithotomy (13); radial nephrolithotomy (2); Turner Warwick (5); Resnixk (25); Bivalve (3); extended nephorolithotomy 97); partial nephrectomy (3); nephrectomy (9). The most common reasons for prefering an incision were size of calculi, anatomy and modification of renal parenchyma