The Treatment of Renal Stag-horn Calculus by Lower Pole Incision Pyelocalycolithotomy / 中国医师杂志

ABSTRACT

Objective To evaluate the efficacy of lower pole incision pyelocalycolithotomy for the removal of complex stag-horn renal calculi. Methods The clinical data of 13 patients with complex stag-horn renal calculi underwent lower pole incision pyelocalycolithotomy were retrospectively analyzed. Results The renal pedicel blood flow did not be interrupted during operation. The mean operative time was 140 minutes, and the mean amount of blood loss during operation was 220ml. The size of the biggest removed stone was 7 2cm?4 1cm?3 5cm, and in one case the number of the removed stones amounted to 35 pieces. KUB plus IVP examination did not reveal the residual renal stone in all cases one month after operation. Conclusion The lower pole incision pyelocalycodithotomy have the advantages of simplicity, less bleeding,complete removal of calculus and preservation of renal function. It is one of effective operative procedures to treat big stag-horn renal calculi.