Percutaneous nephrolithotomy for staghorn calculi: Troubleshooting and managing complications

Gadzhiev, Nariman; Malkhasyan, V.A.; Akopyan, G.N.; Петров, С. Б.; Jefferson, Francis; Okhunov, Zhamshid

doi:10.1016/j.ajur.2019.10.004

Cited by 22 publications

(15 citation statements)

References 97 publications

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“…It has been reported that it is safer to keep the PNT for 12-14 days in spleen injuries [15]. A study stated that ureteral double-J-stent and foley catheter placement is superior to prevent possible biloma after PNT removal [16]. In the current case, the PNT was removed on the 10th day after the regression of the hematoma in USG.…”

Section: Discussionmentioning

confidence: 68%

Ptotic Right Retro-renal Liver Lobe Injury During Supine Percutaneous Nephrolithotomy Managed by Hemostatic Sponge

Üntan

Sabur

2021

Indian J Surg

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Percutaneous nephrolithotomy is an invasive procedure applied to large and complex stones in the prone or supine position. Various complications—but mostly fever or bleeding—can be seen during and after the procedure. Neighboring organ injuries are rare during access. Liver injuries are rarely seen and have a better clinical prognosis than other organ injuries. We present the management of liver injury with ptosis of the retro-renal right lobe as a complication during supine percutaneous nephrolithotomy.

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Section: Discussionmentioning

confidence: 68%

Ptotic Right Retro-renal Liver Lobe Injury During Supine Percutaneous Nephrolithotomy Managed by Hemostatic Sponge

Üntan

Sabur

2021

Indian J Surg

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“…Retrograde intrarenal surgery for a staghorn renal calculus in a patient with solitary kidney and urinary tract deformity: a case report punctures. Another severe complication is renal collecting system injury (up to 8%), which may result in electrolyte disorder, changes of mental status, and intravascular volume overload (9). Therefore, RIRS is an excellent alternative for patients who prefer to undergo a safer procedure or who may suffer experience consequences from PCNL but still expect to achieve adequate efficacy.…”

Section: Case Reportmentioning

confidence: 99%

“…Furthermore, the deformity of the ureter, which attributed to the deformity of the pelvis, significantly increased the difficulty of performing RIRS. However, PCNL might have resulted in severe complications, especially the intraoperative bleeding of the renal parenchyma, renal collecting system injury, and renal dysfunction (9). These potential consequences made us and the patient cautious about adopting PCNL, with particular concern given to protecting the remaining right kidney.…”

Section: Case Presentationmentioning

confidence: 99%

Retrograde intrarenal surgery for a staghorn renal calculus in a patient with solitary kidney and urinary tract deformity: a case report

Xu¹,

Lu²,

Lan³

et al. 2021

Transl Androl Urol

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Staghorn renal calculi are large, branched stones in the kidney that partially or completely fill the renal pelvis and renal calyces. Percutaneous nephrolithotomy (PCNL) is the gold standard treatment for staghorn calculi. However, we report a retrograde intrarenal surgery (RIRS) performed to treat a staghorn calculus in a patient with a solitary kidney and a deformed urinary tract. The 37-year-old male patient presented with right-sided lumbar pain. The computed tomography (CT) scan found a solitary kidney on the right side with an opaque 4.5 cm × 2.4 cm renal stone and grade I hydronephrosis. Additionally, a urinary tract deformity was observed, and it was secondary to the deformity of the pelvis caused by a previous pubis fracture, which significantly increased the risk and the difficulty of intrarenal surgery. A total number of 3 sessions of RIRS were conducted, and the patient was discharged 3 days after each session on average. The postoperative X-ray exam of the third session revealed that the renal stone was completely removed. The patient recovered well without any complications. This case demonstrates that RIRS is a safe and effective treatment of staghorn calculi with the presence of urinary tract deformation. This suggests RIRS may be of particular interest in minimizing the procedure-related damage of a solitary kidney.

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“…Percutaneous nephrolithotomy is the first option in renal stones >2 cm. One of the most serious complications of this procedure is postoperative bleeding [ 1 ]. Various risk factors (multiple punctures, position, access size, stone volume, operative time, and non-papillary puncture) were considered in the literature with no clear conclusions [ [1] , [2] ].…”

mentioning

confidence: 99%

“…One of the most serious complications of this procedure is postoperative bleeding [ 1 ]. Various risk factors (multiple punctures, position, access size, stone volume, operative time, and non-papillary puncture) were considered in the literature with no clear conclusions [ [1] , [2] ]. Despite the discordance about the risk factors, the etiology is clear.…”

mentioning

confidence: 99%

Subcostal artery bleeding after endoscopic combined intrarenal surgery: Signs and treatment

Campobasso

Menozzi

Marcato

et al. 2022

Asian Journal of Urology

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Percutaneous nephrolithotomy for staghorn calculi: Troubleshooting and managing complications

Cited by 22 publications

References 97 publications

Ptotic Right Retro-renal Liver Lobe Injury During Supine Percutaneous Nephrolithotomy Managed by Hemostatic Sponge

Ptotic Right Retro-renal Liver Lobe Injury During Supine Percutaneous Nephrolithotomy Managed by Hemostatic Sponge

Retrograde intrarenal surgery for a staghorn renal calculus in a patient with solitary kidney and urinary tract deformity: a case report

Subcostal artery bleeding after endoscopic combined intrarenal surgery: Signs and treatment

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