The treatment of renal staghorn stones by PCN-monotherapy or PCN-debulking with subsequent ESWL is reported. From 1984 to 1997, 111 patients were treated for staghorn stones, 69 of whom had pyelitic stones involving one calyx only while more than one calyx was involved in the remaining 35 as follows: 32 simple (pyelic stone + 2 or more calyces involved) and 3 complex (all calyces involved). Of the 104 patients treated with PCN-monotherapy or combined with subsequent ESWL, 86 became stone-free (82.6%). Furthermore there were few complications, less morbidity and greater preservation of renal function compared to open surgery.
SeguraJ.W.PremingetG.M.AsimovD.G.DretlerS.P.KahnR.I.LingemanJ.E.(Mayo Clinic Rochester, Minn.): Trattamento dei calcoli a stampo: riassunto del rapporto del Comitato per le linee guida cliniche sulla ne-frolitiasi. J. Urol., 151: 1648–1651, 1994.
2.
SmithA.D.EileyD.M.FuchsG.J.SaltzmanB.: Percutaneous renal surgery.American Urological Association, New Orleans, 1997.
3.
NettoN.R.de AlmeidaClaro J.FerreiraU.: Is percutaneous monotherapy for staghorn calculus still indicated in the era of extracorporeal shockwave lithotripsy? J. Endourol., 8, 3: 195–199, 1994.
4.
XavierM.GeletA.DubernardJ.M. (Lyon-France): Complete staghorn stones: is justified to perform multiple punctures.E.A.U., Paris, P2–26, 1997.
BeltramiP.MalossiniG.GiustiG.BianchiG.MobilioG.: Endourology treatment of renal staghorn stones. Our results after 10 years experience.E.A.U Congress, Paris, 1997.
7.
LamH.S.LingemanJ.E.MosbaughP.G.: Evolution of the technique of combination therapy for staghorn calculi: a decreasing role for extracorporeal shock wave lithotripsy. J. Urol., 148: 1058, 1992.
