MODIFIED ANATROPHIC NEPHROLITHOTOMY FOR MANAGEMENT OF STAGHORN CALCULI: IS RENAL FUNCTION PRESERVED?
作者： ALLEN F. MOREY , KENNETH S. NITAHARA , JACK W. McANINCH
DOI: 10.1097/00005392-199909010-00007
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摘要: AbstractPurpose: We report the results of modified anatrophic nephrolithotomy in select patients with complex staghorn calculi.Materials and Methods: From 1987 to 1997 nephrolithotomy, including 1 bilateral procedure, was performed 15 at San Francisco General Hospital. Preoperative imaging included excretory urography, sonography computerized tomography. postoperative quantitative renal function assessed with99m technetium dimercapto-succinic acid scintigraphy serum creatinine measurements.Results: Mean patient age 42 years 11 were male. Bilateral on separate occasions. Average surgical time 3.7 hours blood loss 325 ml. Length hospital stay averaged 4 days. Residual stones present after 3 procedures, these required a secondary procedure. There no other short-term complications. Renal not significantly altered.Conclu...
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