Introduction. Anatrophic nephrolithotomy is a procedure in which a parenchymal incision is made in an intersegmental plane, allowing removal of large renal. We offered the patient staged open anatrophic nephrolithotomy. Results. Operative time was minutes. Blood loss was cc. requiring one. The anatrophic nephrolithotomy described by Smith and Boyce is an excellent method of preserving a maximum number of functioning nephrons by minimizing .
|Published (Last):||13 September 2006|
|PDF File Size:||6.40 Mb|
|ePub File Size:||19.8 Mb|
|Price:||Free* [*Free Regsitration Required]|
National Center for Biotechnology InformationU.
Nevertheless, information about long term follow-up is scarce, nephropithotomy well as the the cumulative impact of multiple procedures. Laparoscopic anatrophic nephrolithotomy for managing large staghorn calculi.
Renal function improvement may occur after stone treatment. Modified anatrophic nephrolithotomy for management of staghorn calculi: Stent removal was done in all patients between weeks.
Long-term functional outcome of percutaneous nephrolithotomy in solitary kidney. Combination therapy for staghorn calculi in solitary kidneys: In expert hands, anatrophic nephrolithotomy is an effective procedure, which spares renal function. InKaouk et al[ 20 ] studied laparoscopic Wnatrophic for the management of staghorn renal stone in pigs[ 20 ].
Two CKD patients were on maintenance haemodialysis.
Review on renal recovery after anatrophic nephrolithotomy: Are we really healing our patients?
King et al[ 24 ] evaluated seven consecutive patients submitted to RANL. Another possible mechanism is the ischemia-reperfusion injury related to occlusion of renal artery and vein. Zhou L et al. Times Cited of This Article. The avascular plane of brodel was marked with cautery and after confirmation with blanching, incision was made in this avascular plane on the convex border of the kidney.
The main goals for urinary stone treatment are to preserve renal function, reduce or avoid complications related to calculi, and to render the patient free of calculi as soon as possible.
Intraoperative images depicting stages of anatrophic nephrolithotomy; a Posterior segmental artery clamped and sterile crushed normal saline ice slush applied around kidney and covered for 15 minutes; b Calyx incised and adjacent infundibula opened; c Calicoplasty with polydiaxonone sutures; d Double J stent placement in renal pelvis; e Nephrostomy placement and renal pelvis closure. Postoperative evaluation in 16 out of 24 patients, seven out of 16 Modified anatrophic nephrolithotomy for management of staghorn calculi: Between April and JulyAN was done in 14 renal units in 13 patients at our institute which is a tertiary care referral urological center.
Melissourgos et al [ 17 ].
Case Reports in Urology
For nephrolithhotomy calculi, SWL was performed in three patients and conservative management 0. Results AN was performed for complex staghorn calculi involving pelvis and all calyces in 10 patients, infundibular stenosis in two patients and failed PNL in one patient. Baseline characteristics and investigations: Stent removal was done in all patients between two to eight weeks.
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers.
Laparoscopic nephrectomy is an option, but open surgical nephrectomy may be a safer approach if there is intense perirenal inflammation, such as that which occurs with chronic xanthogranulomatous pyelonephritis [ 21 — 24 ]. Hospital stay was 7 days. Nephrolithotomy, Renal calculi, Renal failure, Stone clearance.
Anatrophic Nephrolithotomy in the Management of Large Staghorn Calculi – A Single Centre Experience
Ultrasound was done in all 13 patients. The median IQR age was 58 30 years and male: The mean SD kidney size was Standard operative technique annatrophic was followed in all patients. With the advances in laparoscopic and robotic assisted methods replication of the open technique is possible with less morbidity. Nonetheless, total renal function assessed by effective renal plasma flow level remained normal in the postoperative stage.
As previously addressed PNL is the standard treatment for staghorn stones.