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- W2391807047 abstract "Objective:To investigate the experience and technique of standard tract percutaneous nephrolithotomy(SPCNL)for the treatment of renal staghorn calculi,and analyze the accidental complications.Methods:We analysed all the clinical data of 66 renal staghorn calculi patients(42 males and 24 females)whom underwent SPCNL in a single session.Results:All percutaneous tunnels were successfully established.The firstly renal tunnel went through supra-calyces of 29 cases and middle-calyces of 20 and infra-calyces of 17,of which single tunnels were used in 7 cases,dual tunnel in 40,three-way tunnels in 15 and four-way tunnels in 4 simultaneously.No severe complications such as the injury of membrana pleuralis or abdominal organs occurred.the average operative time of single stage SPCNL was 75 min and the stone clearance rate was 69.7%(46/75).20 cases had a post-op fever that more than 38.5℃(30.3%)with no one septic shock.2 cases had an immediate bleeding and 4 cases with tedious hemorrhage,of which 2 received blood transfusion and 1 required selective thrombosis of renal artery with no one nephrectomy had been applied.20 cases of the residual stone were treated that 6 cases had a second-look SPCNL and 4 were rendered stone free,5 cases had ureteroscopic lithotripsy and all the stone were cleared,and 7 cases had an ancillary ESWL respectively.All of the patients had a follow-up for 3 to12 months,the total stone clearance rate was 89.4%(59/66).Conclusions:Multi-tract SPCNL in a single session for the treatment of renal staghorn calculi brings about a high stone clear rate,and it doesn't increase the risks of hemorrhea of kidney.And the stones should be cleaned out in order to decrease the incidence rate of systematic infection and fever." @default.
- W2391807047 created "2016-06-24" @default.
- W2391807047 creator A5041608565 @default.
- W2391807047 date "2012-01-01" @default.
- W2391807047 modified "2023-09-23" @default.
- W2391807047 title "Standard tract percutaneous nephrolithotomy in a single session for the treatment of renal staghorn calculi" @default.
- W2391807047 hasPublicationYear "2012" @default.
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