8/8/2023 0 Comments Kidney stone staghorn calculus![]() ![]() In the last few decades, with the improvement in endourological surgery and the invention and evolution of extracorporeal shock-wave lithotripsy, the indications for open surgery in stone disease have become rare, although open surgery still has a role in selected cases. In spite of wonderful advances in endourologic stone surgery, open stone surgery still has its role, but it must be done in experienced centers with good surgical expertise to retain good and acceptable functional kidney, postoperatively.ĮSWL, PCNL and TUL are advanced noninvasive or less invasive techniques of renal and ureteral stones treatment. After full evaluation and due to extensive spread of stone horns to the even peripheral calyces, open stone surgery performed successfully, that postoperative dynamic renal studies revealed, near normal functional left kidney. The patient is a 55-years-old Iranian patient that referred to urology department due to a large left Staghorn kidney. We introduce a case, that due to heavy and complex stone burden and increased chance of failure of percutaneous nephrolithotomy, Open stone surgery is performed for stone removal. Open stone surgery is used less commonly due to its invasiveness and availability of above mentioned techniques. Extracorporeal shockwave lithotripsy, percutaneous nephrolithotomy, and transureteral lithotripsy are effective less invasive treatments of renal and ureteral stones. Urolithiasis is a very common problem, especially in industrialized societies. ![]()
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