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Original Research 
RMJ. 2022; 47(2): 388-391


Percutaneous nephrolithotomy versus open surgery in patients presenting with renal staghorn stones: A single-center study

Imran Memon, Naveed Soomro, Syed Azhar Hussain, Syed Ali Raza Shah, Zakir Hussain Rajpar, Afhan Sheikh.

Abstract
Objective: To compare the efficacy of percutaneous nephrolithotomy (PCNL) with open surgery for the treatment of renal staghorn stones in our setting.
Methodology: This prospective interventional study was conducted at AIMS, hyderabad, from January to October 2019. We included 70 patients presenting with complete staghorn stones using non-probability consecutive sampling technique. Stone clearance rate, postoperative complication rate, mean operative time, hospitalization days and culture on follow-up were compared for both methods.
Results: Mean age of patients was 44.8±8.7 years (range 24-63). PCNL provided an overall stone clearance rate of 80%; 84% for partial staghorn stones while 70% for complete staghorn stones. In open surgery group, an overall stone clearance rate was 85.7%; 94% for partial staghorn stones and 77% for complete staghorn stones. Postoperatively, out of the 35 patients who underwent PCNL, 1 (2.9%) had a wound infection, 6 (17.1%) had leakage and 1 (2.9%) experienced uropathy. Amongst the patients who underwent open surgery, 2 (5.7%) had wound infection, and 2 (5.7%) had leakage (p=0.307).
Conclusion: PCNL was a very effective treatment modality for both partial and complete branching staghorn stones in our setting. The stone clearance rate for PCNL was as high as that of open surgery with low mean operative time, reduced hospitalization days, and a better overall outcome.

Key words: PNCL, struvite, staghorn, urinary tract calculus.


 
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How to Cite this Article
Pubmed Style

Memon I, Soomro N, Hussain SA, Shah SAR, Rajpar ZH, Sheikh A. Percutaneous nephrolithotomy versus open surgery in patients presenting with renal staghorn stones: A single-center study. RMJ. 2022; 47(2): 388-391.


Web Style

Memon I, Soomro N, Hussain SA, Shah SAR, Rajpar ZH, Sheikh A. Percutaneous nephrolithotomy versus open surgery in patients presenting with renal staghorn stones: A single-center study. https://www.rmj.org.pk/?mno=40196 [Access: May 20, 2022].


AMA (American Medical Association) Style

Memon I, Soomro N, Hussain SA, Shah SAR, Rajpar ZH, Sheikh A. Percutaneous nephrolithotomy versus open surgery in patients presenting with renal staghorn stones: A single-center study. RMJ. 2022; 47(2): 388-391.



Vancouver/ICMJE Style

Memon I, Soomro N, Hussain SA, Shah SAR, Rajpar ZH, Sheikh A. Percutaneous nephrolithotomy versus open surgery in patients presenting with renal staghorn stones: A single-center study. RMJ. (2022), [cited May 20, 2022]; 47(2): 388-391.



Harvard Style

Memon, I., Soomro, . N., Hussain, . S. A., Shah, . S. A. R., Rajpar, . Z. H. & Sheikh, . A. (2022) Percutaneous nephrolithotomy versus open surgery in patients presenting with renal staghorn stones: A single-center study. RMJ, 47 (2), 388-391.



Turabian Style

Memon, Imran, Naveed Soomro, Syed Azhar Hussain, Syed Ali Raza Shah, Zakir Hussain Rajpar, and Afhan Sheikh. 2022. Percutaneous nephrolithotomy versus open surgery in patients presenting with renal staghorn stones: A single-center study. Rawal Medical Journal, 47 (2), 388-391.



Chicago Style

Memon, Imran, Naveed Soomro, Syed Azhar Hussain, Syed Ali Raza Shah, Zakir Hussain Rajpar, and Afhan Sheikh. "Percutaneous nephrolithotomy versus open surgery in patients presenting with renal staghorn stones: A single-center study." Rawal Medical Journal 47 (2022), 388-391.



MLA (The Modern Language Association) Style

Memon, Imran, Naveed Soomro, Syed Azhar Hussain, Syed Ali Raza Shah, Zakir Hussain Rajpar, and Afhan Sheikh. "Percutaneous nephrolithotomy versus open surgery in patients presenting with renal staghorn stones: A single-center study." Rawal Medical Journal 47.2 (2022), 388-391. Print.



APA (American Psychological Association) Style

Memon, I., Soomro, . N., Hussain, . S. A., Shah, . S. A. R., Rajpar, . Z. H. & Sheikh, . A. (2022) Percutaneous nephrolithotomy versus open surgery in patients presenting with renal staghorn stones: A single-center study. Rawal Medical Journal, 47 (2), 388-391.








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