Indication to Open Anatrophic Nephrolithotomy in the Twenty-First Century : A Case Report
Joint Authors
Altobelli, Emanuela
Buscarini, Maurizio
Bove, Alfredo Maria
Source
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-11-22
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Advances in endourology have greatly reduced indications to open surgery in the treatment of staghorn kidney stones.
Nevertheless in our experience, open surgery still represents the treatment of choice in rare cases.
Case Report.
A 71-year-old morbidly obese female patient complaining about occasional left flank pain, and recurrent cystitis for many years, presented bilateral staghorn kidney stones.
Comorbidities were obesity (BMI 36.2), hypertension, type II diabetes, and chronic obstructive pulmunary disease (COPD) hyperlipidemia.
Due to these comorbidities, endoscopic and laparoscopic approaches were not indicated.
We offered the patient staged open anatrophic nephrolithotomy.
Results.
Operative time was 180 minutes.
Blood loss was 500 cc.
requiring one unit of packed red blood cells.
Hospital stay was 7 days.
The renal function was unaffected based on preoperative and postoperative serum creatinine levels.
Stone-free status of the left kidney was confirmed after surgery with CT scan.
Conclusions.
Open surgery can represent a valid alterative in the treatment of staghorn kidney stones of very selected cases.
A discussion of the current indications in the twenty-first century is presented.
American Psychological Association (APA)
Bove, Alfredo Maria& Altobelli, Emanuela& Buscarini, Maurizio. 2012. Indication to Open Anatrophic Nephrolithotomy in the Twenty-First Century : A Case Report. Case Reports in Urology،Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-503274
Modern Language Association (MLA)
Bove, Alfredo Maria…[et al.]. Indication to Open Anatrophic Nephrolithotomy in the Twenty-First Century : A Case Report. Case Reports in Urology No. 2012 (2012), pp.1-5.
https://search.emarefa.net/detail/BIM-503274
American Medical Association (AMA)
Bove, Alfredo Maria& Altobelli, Emanuela& Buscarini, Maurizio. Indication to Open Anatrophic Nephrolithotomy in the Twenty-First Century : A Case Report. Case Reports in Urology. 2012. Vol. 2012, no. 2012, pp.1-5.
https://search.emarefa.net/detail/BIM-503274
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-503274