Abstract
A surgical procedure for staghorn calculi, which are inaccessible to conservative therapy, is described. It not only provides for complete elimination of the calculus but may also contribute to the prevention of recurrences.
The technique of marginal wedge excision of the renal parenchyma, developed in animal studies, is described in detail and 11 surgical cases are reported. Removal of staghorn calculi was successful all throughout, and renal function remained unaffected by the intervention in all of the cases. Recurrences were confined to a single case. The procedure is safe, it involves no greater surgical strain than does marginal nephrotomy, but its short-term metaphylactic results seem more promising. Assessment of the longterm results awaits further observations.
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References
Babics, A.: Urologia. Tankönyvkiadó, Budapest 1952, p. 237.
Balogh, F.: Vesopólus resectio és kőrecidiva.Magy. Seb., 22, 255 (1969).
Balogh, F.: Adatok a nephrotomiák értékeléséhez.Orvosképzés, 44, 266 (1969).
Frang, D., Götz, F., Verebélyi, A., Nagy, Z., Hübler, J.: Hypothermia alkalmazása a veseparenchymán végzett korallkőeltávolitó műtétekben.Urol. Nephrol. Szle. (in press).
Gil-Vernet, J.: La cirurgia intrasinusal de los calculos coralliformes. XV. Congrès de la Société Internationale d'Urologie, Tokyo 1970.
Papathanassiadis, S.: Results of partial nephrectomy compared with pyelolithotomy and nephrolithotomy.Brit. J. Urol., 38, 403 (1966).
Williams, R. E.: Long-term survey of 538 patients with upper urinary tract stones.Brit. J. Urol., 35, 416 (1963).
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Frang, D., Götz, G., Nagy, Z. et al. Experimental study of marginal wedge resection and its practical application in the surgical therapy of staghorn calculi. International Urology and Nephrology 12, 15–22 (1980). https://doi.org/10.1007/BF02085377
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DOI: https://doi.org/10.1007/BF02085377