Complete coraliform kidney stone. From open surgery to percutaneous minimal invasion surgery. Series of cases at the José Carrasco Arteaga hospital in the period february 2022 to june 2023
DOI:
https://doi.org/10.55204/scc.v2i2.e43Keywords:
staghorn stones, technological development, lithotripsy, percutaneous nephrolithotomy, treatment outcomeAbstract
Introduction: staghorn stones, a urological challenge, used to require open surgery, but minimally invasive percutaneous techniques have improved its treatment.
Objective: to present a case series of staghorn stones and the evolution of surgical treatment from open to minimally invasive percutaneous.
Clinical Cases: the average age of the patients is 53.1 years, with a male predominance. Personal history highlighted hypertension and diabetes. Lumbar or abdominal pain was common (93.75%), with a high positivity in the lumbar percussion test (81.25%). Preoperative creatinine was above normal but decreased postoperatively. Most cases were unilateral (93.75%), with stone sizes ranging from 1.4 cm to 12 cm. Percutaneous nephrolithotomy was the most common treatment option (93.75%).
Conclusion: an initiative-taking approach in the detection and treatment of staghorn stones is crucial to prevent severe complications. Although open surgery is rare, percutaneous nephrolithotomy is preferred due to its lower invasiveness and similar success rates. Early diagnosis is essential to prevent renal damage and urosepsis, with metabolic risk factors and staghorn lithiasis emphasizing the need for specialized care.
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