Goktug Hasan Nedim Goksel, Ozturk Ufuk, Cimen Sertac, Kaymak Serafettin, Dogan Ahmet Emin, Imamoglu Muhammet Abdurrahim
Department of Urology, University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey.
J Coll Physicians Surg Pak. 2023 Mar;33(3):346-351. doi: 10.29271/jcpsp.2023.03.346.
To analyse the results of conventional percutaneous nephrolithotomy (PNL) and endoscopic combined intrarenal surgery (ECIRS) in treating complete staghorn kidney calculi.
A comparative study. Place and Duration of the Study: Department of Urology, University of Health Sciences, Diskapi Yildirim Beyazit Training and Research Hospital, Ankara, Turkey, between January 2007 and January 2022.
Clinical data and surgical outcomes of the adult patients who underwent conventional PNL or ECIRS were retrospectively reviewed. Two patient groups were compared regarding the fluoroscopy time, the number of access, surgical time, duration of hospitalisation, haemoglobin (Hb) reduction, complication, and stone-free rates. Results: There were 132 renal units in the conventional PNL (Group 1) and 45 renal units in the ECIRS group (Group 2). The comparative analysis revealed that fluoroscopy time, surgical time, duration of hospital stay, number of access, and the Hb drop were significantly lower in the ECIRS group compared to the conventional PNL group. Although stone-free rates were 48.5% in Group 1 and 64.4% in Group 2, p=0.064 and p>0.05 respectively). The median value of the complication grade was 1 (1-7) in Group 1 and 1 (1-5) in Group 2, (U=2446.5, p=0.026). Conclusion: The ECIRS is a successful and more secure surgical method for treating complete staghorn stones than PNL.
PNL, ECIRS, Staghorn, Kidney, Stone.
分析传统经皮肾镜取石术（PNL）和内镜联合肾内手术（ECIRS）治疗完全鹿角形肾结石的效果。
一项对比研究。研究地点和时间：2007年1月至2022年1月期间，土耳其安卡拉健康科学大学迪斯卡皮·耶尔德勒姆·贝亚齐特培训与研究医院泌尿外科。
回顾性分析接受传统PNL或ECIRS的成年患者的临床资料和手术结果。比较两组患者的透视时间、穿刺通道数量、手术时间、住院时间、血红蛋白（Hb）降低情况、并发症及结石清除率。结果：传统PNL组（第1组）有132个肾单位，ECIRS组（第2组）有45个肾单位。对比分析显示，与传统PNL组相比，ECIRS组的透视时间、手术时间、住院时间、穿刺通道数量和Hb下降幅度显著更低。虽然第1组结石清除率为48.5%，第2组为64.4%，但p值分别为0.064和p>0.05）。第1组并发症分级的中位数为1（1 - 7），第2组为1（1 - 5），（U = 2446.5，p = 0.026）。结论：与PNL相比，ECIRS是治疗完全鹿角形结石的一种成功且更安全的手术方法。
PNL；ECIRS；鹿角形；肾脏；结石
