Indication to Open Anatrophic Nephrolithotomy in the Twenty-First Century: A Case Report

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 complainin...

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Main Authors:	Bove, Alfredo Maria, Altobelli, Emanuela, Buscarini, Maurizio
Format:	Online
Language:	English
Published:	Hindawi Publishing Corporation 2012
Online Access:	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3513730/

id	pubmed-3513730
recordtype	oai_dc
spelling	pubmed-35137302012-12-07 Indication to Open Anatrophic Nephrolithotomy in the Twenty-First Century: A Case Report Bove, Alfredo Maria Altobelli, Emanuela Buscarini, Maurizio Case Report 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. Hindawi Publishing Corporation 2012 2012-11-22 /pmc/articles/PMC3513730/ /pubmed/23227418 http://dx.doi.org/10.1155/2012/851020 Text en Copyright © 2012 Alfredo Maria Bove et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type	Open Access Journal
institution_category	Foreign Institution
institution	US National Center for Biotechnology Information
building	NCBI PubMed
collection	Online Access
language	English
format	Online
author	Bove, Alfredo Maria Altobelli, Emanuela Buscarini, Maurizio
spellingShingle	Bove, Alfredo Maria Altobelli, Emanuela Buscarini, Maurizio Indication to Open Anatrophic Nephrolithotomy in the Twenty-First Century: A Case Report
author_facet	Bove, Alfredo Maria Altobelli, Emanuela Buscarini, Maurizio
author_sort	Bove, Alfredo Maria
title	Indication to Open Anatrophic Nephrolithotomy in the Twenty-First Century: A Case Report
title_short	Indication to Open Anatrophic Nephrolithotomy in the Twenty-First Century: A Case Report
title_full	Indication to Open Anatrophic Nephrolithotomy in the Twenty-First Century: A Case Report
title_fullStr	Indication to Open Anatrophic Nephrolithotomy in the Twenty-First Century: A Case Report
title_full_unstemmed	Indication to Open Anatrophic Nephrolithotomy in the Twenty-First Century: A Case Report
title_sort	indication to open anatrophic nephrolithotomy in the twenty-first century: a case report
description	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.
publisher	Hindawi Publishing Corporation
publishDate	2012
url	https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3513730/
_version_	1611937827395731456

Indication to Open Anatrophic Nephrolithotomy in the Twenty-First Century: A Case Report

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