The role of ureteroscopy for treatment of staghorn calculi: A systematic review  

作　　者：Etienne Xavier Keller Vincent De Coninck Steeve Doizi Olivier Traxer 

机构地区：[1]Sorbonne Universite,Service d’Urologie,AP-HP,Hopital Tenon,F-75020,Paris,France [2]Sorbonne Universite,GRC n°20,Groupe de Recherche Clinique sur la Lithiase Urinaire,Hopital Tenon,F-75020,Paris,France [3]Department of Urology,University Hospital Zurich,University of Zurich,Zurich,Switzerland [4]Department of Urology,AZ Klina,Brasschaat,Belgium

出　　处：《Asian Journal of Urology》2020年第2期110-115,共6页亚洲泌尿外科杂志（英文）

摘　　要：Objective:To define the role of ureteroscopy for treatment of staghorn calculi.Methods:A systematic review was conducted using the Scopus and Medline databases.Original articles and systematic reviews were selected according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses(PRISMA)guidelines.Only studies relating to the role of ureteroscopy for treatment of staghorn calculi were included.Results:In five studies on ureteroscopic monotherapy,stone-free rate(SFR)ranged from 33%to 93%,with a maximum four ureteroscopy sessions per patient and no major complications.Endoscopic combined intrarenal surgery(ECIRS)was compared with percutaneous nephrolithotomy(PNL)in two studies and reached significantly higher SFR(88%e91%vs.59%e65%)and lower operative times(84e110 min vs.105e129 min).The role of salvage ureteroscopy for residual stones after primary PNL has been highlighted by two studies with a final SFR of 83%e89%.One study reported on the feasibility of ureteroscopy for ureteral stones and same-session PNL for contralateral staghorn calculi,with a SFR of 92%.Conclusion:Ureteroscopy plays a pivotal role in the setting of a combined approach to staghorn calculi.Ureteroscopy is also particularly suitable for clearance of residual stones.In specific cases,ureteroscopy may become the sole applicable therapeutic option to staghorn calculi.Technological advances and refinement of techniques suggest a major role of ureteroscopy for staghorn calculi treatment in close future.

关 键 词：Staghorn calculi URETEROSCOPY Percutaneous nephrolithotomy Combined approach Intrarenal surgery Simultaneous bilateral endoscopic surgery 

分 类 号：R692.4[医药卫生—泌尿科学]