Behavior of residual lithiasis in patients treated with percutaneous nephrolithotomy due to coralliform kidney stone
Keywords:
urinary lithiasis, coralliform lithiasis, percutaneous nephrolithotomy, residual lithiasisAbstract
Introduction: Residual urinary lithiasis, after percutaneous nephrolithotomy, can generate recurrence of the disease.
Objective: Describe the evolution of patients with residual lithiasis after percutaneous nephrolithotomy due to coralliform lithiasis.
Methods: A descriptive, longitudinal and prospective study was conducted in 191 patients operated on by percutaneous nephrolithotomy with rigid instruments and pneumatic lithotritor, in the Lithotripsy and Endourology Unit of “Hermanos Ameijeiras” Hospital, between August 2005 and January 2010. Patients with residual lithiasis were followed until December 2020. The variables considered were: sex, age, type of coralliform treated, residual lithiasis, recurrence, its characteristics, complications, need and type of treatment. Absolute, relative and mean frequencies were found.
Results: 33 patients (17.3 %) presented residual lithiasis; of these, 63.6% had been treated for total coralliform and 45.5% had follow-up for 62 months. Residual lithiasis predominated between 7 and 9 mm in the lower and single calyx. Recurrence occurred in 99.3%, and it was of renal localization (80%), which manifested as urinary tract infection in 46.6%. Recurrent lithiasis required nephrectomy treatment in 26.6% of cases, and 46.6% of patients progressed with kidney damage.
Conclusions: It is essential to apply a therapeutic strategy that minimizes the rate of residual lithiasis after percutaneous nephrolithotomy of coralliform lithiasis to prevent its negative impact on the recurrence of the disease, the need for new treatments and damage of renal function.
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References
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21. Ganpule A, Desai M. Fate of residual stones after percutaneous nephrolithotomy: a critical analysis. J Endourol. 2009 [acceso 12/06/2021];23(3):399-403. DOI: https://doi.org/10.1089/end.2008.0217
22. Shah C, Basnet RB, Shah A, Chhettri P, Chapagain A, Shrestha PM, et al. Stone clearance by computed tomography after percutaneous nephrolithotomy: A descriptive cross-sectional study. JNMA J Nepal Med Assoc. 2020 [acceso 12/06/2021];58(228):587-90. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7580361/
23. Harraz AM, Osman Y, El-Nahas AR, Elsawy AA, Fakhreldin I, Mahmoud O, et al. Residual stones after percutaneous nephrolithotomy: comparison of intraoperative assessment and postoperative non-contrast computerized tomography. World J Urol. 2017 [acceso 12/06/2021];35(8):1241-6. DOI: https://doi.org/10.1007/s00345-016-1990-4
24. Akman T, Binbay M, Kezer C, Yuruk E, Tekinarslan E, Ozgor F, et al. Factors affecting kidney function and stone recurrence rate after percutaneous nephrolithotomy for staghorn calculi: outcomes of a long-term followup. J Urol. 2012 [acceso 12/06/2021];187(5):656-61. DOI: https://doi.org/10.1016/j.juro.2011.12.061
25. El-Nahas AR, Eraky I, Shokeir AA, Shoma AM, El-Assmy AM, El-Tabey NA, et al. Long-term results of percutaneous nephrolithotomy for treatment of staghorn stones. BJU Int. 2011 [acceso 12/06/2021];108(5):750-4. DOI: https://doi.org/10.1111/j.1464-410x.2010.09942.x
2. Diri A, Diri B. Management of staghorn renal stones. Ren Fail. 2018 [acceso 15/11/2021];40(1):357-62. Disponible en: https://www.tandfonline.com/doi/full/10.1080/0886022X.2018.1459306
3. Torricelli FCM, Monga M. Staghorn renal stones: what the urologist needs to know. Int Braz J Urol. 2020 [acceso 15/06/2021];46(6):927-33. Disponible en: https://www.scielo.br/j/ibju/a/gwsL8GjxrGHsZmLYjTPfxTw/?lang=en
4. Arrabal Martín M, Cano García MC, Arrabal Polo M, Domínguez Amillo A, Canales Casco N, de la Torre Trillo J, et al. Etiopathogenic factors of the different types of urinary litiasis. Arch Esp Urol. 2017 [acceso 15/06/2021];70(1):40-50. Disponible en: http://www.aeurologia.com/articulo_prod.php?id_art=671814580763
5. Lancina Martín JA. Metabolic study. How to make it accessible, useful and generalized. Arch Esp Urol. 2017 [acceso 15/06/2021];70(1):71-90. Disponible en: http://www.aeurologia.com/articulo_prod.php?id_art=481871318567
6. Preminger GM. High burden and complex renal calculi: aggressive percutaneous nephrolithotomy versus multi-modal approaches. Arch Ital Urol Androl. 2010 [acceso 12/06/2021];82(1):37-40. Disponible en: https://pubmed.ncbi.nlm.nih.gov/20593717/
7. Preminger GM, Assimos DG, Lingeman JE, Nakada SY, Pearle MS, Wolf JS, Jr. Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations. J Urol. 2005 [acceso 12/06/2021];173(6):1991-2000. Disponible en: https://www.auajournals.org/doi/10.1097/01.ju.0000161171.67806.2a
8. Castillo CO, Pinto GI, Díaz CM, Vitagliano G, Fonerón VA, Vidal MI, et al. Cirugía percutánea de la litiasis coraliforme. Rev Chil Cir. 2008 [acceso 23/09/2021]; 60:393-7. Disponible en: http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0718-40262008000500005&nrm=iso
9. Chen FT, Liu FC, Cheng CW, Lin JR, Yu HP. Postoperative renal outcomes of patients receiving percutaneous nephrolithotomy versus pyelolithotomy: a population-based cohort study. Biomed Res Int. 2018 [acceso 12/06/2021];2018:8582901. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/pmc5954950/
10. Sorokin I, Mamoulakis C, Miyazawa K, Rodgers A, Talati J, Lotan Y. Epidemiology of stone disease across the world. World J Urol. 2017;35(9):1301-20. DOI: https://doi.org/10.1007/s00345-017-2008-6
11. Ziemba JB, Matlaga BR. Epidemiology and economics of nephrolithiasis. Investig Clin Urol. 2017 [acceso 12/09/2021];58(5):299-306. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5577325/
12. Joshi R. Complications and success rate of percutaneous nephrolithotomy in renal stone: a descriptive cross-sectional study. JNMA J Nepal Med Assoc. 2019 [acceso 12/06/2021];57(220):444-8. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/pmc7580408/
13. Wang W, Fan J, Huang G, Li J, Zhu X, Tian Y, et al. Prevalence of kidney stones in mainland China: A systematic review. Sci Rep. 2017 [acceso 12/06/2021];7:41630. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/pmc5282506/
14. Ganpule AP, Naveen Kumar Reddy M, Sudharsan SB, Shah SB, Sabnis RB, Desai MR. Multitract percutaneous nephrolithotomy in staghorn calculus. Asian J Urol. 2020 [acceso 12/06/2021];7(2):94-101. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/pmc7096673/
15. Chung DY, Kang DH, Cho KS, Jeong WS, Jung HD, Kwon JK, et al. Comparison of stone-free rates following shock wave lithotripsy, percutaneous nephrolithotomy, and retrograde intrarenal surgery for treatment of renal stones: A systematic review and network meta-analysis. PloS One. 2019 [acceso 12/06/2021];14(2):e0211316. DOI: https://doi.org/10.1371/journal.pone.0211316.
16. Ermis O, Somani B, Reeves T, Guven S, Pes PL, Chawla A, et al. Definition, treatment and outcome of residual fragments in staghorn stones. Asian J Urol. 2020 [acceso 12/06/2021];7(2):116-21. Disponible en: http://www.ncbi.nlm.nih.gov/pmc/articles/pmc7096689/
17. He XZ, Ou TW, Cui X, Li J, Wang SH. Analysis of the safety and efficacy of combined extracorporeal shock wave lithotripsy and percutaneous nephrolithotomy for the treatment of complex renal calculus. European review for medical and pharmacological sciences. 2017 [acceso 12/06/2021];21(11):2567-71. Disponible en: http://www.europeanreview.org/article/12874
18. Opondo D, Gravas S, Joyce A, Pearle M, Matsuda T, Sun YH, et al. Standardization of patient outcomes reporting in percutaneous nephrolithotomy. J Endourol. 2014 [acceso 12/06/2021];28(7):767-74. DOI: https://doi.org/10.1089/end.2014.0057
19. de la Rosette JJ, Opondo D, Daels FP, Giusti G, Serrano A, Kandasami SV, et al. Categorisation of complications and validation of the Clavien score for percutaneous nephrolithotomy. Europ Urol. 2012 [acceso: 12/06/2021];62(2):246-55. DOI: https://doi.org/10.1016/j.eururo.2012.03.055
20. de Souza Melo PA, Vicentini FC, Beraldi AA, Hisano M, Murta CB, de Almeida Claro JF. Outcomes of more than 1 000 percutaneous nephrolithotomies and validation of Guy's Stone Score. BJU Int. 2018 [acceso 12/06/2021];121(4):640-6. DOI: https://doi.org/10.1111/bju.14129
21. Ganpule A, Desai M. Fate of residual stones after percutaneous nephrolithotomy: a critical analysis. J Endourol. 2009 [acceso 12/06/2021];23(3):399-403. DOI: https://doi.org/10.1089/end.2008.0217
22. Shah C, Basnet RB, Shah A, Chhettri P, Chapagain A, Shrestha PM, et al. Stone clearance by computed tomography after percutaneous nephrolithotomy: A descriptive cross-sectional study. JNMA J Nepal Med Assoc. 2020 [acceso 12/06/2021];58(228):587-90. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7580361/
23. Harraz AM, Osman Y, El-Nahas AR, Elsawy AA, Fakhreldin I, Mahmoud O, et al. Residual stones after percutaneous nephrolithotomy: comparison of intraoperative assessment and postoperative non-contrast computerized tomography. World J Urol. 2017 [acceso 12/06/2021];35(8):1241-6. DOI: https://doi.org/10.1007/s00345-016-1990-4
24. Akman T, Binbay M, Kezer C, Yuruk E, Tekinarslan E, Ozgor F, et al. Factors affecting kidney function and stone recurrence rate after percutaneous nephrolithotomy for staghorn calculi: outcomes of a long-term followup. J Urol. 2012 [acceso 12/06/2021];187(5):656-61. DOI: https://doi.org/10.1016/j.juro.2011.12.061
25. El-Nahas AR, Eraky I, Shokeir AA, Shoma AM, El-Assmy AM, El-Tabey NA, et al. Long-term results of percutaneous nephrolithotomy for treatment of staghorn stones. BJU Int. 2011 [acceso 12/06/2021];108(5):750-4. DOI: https://doi.org/10.1111/j.1464-410x.2010.09942.x
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Published
2022-02-08
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Castillo Rodríguez M, Gonzalez León T, Castillo López R, Gutiérrez Rojas AR, Borreros Barrientos LL, Ramírez Mena A. Behavior of residual lithiasis in patients treated with percutaneous nephrolithotomy due to coralliform kidney stone. Rev. Cubana Urol. [Internet]. 2022 Feb. 8 [cited 2024 Dec. 24];11(1):49-61. Available from: https://revurologia.sld.cu/index.php/rcu/article/view/779
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Endourología y laparoscopia
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