title: Percutaneous litholapaxy. Indications and limitations of the technique in complex nephrolithiasis.
abstract: In the present study, the authors analyze the radical change in the treatment of complex renal lithiasis. They advocate the use of this combined approach in patients with a large stone mass or those with obstructive problems of the urinary tract. They discuss the contraindications of this technique; i.e., pelvic kidney, septic urinary infections and severe cardiopulmonary disease. From 1983 to June 1988, a total of 5,657 stone patients were treated at their department; 921 were treated by PCNL combined with ESWL. In 92% of the cases, PCNL was successful in removing most of the stone mass. The complications encountered were fever, hemorrhage, colon perforation, stenosis of UPJ post-PCNL and intrathoracic extravasation. Nephrectomy was warranted in 2 cases due to complication.
authors.affiliation: Department of Urology, Medical School, Hohannes Gutenberg University, Mainz, RFA.
authors.forename: T
authors.initials: T
authors.lastname: Schärfe
authors.forename: P
authors.initials: P
authors.lastname: Alken
authors.forename: S T
authors.initials: ST
authors.lastname: Müller
authors.forename: C
authors.initials: C
authors.lastname: Jurincic
authors.forename: R
authors.initials: R
authors.lastname: Hohenfellner
mesh_terms: D006801:Humans; D007669:Kidney Calculi / Q000628:therapy*; D008096:Lithotripsy / Q000295:instrumentation / Q000379:methods