title: [Bivalve anatrophic nephrolithotomy].
abstract: OBJECTIVE
  In the era of lithotripsy, surgery gets a limited place in the management of renal stones. This study has for a goal to evaluate the practice, indications and results of anatrophic nephrolithotomy in the treatment of staghorn calculi.
  
  
  METHODS
  Between 1998 and 1999, six patients, mean age 37 years, had complete staghorn calculi treated by anatrophic nephrolithotomy, and two patients had a bilateral lithiasis. After lombar incision, the kidney was incised on the convexity after pedicular control. In this way, we have extracted all lithiases. The nephrorrhaphy permits hemostasis and parenchymal reparation. A ureteral stent was placed.
  
  
  RESULTS
  The operatory follow-up was simple; hemostasis was controlled by fast extraction of the lithiasis and nephrorrhaphy. The operating time was 70 minutes (40-110). The stone free rate was 100% without alteration of renal function, patients with bilateral lithiasis have been operated twice time.
  
  
  CONCLUSIONS
  The anatrophic nephrolithotomy is a safe technic without risk of haemorrhage or renal function alteration.
authors.affiliation: Département d'urologie, CHU Ibn-Rochd, Casablanca, Maroc.
authors.forename: A
authors.initials: A
authors.lastname: Joual
authors.forename: B
authors.initials: B
authors.lastname: Dassouli
authors.forename: M
authors.initials: M
authors.lastname: Hafiani
authors.forename: A
authors.initials: A
authors.lastname: Debbagh
authors.forename: S
authors.initials: S
authors.lastname: Bennani
authors.forename: M
authors.initials: M
authors.lastname: el Mrini
authors.forename: S
authors.initials: S
authors.lastname: Benjelloun
mesh_terms: D000328:Adult; D005260:Female; D006487:Hemostasis; D006801:Humans; D007669:Kidney Calculi / Q000628:therapy*; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000379:methods*; D011183:Postoperative Complications; D019106:Postoperative Hemorrhage; D015607:Stents