Korean J Urol.
1983 Dec;24(6):1013-1018.
Surgical Management of Renal Calculi with Extended Pyelolithotomy
- Affiliations
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- 1Department of Urology, College of Medicine, Kyungpook National University, Taequ, Korea.
Abstract
- An ideal operation for removal of renal calculi should allow minimal destruction of renal parenchyma, complete removal of calculus, provision of a normal drainage urinary system and establishment of an infection-free urinary system. In 1965, Gil Vernet revived the extended pyelolithotomy in surgical approach for renal calculi. This technique provides accessibility to infundibular and calyceal calculi, intrarenal pelvic calculi and staghorn calculi and can be used effectively in combination with nephrotomy for large staghorn calculi. The authors applied this procedure to 46 patients with renal calculi in this department during 3 years and 8 months periods from January, 1980 to August, 1983. Seven patients had a staghorn calculus, 12 either single or multiple calyceal calculi, 8 multiple pelvic and calyceal calculi and 19 single or multiple pelvic calculi (16 intrarenal and 3 extrarenal). There were no mortality and significant morbidity related to this technique except two cases with remnant calculi.
