Modern methods of surgical treatment of staghorn nephrolithiasis

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Staghorn nephrolithiasis is a form of urolithiasis characterized by kidney stones formation that partially or completely fills the collecting system. Staghorn nephrolithiasis has a malignant course, accompanied by collecting system retention and impaired renal function. This pathology is a common cause of disability, which is particularly importance in the context of its prevalence among people of working age. The review systematizes the currently relevant data on surgery of staghorn nephrolithiasis, presents methods of surgical treatment, defines the selection options within them, their advantages and disadvantages, indications, contraindications and complications. This information can help in making an informed decision and increase the effectiveness of treatment for patients with that disease. At the moment, there is an arsenal of treatment options for staghorn nephrolithiasis, among them mi¬nimally invasive high-tech operations are the most advanced and recognized as the methods of choice. The modernization of existing technologies increases their efficiency and safety, but their high cost and the impossibility of using in some cases often make one prefer more traumatic radical interventions. Traditional surgery remains a reliable method of treatment, allowing simultaneous operations and treatment of complex cases of the disease. The possibility of combining existing methods allows for the effective removal of staghorn stones in different groups of patients. Thus, a careful and differentiated approach to the methods of surgical treatment of staghorn nephrolithiasis, their use in combination allows ensuring high efficiency of surgical treatment of this pathology.

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About the authors

M E Sitdykova

Kazan State Medical University

Russian Federation, Kazan, Russia

E A Viktorov

Kazan State Medical University

Author for correspondence.
Russian Federation, Kazan, Russia

A Ju Zubkov

Kazan State Medical University

Russian Federation, Kazan, Russia


  1. Rogachikov V.V., Nesterov S.N., Il'chenko D.N. et al. Percutaneous nephrolitholapaxia: past, present and the future... Eksperimental'naya i klinicheskaya urologiya. 2016; (2): 58–66. (In Russ.)
  2. Abreu L. de A., Camilo-Silva D.G., Fiedler G. et al. Review on renal recovery after anatrophic nephrolithotomy: Are we really healing our patients? World J. Nephrol. 2015; 4 (1): 105–110. doi: 10.5527/wjn.v4.i1.105.
  3. Flannigan R.K., Battison A., De S. et al. Evaluating factors that dictate struvite stone composition: A multi-­institutional clinical experience from the EDGE Research Consortium. Can. Urol. Assoc. J. 2018; 12 (4): 131–136. doi: 10.5489/cuaj.4804.
  4. Akulin S.M., Yanenko E.K., Konstantinova O.V. Surgical treatment of coral nephrolithiasis: analysis of complications. Urologiya. 2009; (6): 7–11. (In Russ.)
  5. Diri A., Diri B. Management of staghorn renal stones. Ren. Fail. 2018; (1): 357–362. doi: 10.1080/0886022X.2018.1459306.
  6. Song L., Maalouf N.M. Nephrolithiasis. In: Feingold K.R., Anawalt B., Boyce A. et al. Endotext. South Dartmouth (MA):, Inc. 2020. PMID: 25905296.
  7. Golovanov S.A., Andryukhin M.I., Polikarpova A.M. et al. Multipoint analysis of the mineral composition of staghorn stones in the study of the characteristics of their formation. Eksperimental'naya i klinicheskaya urologiya. 2017; (3): 52–57. (In Russ.)
  8. Parkhomenko E., De Fazio A., Tran T. et al. A multi-institutional study of struvite stones: Patterns of infection and colonization. J. Endourol. 2017; 31 (5): 533–537. doi: 10.1089/end.2016.0885.
  9. Shahandeh Z., Shafi H., Sadighian F. Association of staphylococcus cohnii subspecies urealyticum infection with recurrence of renal staghorn stone. Caspian J. Intern. Med. 2015; 6 (1): 40–42. PMID: 26221496.
  10. Mohammadi Sichani M., Jafarpisheh A., Ghoreifi A. Evaluation and comparison of metabolic disorders between patients with unilateral and bilateral staghorn renal stones. Urol. J. 2019; 16 (3): 242–245. doi: 10.22037/uj.v0i0.4316.
  11. Mambetov Zh.S., Makhmudov A.M., Kolesnichenko I.V. Diagnostic and tactical approaches to verification of coralloid nephroltiasis in combination with osteopenic and osteoporosis. Vestnik Almatinskogo gosudarstvennogo instituta usovershenstvovaniya vrachey. 2017; (2): 31–36. (In Russ.)
  12. Krzemień G., Szmigielska A., Jankowska-Dziadak K., Pańczyk-Tomaszewska M. Renal staghorn calculi in small children — presentation of two cases. Dev. Period Med. 2016; 20 (1): 23–26. PMID: 27416622.
  13. Abidin Z.A.Z., Hayati F., Tan G.H. et al. Giant urethral calculus without acute urinary retention. J. Coll. Physicians Surg. Pak. 2018; 28 (3): S69–S70. doi: 10.29271/jcpsp.2018.03.S69.
  14. Makhmudov A.M., Mambetov J.S. Coral nephrolithiasis. Vestnik KGMA im. I.K. Akhunbaeva. 2016; (2) 113–114. (In Russ.)
  15. Morgan T.N., Shahait M., Maganty A. et al. Conservative management of staghorn calculi: When is it safe? J. Endourol. 2018; 32 (6): 541–545. doi: 10.1089/end.2018.0002.
  16. Xiang H., Han J., Ridley W.E., Ridley L.J. Staghorn calculus. J. Med. Imaging Radiat. Oncol. 2018; 62 (1): 111. doi: 10.1111/1754-9485.54_12784.
  17. Addison B., Zargar H., Lilic N. et al. Analysis of 35 cases of xanthogranulomatous pyelonephritis. ANZ J. Surg. 2015; 85 (3): 150–153. doi: 10.1111/ans.12581.
  18. Enshaei A., Boora A.A., Taheri D. et al. Focal xanthogranulomatous pyelonephritis with pulmonary lesions on the background of type two diabetes mellitus. Case Rep. Radiol. 2018; 2018: 1698286. doi: 10.1155/2018/1698286.
  19. Patodia M., Goel A., Singh V. et al. Are there any predictors of pyonephrosis in patients with renal calculus disease? Urolithiasis. 2017; 45 (4): 415–420. doi: 10.1007/s00240-016-0933-2.
  20. Kivlin D., Tong C., Friedlander J. et al. Sarcomatoid squamous cell carcinoma of the renal pelvis masquerading as emphysematous pyelonephritis with staghorn calculus. J. Endourol. Case Rep. 2016; 2 (1): 87–89. doi: 10.1089/cren.2016.0047.
  21. Jongyotha K., Sriphrapradang C. Squamous cell carcinoma of the renal pelvis as a result of long-standing staghorn calculi. Case Rep. Oncol. 2015; 8 (3): 399–404. doi: 10.1159/000440764.
  22. Christodoulidou M., Clarke L., Donald Napier-­Hemy R. Infected urinoma secondary to a ruptured renal calyx from a partial staghorn stone. J. Surg. Case Rep. 2015; 2015 (8): rjv096. doi: 10.1093/jscr/rjv096.
  23. Hamilton B.D. Editorial comment on: Conservative management of staghorn calculi: When is it safe? J. Endourol. 2018; 32 (6): 546. doi: 10.1089/end.2018.0248.
  24. Shormanov I.S., Kosenko M.V., Vorchalov M.M. Posto­perative stress-induced disorders in adaptive reactivity in urological practice. Eksperimental'naya i klinicheskaya urologiya. 2016; (1): 126–130. (In Russ.)
  25. Vogt B., Desfemmes F.N., Desgrippes A., Ponsot Y. MiniJFil®: A new safe and effective stent for well-tolerated repeated extracorporeal shockwave lithotripsy or ureteroscopy for medium-to-large kidney stones? Nephrourol. Mon. 2016; 8 (5): e40788. doi: 10.5812/numonthly.40788.
  26. Feofilov I.V. Surgery of coral nephrolithiasis. Journal of siberian medical sciences. 2015; (4): 18. (In Russ.)
  27. Vogt B., Desgrippes A., Desfemmes F.N. Changing the double-pigtail stent by a new suture stent to improve patient's quality of life: a prospective study. World J. Urol. 2015; 33 (8): 1061–1068. doi: 10.1007/s00345-014-1394-2.
  28. Berestetskiy I.E., Makaryan A.A., Borzunov I.V. et al. Quality of life in patients with staghorn nephrolithiasis after treatment. Vestnik uralʹskoy meditsinskoy akademicheskoy nauki. 2016; (4): 5–9. (In Russ.) doi: 10.22138/2500-0918-2016-14-4-5-9.
  29. Aljuhayman A., Abunohaiah I., Addar A. et al. Assessment of lower calyceal single-access percutaneous nephrolithotomy for staghorn stones: A single-surgeon and a single-center experience at KAMC, Riyadh. Urol. Ann. 2019; 11 (1): 62–65. doi: 10.4103/UA.UA_77_18.
  30. Rogachikov V.V., Kudryashov A.V., Bruk Yu.F., Ignatʹev D.N. Percutaneous nephrolithotripsy: a comparison of standard and mi­nimally invasive technologies. Eksperimental'naya i klinicheskaya urologiya. 2019; (2): 60–69. (In Russ.) doi: 10.29188/2222-8543-2019-11-2-60-68.
  31. Kaya E., Ebiloğlu T., Zor M. et al. The outcome of percutaneous nephrolithotomy on ≥50 mm staghorn and multiple calyceal stones. Turk. J. Urol. 2018; 44 (2): 148–152. doi: 10.5152/tud.2017.84665.
  32. Kogan M.I., Khasigov A.V., Belousov I.I. et al. Evaluation of quality of life of patients after percutaneous nephrolithotomy of staghorn stones. Meditsinskiy vestnik Bashkortostana. 2015; (3): 118–120. (In Russ.)
  33. Merinov D.S., Epishov V.A., Artemov A.V. et al. Percutaneous nephrolithotripsy in a patient with stones in a horseshoe kidney and deformation of the vertebral column. Eksperimental'naya i klinicheskaya urologiya. 2017; (2): 47–51. (In Russ.)
  34. Satav V., Sabale V., Pramanik P. et al. Percutaneous nephrolithotomy of horseshoe kidney: Our institutional experience. Urol. Ann. 2018; 10 (3): 258–262. doi: 10.4103/UA.UA_152_17.
  35. Haider R., Regnier P., Roustan F.R. et al. Percutaneous nephrolithotomy for kidney stones in elderly patients: Meta-analysis of results and complications. Prog. Urol. 2017; 27 (2): 58–67. doi: 10.1016/j.purol.2016.12.008.
  36. Kumar S., Keshavamurthy R., Karthikeyan V.S., Mallya A. Complications after prone PCNL in pediatric, adult and geriatric patients — a single center experience over 7 years. Int. Braz. J. Urol. 2017; 43 (4): 704–712. doi: 10.1590/S1677-5538.IBJU.2016.0563.
  37. Arustamov L.D., Katibov M.I., Merinov D.S. et al. Analysis of clinical effectiveness and risk factors for complication of percutaneous nephrolototripsia in patients with a solitary kidney. Urologiya. 2017; (6): 65–71. (In Russ.)
  38. Kochkin A.D., Martov A.G., Sevrukov F.A. et al. Corral-like nephrolithiasis in obese patients. how to treat? Dalʹnevostochnyy meditsinskiy zhurnal. 2016; (1): 34–38. (In Russ.)
  39. Keheila M., Leavitt D., Galli R. et al. Percutaneous nephrolithotomy in super obese patients (body mass index ≥50 kg/m2): overcoming the challenges. BJU Int. 2016; 117 (2): 300–306. doi: 10.1111/bju.13155.
  40. Dauw C.A., Borofsky M.S., York N., Lingeman J.E. Percutaneous nephrolithotomy in the superobese: A comparison of outcomes based on body mass index. J. Endourol. 2016; 30 (9): 987–991. doi: 10.1089/end.2016.0437.
  41. Yanen­ko E.K., Katibov M.I., Merinov D.S., Gadjiyev G.D. Prognostic factors of efficacy and safety for percutaneous nephrolithotripsy of large and staghorn stones of solitary kidney. Eksperimental'naya i klinicheskaya urologiya. 2015; (3): 42–48. (In Russ.)
  42. Yan M.Y., Lin J., Chiang H.C. et al. Supra-costal tubeless percutaneous nephrolithotomy is not associa­ted with increased complication rate: a prospective study of safety and efficacy of supra-costal versus sub-costal access. BMC Urol. 2018; 18 (1): 112. doi: 10.1186/s12894-018-0429-1.
  43. Kaler K.S., Cwikla D., Clayman R.V. Delayed nephropleural fistula after percutaneous nephrolithotomy. J. Endourol. Case Rep. 2016; 2 (1): 99–102. doi: 10.1089/cren.2016.005.
  44. Bansal D., Nayak B., Singh P., Srivastava P. A rare case of persistent nephropleural fistula following percutaneous nephrolithotomy. BMJ Case Rep. 2017; 2017: bcr2017220466. doi: 10.1136/bcr-2017-220466.
  45. Olvera-Posada D., Tailly T., Alenezi H. Risk factors for postoperative complications of percutaneous nephrolithotomy at a Tertiary Referral Center. J. Urol. 2015; 194 (6): 1646–1651. doi: 10.1016/j.juro.2015.06.095.
  46. Oner S., Okumus M.M., Demirbas M. et al. Factors influencing complications of percutaneous nephrolithotomy: A single-center study. Urol. J. 2015; 12 (5): 2317–2323. PMID: 26571313.
  47. Choi S.W., Bae W.J., Ha U.S. et al. Prognostic impact of stone-scoring systems after percutaneous nephrolithotomy for staghorn calculi: A single center's experience over 10 years. J. Endourol. 2016; 30 (9): 975–981. doi: 10.1089/end.2016.0188.
  48. Syahputra F.A., Birowo P., Rasyid N. Blood loss predictive factors and transfusion practice during percutaneous nephrolithotomy of kidney stones: a prospective study. F1000Res. 2016; 5: 1550. doi: 10.12688/f1000research.8993.1.
  49. Mulay A., Satav V., Kandari A. et al. Evaluation of stone volume and its relationship with surgical outcomes in patients with staghorn calculi. Urol. Ann. 2019; 11 (1): 53–57. doi: 10.4103/UA.UA_65_18.
  50. Meng X., Bao J., Mi Q., Fang S. The analysis of risk factors for hemorrhage associated with minimally invasive percutaneous nephrolithotomy. Biomed. Res. Int. 2019; 2019: 8619460. doi: 10.1155/2019/8619460.
  51. Rivera M., Viers B., Cockerill P. et al. Pre- and postoperative predictors of infection-related complications in patients undergoing percutaneous nephrolithotomy. J. Endourol. 2016; 30 (9): 982–986. doi: 10.1089/end.2016.0191.
  52. Rashid A.O., Fakhulddin S.S. Risk factors for fever and sepsis after percutaneous nephrolithotomy. Asian J. Urol. 2016; 3 (2): 82–87. doi: 10.1016/j.ajur.2016.03.001.
  53. He Z., Tang F., Lei H. et al. Risk factors for systemic inflammatory response syndrome after percutaneous nephrolithotomy. Prog. Urol. 2018; 28 (12): 582–587. doi: 10.1016/j.purol.2018.06.006.
  54. Lai W.S., Assimos D. Factors associated with postoperative infection after percutaneous nephrolithotomy. Rev. Urol. 2018; 20 (1): 7–11. doi: 10.3909/riu0778.
  55. Degirmenci T., Bozkurt I.H., Celik S. et al. Does leaving residual fragments after percutaneous nephrolitho­tomy in patients with positive stone culture and/or renal pelvic urine culture increase the risk of infectious complications? Urolithiasis. 2019; 47 (4): 371–375. doi: 10.1007/s00240-018-1063-9.
  56. Wei W., Leng J., Shao H., Wang W. Diabetes, a risk factor for both infectious and major complications after percutaneous nephrolithotomy. Int. J. Clin. Exp. Med. 2015; 8 (9): 16 620–16 626. PMID: 26629193.
  57. Sharma K., Sankhwar S.N., Goel A. et al. Factors predicting infectious complications following percutaneous nephrolithotomy. Urol. Ann. 2016; 8 (4): 434–438. doi: 10.4103/0974-7796.192105.
  58. Zhu Z.J., Xu Q.Q., Huang X.B. et al. Risk factor analysis of systemic inflammatory response syndrome in type 2 diabetics after percutaneous nephrolithotomy. Beijing Da Xue Xue Bao Yi Xue Ban. 2016; 48 (1): 643–649. PMID: 27538144.
  59. Bansal S.S., Pawar P.W., Sawant A.S. et al. Predictive factors for fever and sepsis following percutaneous nephrolithotomy: A review of 580 patients. Urol. Ann. 2017; 9 (3): 230–233. doi: 10.4103/UA.UA_166_16.
  60. Chen Y., Feng J., Duan H. et al. Percutaneous nephrolithotomy versus open surgery for surgical treatment of patients with staghorn stones: A systematic review and meta-analysis. PLoS One. 2019; 14 (1): e0206810. doi: 10.1371/journal.pone.0206810.
  61. Kim B.S. Recent advancement or less invasive treatment of percutaneous nephrolithotomy. Korean J. Urol. 2015; 56 (9): 614–623. doi: 10.4111/kju.2015.56.9.614.
  62. Mazurenko D.A., Bernikov E.V., Kadyrov Z.A. et al. PCNL in treatment of large and staghorn kidney stones. Vestnik urologii. 2015; (2): 21–33. (In Russ.)
  63. Soares R.M.O., Glaser A.P., Cohen J.E. et al. Bilateral prone percutaneous nephrolithotomy under epidu­ral in candidate for lung transplant: Case report and review of literature. J. Endourol. Case Rep. 2018; 4 (1): 5–8. doi: 10.1089/cren.2017.0121.
  64. Buldu I., Tepeler A., Kaynar M. et al. Comparison of anesthesia methods in treatment of staghorn kidney stones with percutaneous nephrolithotomy. Urol. J. 2016; 13 (1): 2479–2483.
  65. Atmoko W., Birowo P., Rasyid N. Factors affec­ting stone free rate of primary percutaneous nephrolithotomy on staghorn calculi: a single center experience of 15 years. F1000Res. 2016; 5: 2106. doi: 10.12688/f1000research.9509.2.
  66. Nouralizadeh A., Pakmanesh H., Basiri A. Solo sonographically guided PCNL under spinal anesthesia: Defining predictors of success. Scientifica (Cairo). 2016; 2016: 5938514. doi: 10.1155/2016/5938514.
  67. Ecke T.H., Barski D., Weingart G. et al. Presentation of a method at the Exploration Stage according to IDEAL: Percutaneous nephrolithotomy (PCNL) under local infiltrative anesthesia is a feasible and effective method — retrospective analysis of 439 patients. Int. J. Med. Sci. 2017; 14 (4): 302–309. doi: 10.7150/ijms.17963.
  68. Basnet R.B., Shrestha A., Shrestha P.M., Joshi B.R. Risk factors for postoperative complications after percutaneous nephrolithotomy. J. Nepal Health Res. Counc. 2018; 16 (1): 79–83. PMID: 29717295.
  69. Sfoungaristos S., Mykoniatis I., Katafigiotis I. et al. Single lower calyceal percutaneous tract combined with flexible nephroscopy: A valuable treatment paradigm for staghorn stones. Can. Urol. Assoc. J. 2018; 12 (1): E21–E24. doi: 10.5489/cuaj.4393.
  70. Merinov D.S., Artemov A.V., Epishov V.A. et al. Multi-tract percutaneous nephrolithotomy in the management of staghorn stones. Urologiya. 2018; (4): 96–101. (In Russ.) doi: 10.18565/urology.2018.4.96-101.
  71. Merinov D.S., Artemov A.V., Epishov V.A. et al. Percutaneous nephrolithotomy in treatment of staghorn kidney stones. Eksperimental'naya i klinicheskaya urologiya. 2016; (3): 57–62. (In Russ.)
  72. Zhao Z., Cui Z., Zeng T. et al. Comparison of 1-stage with 2-stage multiple-tracts mini-percutaneous nephrolithotomy for the treatment of staghorn stones: A matched cohorts analysis. Urology. 2016; 87: 46–51. doi: 10.1016/j.urology.2015.09.006.
  73. Haberal H.B., Çıtamak B., Bozacı A.C. et al. Percutaneous nephrolithotomy in solitary kidneys: 17 years of experience. Urology. 2017; 109: 55–59. doi: 10.1016/j.urology.2017.07.038.
  74. Liu C., Cui Z., Zeng G. et al. The optimal minimally invasive percutaneous nephrolithotomy strategy for the treatment of staghorn stones in a solitary kidney. Urolithiasis. 2016; 44 (2): 149–154. doi: 10.1007/s00240-015-0803-3.
  75. Ding X., Wu W., Hou Y. et al. Application of prepuncture on the double-tract percutaneous nephrolithotomy under ultrasound guidance for renal staghorn calculi: First experience. Urology. 2018; 114: 56–59. doi: 10.1016/j.urology.2018.01.011.
  76. Gavande P.M., Gavande H.P. Extra-large renal calculi removal using single puncture percutaneous nephrolithotomy. Urol. Ann. 2019; 11 (2): 214–216. doi: 10.4103/UA.UA_150_18.
  77. Xiao B., Diao X.L., Hu W.G. et al. Influence of the anatomy of the collecting system upon percutaneous nephrolithotomy for removal of renal staghorn stones. Chin. Med. J. (Engl.). 2018; 131 (14): 1759–1760. doi: 10.4103/0366-6999.235879.
  78. Blum K.A., Parkhomenko E., Thai J. et al. A contemporary lower pole approach for complete staghorn calculi: outcomes and efficacy. World J. Urol. 2018; 36 (9): 1461–1467. doi: 10.1007/s00345-018-2284-9.
  79. Guliev B.G., Komyakov B.K., Stetsik E.O., Zaikin A.Yu. Efficacy and safety of percutaneous nephrolithotripsy through the upper calyx. ­Eksperimental'naya i klinicheskaya urologiya. 2019; (2): 54–59. (In Russ.) doi: 10.29188/2222-8543-2019-11-2-54-59.
  80. Singh R., Kankalia S.P., Sabale V. et al. Comparative evaluation of upper versus lower calyceal approach in percutaneous nephrolithotomy for managing complex renal calculi. Urol. Ann. 2015; 7 (1): 31–35. doi: 10.4103/0974-7796.148591.
  81. Tan J., Chen B., He L. Renal access through the inferior calyx is associated with higher risk of severe blee­ding after percutaneous nephrolithotomy. Arch. Med. Sci. 2015; 11 (2): 340–345. doi: 10.5114/aoms.2015.50966.
  82. Chakraborty J.N., Deb A. Flank bulge following subcostal percutaneous nephrolithotomy. Res. Rep. Urol. 2018; 10: 195–197. doi: 10.2147/RRU.S173706.
  83. Ng F.C., Yam W.L., Lim T.Y.B. et al. Ultrasound-guided percutaneous nephrolithotomy: Advantages and limitations. Investig. Clin. Urol. 2017; 58 (5): 346–352. doi: 10.4111/icu.2017.58.5.346.
  84. Usawachintachit M., Tzou D.T., Hu W. et al. X-ray-free ultrasound-guided percutaneous nephrolithotomy: How to select the right patient? Urology. 2017; 100: 38–44. doi: 10.1016/j.urology.2016.09.031.
  85. El-Nahas A.R., Elshal A.M., El-Tabey N.A. Percutaneous nephrolithotomy for staghorn stones: a randomised trial comparing high-power holmium laser versus ultraso­nic lithotripsy. BJU Int. 2016; 118 (2): 307–312. doi: 10.1111/bju.13418.
  86. Mazurenko D.A., Zhivov A.V., Bernikov E.V. et al. Comparative assessment of laser (HO:YAG) and pneumatic lithotripsy in percutaneous nephrolithotomy of large and coral-like kidney stones of high density. Lazernaya meditsina. 2015; (2): 27–29. (In Russ.)
  87. Teodorovich O.V., Naryshkin S.A., Borisenko G.G. et al. Minimally invasive percutaneous laser nephrolithotripsy in staghorn calculi treatment. Meditsinskiy vestnik Bashkortostana. 2015; (3): 68–72. (In Russ.)
  88. De Fata-Chillón F.R., Gimbernat-Díaz H., Redondo-Redondo C. et al. Evolution from Percutaneous nephrolithotomy to Mini-PCNL in supine position on the treatment of complex renal calculi: feasibility study. Arch. Esp. Urol. 2017; 70 (5): 542–549.
  89. Ganpule A.P., Bhattu A.S., Desai M. PCNL in the twenty-first century: role of Microperc, Miniperc, and Ultraminiperc. World J. Urol. 2015; 33 (2): 235–240. doi: 10.1007/s00345-014-1415-1.
  90. Trusov P.V., Kogan M.I., Khvan V.K. The efficacy and safety of mini-­percutaneous nephrolithotripsy in the treatment of large and staghorn stones of the kidney. Vestnik urologii. 2017; (1): 32–36. (In Russ.) doi: 10.21886/2306-6424-2017-5-1-32-36.
  91. Yang H., Li J., Long G., Wang S. The application of a novel integrated rigid and flexible nephroscope in percutaneous nephrolithotomy for renal staghorn stones. BMC Urol. 2017; 17 (1): 67. doi: 10.1186/s12894-017-0257-8.
  92. Xiao B., Chen S., Zhang X. et al. A novel semi-rigid nephroscope percutaneous nephrolithotomy: The best the­rapy for renal staghorn calculi. Chin. Med. J. (Engl). 2015; 128 (22): 3109–3111. doi: 10.4103/0366-6999.169109.
  93. Leng S., Xie D., Zhong Y. et al. Combined ­single-tract of minimally percutaneous nephrolithotomy and flexible ureteroscopy for staghorn calculi in oblique supine lithotomy position. Surg. Innov. 2018; 25 (1): 22–27. doi: 10.1177/1553350617741023.
  94. El-Shazly M., Salem S., Allam A., Hathout B. Balloon dilator versus telescopic metal dilators for tract dilatation during percutaneous nephrolithotomy for staghorn stones and calyceal stones. Arab. J. Urol. 2015; 13 (2): 80–83. doi: 10.1016/j.aju.2014.12.004.
  95. Ichaoui H., Samet A., Ben Hadjalouane H. et al. Percutaneous nephrolithotomy (PCNL): Standard technique versus tubeless — 125 procedures. Cureus. 2019; 11 (3): e4251. doi: 10.7759/cureus.4251.
  96. Nasirov F.R., Mirkhamidov D.Kh., Giyasov Sh.I. et al. Evaluation of the efficacy of standard percutaneous nephrolithotripsy in staghorn and multiple nephrolithiasis. Urologiya. 2015; (1): 66–69. (In Russ.)
  97. Gorelov D.S., Gadzhiev N.K., Akopyan G.N. et al. Residual stones after PNL: problems of diagnosis and treatment (literature review). Eksperimental'naya i klinicheskaya urologiya. 2019; (1): 57–63. (In Russ.) doi: 10.29188/2222-8543-2019-11-1-57-62.
  98. Kumar S., Karthikeyan V.S., Mallya A., Keshavamurthy R. Outcomes of second-look percutaneous nephrolithotomy in renal calculi — a single centre experience. Turk. J. Urol. 2018; 44 (5): 406–410. doi: 10.5152/tud.2018.76299.
  99. Chen L., Sha M.L., Li D. et al. Treatment for resi­dual stones using flexible ureteroscopy and holmium laser lithotripsy after the management of complex calculi with single-tract percutaneous nephrolithotomy. Lasers Med. Sci. 2017; 32 (3): 649–654. doi: 10.1007/s10103-017-2162-5.
  100. Desai M., Sun Y., Buchholz N. et al. Treatment selection for urolithiasis: percutaneous nephrolithomy, ureteroscopy, shock wave lithotripsy, and active monito­ring. World J. Urol. 2017; 35 (9): 1395–1399. doi: 10.1007/s00345-017-2030-8.
  101. Alyaev Y.G., Sirota E.S., Bezrukov E.A. et al. Non-­biological 3D printed simulator for training in percutaneous nephrolithotripsy. Urologiya. 2018; (1): 10–14. (In Russ.) doi: 10.18565/urology.2018.1.10-14.
  102. Golab A., Smektala T., Krolikowski M. et al. Percutaneous nephrolithotomy using an individual 3-dimensionally printed surgical guide. Urol. Int. 2018; 100 (4): 485–487. doi: 10.1159/000446291.
  103. Ghazi A., Campbell T., Melnyk R. et al. Validation of a full-immersion simulation platform for percutaneous nephrolithotomy using three-dimensional printing techno­logy. J. Endourol. 2017; 31 (12): 1314–1320. doi: 10.1089/end.2017.0366.
  104. Aljaev Ju.G., Saenko V.S., Pesegov S.V. The role of 3D-computer simulation in improving the staghorn nephrolithiasis treatment results. Urologiya. 2015; (4): 7–10. (In Russ.)
  105. Gadzhiev N., Brovkin S., Grigoryev V. et al. Sculpturing in urology, or how to make percutaneous nephrolithotomy easier. J. Endourol. 2015; 29 (5): 512–517. doi: 10.1089/end.2014.0656.
  106. Nes­terov S.N., Rogachikov V.V., Tevlin K.P. et al. Morphometric modeling as a factor improving outcomes of percutaneous nephrolitholapaxia. Voprosy urologii i andrologii. 2016; (1): 34–40. (In Russ.) doi: 10.20953/2307-6631-2016-1-34-40.
  107. Alexandrova K.A., Rudenko V.I., Serova N.S. et al. Modern opportunities of the software proces­sing of the computed tomography results in the planning of patient’s treatment with staghorn nephrolithiasis. Rossiyskiy elektronnyy zhurnal luchevoy diagnostiki. 2019; (2): 133–140. (In Russ.) doi: 10.21569/2222-7415-2019-9-2-133-140.
  108. Sfoungaristos S., Gofrit O.N., Pode D. et al. Percutaneous nephrolithotomy for staghorn stones: Which nomogram can better predict postoperative outcomes? World J. Urol. 2016; 34 (8): 1163–1168. doi: 10.1007/s00345-015-1743-9.
  109. Yarimoglu S., Bozkurt I.H., Aydogdu O. et al. External validation and comparison of the scoring systems (S.T.O.N.E, GUY, CROES, S-ReSC) for predic­ting percutaneous nephrolithotomy outcomes for staghorn stones: A single center experience with 160 cases. Kaohsiung J. Med. Sci. 2017; 33 (10): 516–522. doi: 10.1016/j.kjms.2017.06.017.
  110. Singla A., Khattar N., Nayyar R. et al. How practical is the application of percutaneous nephrolithotomy scoring systems? Prospective study comparing Guy's Stone Score, S.T.O.N.E. score and the Clinical Research Office of the Endourological Society (CROES) nomogram. Arab. J. Urol. 2017; 15 (1): 7–16. doi: 10.1016/j.aju.2016.11.005.
  111. Kumar S., Sreenivas J., Karthikeyan V.S. et al. Evaluation of CROES nephrolithometry nomogram as a preoperative predictive system for percutaneous nephrolithotomy outcomes. J. Endourol. 2016; 30 (10): 1079–1083.
  112. Amosov N.A., Urenkov S.B., Ivanov A.E., Podoynicyn A.A. Place of the nephrolithotripsy in the treatment of patients with staghorn urolithiasis. Eksperimental'naya i klinicheskaya urologiya. 2015; (4): 100–103. (In Russ.)
  113. Park J., Oh S., Cho M.C. et al. The acceptable criterion of stone burden and the significant factors to choose retrograde intrarenal stone surgery or miniaturized percutaneous nephrolithotomy for the treatment of renal stones >10 mm. J. Endourol. 2017; 31 (10): 1012–1018. doi: 10.1089/end.2017.0244.
  114. Vaidyanathan S., Samsudin A., Singh G. et al. Large subcapsular hematoma following ureteroscopic laser lithotripsy of renal calculi in a spina bifida patient: lessons we learn. Int. Med. Case Rep. J. 2016; 9: 253–259. doi: 10.2147/IMCRJ.S99960.
  115. Martov A.G., Fatikhov R.R., Ergakov D.V., Kornienko S.I. Transurethral contact lithotripsy in the treatment of nephrolithiasis. Urologiya. 2008; (6): 70–75. (In Russ.)
  116. Benincasa A., Nicolosi F., Falsaperla M., Saita A. Hydroperitoneum: A rare complication performing endoscopic combined intrarenal surgery. J. Endourol. Case Rep. 2016; 2 (1): 55–58. doi: 10.1089/cren.2016.0024.
  117. Wen J., Xu G., Du C., Wang B. Minimally invasive percutaneous nephrolithotomy versus endoscopic combined intrarenal surgery with flexible ureteroscope for partial staghorn calculi: A randomised controlled trial. Int. J. Surg. 2016; 28: 22–27. doi: 10.1016/j.ijsu.2016.02.056.
  118. Urenkov S.B., Amosov N.A., Podoynitsyn A.A., Ivanov A.E. Transurethral and percutaneous surgery in patients with coral nephrolithiasis. Meditsinskiy vestnik Bash­kortostana. 2015; (3): 72–75. (In Russ.)
  119. Hamamoto S., Yasui T., Okada A. et al. Efficacy of endoscopic combined intrarenal surgery in the prone split-leg position for staghorn calculi. J. Endourol. 2015; 29 (1): 19–24. doi: 10.1089/end.2014.0372.
  120. Zhong W., Zhao Z., Wang L. et al. Percutaneous-based management of staghorn calculi in solitary kidney: Combined mini percutaneous nephrolithotomy versus retrograde intrarenal surgery. Urol. Int. 2015; 94 (1): 70–73. doi: 10.1159/000360708.
  121. Ding J., Zhang Y., Cao Q. et al. Tailored minimally invasive management of complex calculi in horseshoe kidney. J. Xray Sci. Technol. 2015; 23 (5): 601–610. doi: 10.3233/XST-150512.
  122. Suarez-Ibarrola R., Obaid M.A., Miernik A. Modified salvage endoscopic combined intrarenal surgery in a single functional kidney with refractory staghorn stone. Urol. Case Rep. 2018; 23: 13–14. doi: 10.1016/­j.eucr.2018.11.011.
  123. Vogt B., Desgrippes A., Desfemmes F.N. Changing the double-pigtail stent by a new suture stent to improve patient's quality of life: a prospective study. World J. Urol. 2015; 33 (8): 1061–1068. doi: 10.1007/s00345-014-1394-2.
  124. Schults A.J., Jia W., Ost M.C., Oottamasathien S. Combination of extracorporeal shockwave lithotripsy and ureteroscopy for large staghorn calculi in a pediatric patient: Case report. J. Endourol. Case Rep. 2017; 3 (1): 64–66. doi: 10.1089/cren.2017.0029.
  125. Huang L., Lin Y., Tang Z. et al. Management of upper urinary tract calculi in crossed fused renal ectopic anomaly. Exp. Ther. Med. 2018; 15 (1): 371–376. doi: 10.3892/etm.2017.5382.
  126. Aminsharifi A., Irani D., Masoumi M. et al. The management of large staghorn renal stones by percutaneous versus laparoscopic versus open nephrolithotomy: a comparative analysis of clinical efficacy and functional outcome. Urolithiasis. 2016; 44 (6): 551–557. doi: 10.1007/s00240-016-0877-6.
  127. Skriptsova S.A. Treatment of patients with bilateral coral nephrolithiasis complicated by chronic renal failure (CRF). Byu­lletenʹ me­ditsinskikh internet-konferentsiy. 2015; (5): 805. (In Russ.)
  128. Swearingen R., Sood A., Madi R. et al. Zero-fragment nephrolithotomy: A multi-center evaluation of robo­tic pyelolithotomy and nephrolithotomy for treating renal stones. Eur. Urol. 2017; 72 (6): 1014–1021. doi: 10.1016/j.eururo.2016.10.021.
  129. Keshavamurthy R., Karthikeyan V.S., Mallya A. et al. Anatrophic nephrolithotomy in the management of large staghorn calculi — a single centre experience. J. Clin. ­Diagn. Res. 2017; 11 (5): PC01–PC04. doi: 10.7860/JCDR/2017/24723.9837.
  130. Imamverdiev S.B., Talibov T.A., Makhmudov I.F. The results of open surgical treatment of bilateral staghorn and multiple nephrolithiasis. Kazan Medical Journal. 2018; (4): 722–729. (In Russ.) doi: 10.17816/KMJ2018-722.
  131. Chow A.K., Deane L.A. Robotic pyelolithotomy for the intact removal of a complete staghorn calculus: A feasible approach even after a previous open pyelolithotomy. Urology. 2019; 127: 133. doi: 10.1016/j.urology.2019.02.009.
  132. Lunardi P., Timsit M.O., Roumiguie M. et al. Single procedure treatment of complex nephrolithiasis: about a modern series of anatrophic nephrolithotomy. Prog. Urol. 2015; 25 (2): 90–95. doi: 10.1016/j.purol.2014.09.050.
  133. Hiess M., Seitz C. Robot-assisted renal surgery: current status and future directions. Robot. Surg. 2016; 3: 1–12. doi: 10.2147/RSRR.S71328.
  134. Kochkin A.D., Martov A.G., Sevryukov F.A. et al. Initial experience with laparoscopic anatrophic nephrolithotomy. Urologiya. 2016; (3): 112–116. (In Russ.)
  135. Glybochko P.V., Alyaev Yu.G., Rapoport L.M. et al. Laparoscopic pyelolithotomy and its role in modern surgery of nephrolithiasis. Urologiya. 2017; (4): 12–17. (In Russ.) doi: 10.18565/urol.2017.4.12-17.
  136. Xiao Y., Li Q., Huang C. Perioperative and long-term results of retroperitoneal laparoscopic pyelolithotomy versus percutaneous nephrolithotomy for staghorn calculi: a single-center randomized controlled trial. World J. Urol. 2019; 37 (7): 1441–1447. doi: 10.1007/s00345-018-2526-x.
  137. Kochkin A.D., Gallyamov E.A., Medvedev V.L. et al. Laparoscopic pyelolithotomy for staghorn kidney stones. Multi-center study. Urolo­giya. 2017; (3): 40–45. (In Russ.) doi: 10.18565/urol.2017.3.40-45.
  138. Pastore A.L., Palleschi G., Silvestri L. et al. Combined laparoscopic pyelolithotomy and endoscopic pyelolithotripsy for staghorn calculi: long-term follow-up results from a case series. Ther. Adv. Urol. 2016; 8 (1): 3–8. doi: 10.1177/1756287215607417.
  139. Jurkiewicz B., Zabkowski T., Jobs K. et al. Combined use of pyelolithotomy and endoscopy: An alternative surgical treatment for staghorn urolithiasis in children. Urol. J. 2016; 13 (2): 2599–2604. PMID: 27085559.
  140. Gandhi H.R., Thomas A., Nair B., Pooleri G. La­paroscopic pyelolithotomy: An emerging tool for complex staghorn nephrolithiasis in high-risk patients. Arab. J. Urol. 2015; 13 (2): 139–145. doi: 10.1016/j.aju.2014.10.004.
  141. Soltani M.H., Hamedanchi S., Shakiba B., Hoshyar H. Laparoscopic pyelolithotomy for management of complete staghorn stone of an ectopic pelvic kidney. Urol. J. 2018; 15 (4): 214–216. doi: 10.22037/uj.v0i0.4121.

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