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Review on renal recovery after anatrophic nephrolithotomy: Are we really healing our patients?
Leonardo de Albuquerque Dos Santos Abreu1, Douglas Gregório Camilo-Silva1, Gustavo Fiedler1
1Leonardo de Albuquerque dos Santos Abreu, Douglas Gregório Camilo-Silva, Gustavo Fiedler, Gustavo Barboza Corguinha, Matheus Miranda Paiva, João Antonio Pereira-Correia, Valter José Fernandes Muller, Department of Urology, Servidores do Estado Federal Hospital, Rio de Janeiro, RJ 20221-903, Brazil.
Abstract:
The main goals for urinary stone treatment are to preserve renal function, reduce or avoid complications related to calculi, and to render the patient free of calculi as soon as possible. Anatrophic nephrolithotomy (ANL) is a valid and useful alternative for conventional staghorn calculi excision. Although excellent stone free rates can be achieved with ANL there are some drawbacks that may be of concern. Morbidity related to intraoperative and postoperative complications is one of them. Another, great concern is the possibility of reduction on renal function related to the procedure itself. This may be related to nephron injury during nephrotomy and parenchymal closure or to ischemic injury. In this review we assess functional results after anatrophic nephrolithotomy.
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