The Place of Extended Pyelolithotomy (Gil-Vernet Operation) in the Management of Renal Staghorn CalcuIi
Article first published online: 21 NOV 2008
British Journal of Urology
Volume 53, Issue 6, pages 520–523, December 1981
How to Cite
WOODHOUSE, C. R. J., FARRELL, C. R., PARIS, A. M. I. and BLANDY, J. P. (1981), The Place of Extended Pyelolithotomy (Gil-Vernet Operation) in the Management of Renal Staghorn CalcuIi. British Journal of Urology, 53: 520–523. doi: 10.1111/j.1464-410X.1981.tb03252.x
- Issue published online: 21 NOV 2008
- Article first published online: 21 NOV 2008
Summary— In the 17 years up to 1979 189 kidneys have had an extended pyelolithotomy for staghorn calculus and have been followed up. In only 1 of 96 unilateral cases did a stone form in a normal contralateral kidney, whatever the outcome of surgery on the affected side. Seven early nephrectomies were performed for non-function and in 6 bilateral cases, with advanced renal failure, surgery did not arrest the loss of renal function. Regrowth of stone occurred in 43 cases (complete staghorns in 24). Regrowth did not occur in 1 8 of 20 incompletely cleared kidneys nor in 22 of 41 with persistent infection. Renal function was improved in 1 3 of 1 5 cases where it had not already deteriorated beyond a critical point.
It is concluded that unilateral staghorn stones may be treated in their own right, without fear of compromising a normal contralateral kidney; that regrowth of stones is not inevitable, even with incomplete clearance; and that renal function is usually improved by surgery.