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October 2, 2025Journal of Endourology

X-Ray Free Ultrasound-Guided Percutaneous Nephrolithotomy with Endoscopic Combined Intrarenal Surgery Is Feasible, Effective, and Safe for Staghorn Calculi

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Authors

ACAustin L. ChienTOTyler A. OnIPIrasema Concepción Paster

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Overview

Prospective cohort study shows ultrasound-guided nephrolithotomy achieves effective stone-free rates in staghorn calculi, indicating it's a safe alternative to fluoroscopy.

Key Points

  • X-ray free ultrasound-guided percutaneous nephrolithotomy resulted in a stone-free rate of 33.9% after one procedure.
  • Among 56 patients with staghorn calculi, 44.6% had residual fragments smaller than 4 mm, demonstrating efficacy.
  • This prospective cohort study analyzed outcomes based on strict criteria, involving patients treated between 2020 and 2024.
  • Overall complication rate was 44.6%, mostly minor, highlighting the relative safety of this approach with Clavien-Dindo classifications.

Cite This Study

Chien et al. (2025) studied this question.

synapsesocial.com/papers/68de8eaeaa6cec72c69ea801https://doi.org/10.1177/08927790251384209
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Minimally Invasive Percutaneous Nephrolithotomy for Staghorn Calculus – A Single-Center Study2025
  2. 2Perioperative and long-term results of ultrasonography-guided single- and multiple-tract percutaneous nephrolithotomy for staghorn calculi2024 · 1 citations
  3. 3Outcome of Single Tract Percutaneous Nephrolithotomy in Patients Presenting with Staghorn Calculus at Tertiary Care Hospital, Islamabad2025
  4. 4Complications of Mini-Percutaneous Nephrolithotomy for Staghorn Stones2025
  5. 5Stone-Free Rate and Complications Rate of Mini-Percutaneous Nephrolithotomy for Stag-Horn Stones2025