Today, open stone surgery is one of the least common management options for stone disease, and endourological procedures, such as extracorporeal shock wave lithotripsy (ESWL), uretero-renoscopic stone removal (URS), and PCNL, are more commonmodalities to deal with renal stones.13 In the modern era of endourology, open stone surgery is only recommended in patients with severely distorted intrarenal anatomy.14 Synder and his colleagues compared the success rate, procedure duration, complications, and recovery time for percutaneous and anatrophic nephrolithotomy in patients with staghorn stones.
Snyder JA, Smith AD, Staghorn calculi: percutaneous extraction versus anatrophic nephrolithotomy.
Patients with a history of ORSS with parenchymal insicion (radial nephrotomies, anatrophic nephrolithotomy, lower pole resection, partial nephrectomy) were included in Group 1 (open nephrolithotomy group).
Modified anatrophic nephrolithotomy for complete staghorn calculus disease--does it still have a place?