Review on renal recovery after anatrophic nephrolithotomy:Are we really healing our patients?

作     者：Leonardo de Albuquerque dos Santos Abreu Douglas Gregório Camilo-Silva Gustavo Fiedler Gustavo Barboza Corguinha Matheus Miranda Paiva Jo?o Antonio Pereira-Correia Valter José Fernandes Muller 

作者机构：Department of UrologyServidores do Estado Federal HospitalRio de JaneiroRJ 20221-903Brazil 

出 版 物：《World Journal of Nephrology》 (世界肾病学杂志（英文版）)

年 卷 期：2015年第4卷第1期

页      面：105-110页

学科分类：1006[医学-中西医结合] 1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 100602[医学-中西医结合临床] 10[医学] 

主　　题：Anatrophic nephrolithotomy Kidney lithiasis Kidney stone disease Percutaneous nephrolithotripsy Staghorn calculus 

摘      要：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 isone 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.