Minimally Invasive Percutaneous Nephrolithotomy for Staghorn Calculus – A Single-Center Study

Authors

  • Ram Sagar Shah Department of Urology, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal https://orcid.org/0000-0001-6896-463X
  • Kartikesh Mishra Department of Urology, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal
  • Sachidanand Sah Department of Urology, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal
  • Abhishek Poudel Department of Urology, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal

DOI:

https://doi.org/10.3126/jonmc.v14i1.83258

Keywords:

Staghorn calculus, operative time, urolithiasis

Abstract

Background: Staghorn calculi, either partial or complete, present a significant urological challenge. Mini-percutaneous nephrolithotomy (mPCNL) has become a less invasive alternative to standard PCNL (sPCNL). This study evaluates the efficacy and safety of mPCNL in treating staghorn calculi.

Materials and Methods: A retrospective observational study was conducted on 26 patients at Nobel Medical College Teaching Hospital for one year. Outcomes included stone-free rate (SFR), operative time, complications, and recovery.

Results: The SFR was 84.6% (22/26), with failed cases associated with larger stones (mean 42.5 ± 3.2 mm) and higher Guy’s Scores. Mean operative time was 61.2 ± 12.4 minutes, increasing with stone size (p < 0.001). Complication rates were low, supporting mPCNL’s safety.

Conclusion: mPCNL is effective for moderate-sized staghorn stones, offering high stone clearance with minimal morbidity

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Author Biography

Ram Sagar Shah, Department of Urology, Nobel Medical College and Teaching Hospital, Biratnagar, Nepal

Associate Professor

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Published

2025-09-01

How to Cite

Shah, R. S., Mishra, K., Sah, S., & Poudel, A. (2025). Minimally Invasive Percutaneous Nephrolithotomy for Staghorn Calculus – A Single-Center Study. Journal of Nobel Medical College, 14(1), 42–46. https://doi.org/10.3126/jonmc.v14i1.83258

Issue

Vol. 14 No. 1 (2025)

Section

Original Articles

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