{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,27]],"date-time":"2026-04-27T17:55:08Z","timestamp":1777312508078,"version":"3.51.4"},"reference-count":34,"publisher":"Hamad bin Khalifa University Press (HBKU Press)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023]]},"abstract":"<jats:p>Introduction: Staghorn calculi (SC) occupy the renal pelvis and calyces and are common in females linked to repeated urinary tract infections (UTIs). Judicious surgery planning reduces the chance of further damage to the kidney due to renal SCs. Open stone surgery (OSS) is one of the various operative techniques to remove such huge stones with one operative intervention and protect the kidney from ongoing functional damage.<\/jats:p>\n                  <jats:p>Case Report: A 47-year-old male patient presented with right-sided renal colic pain, and on further investigations, he was diagnosed with a large renal stone responsible for substantial renal function impairment on the same side. The SC measured 8 \u00d7 4 cm with another stone in the lower calyx. thinner parenchyma, and only 16% relative function. Therefore, open surgery was selected over less invasive approaches because multiple lithotripsy (ESWL) sittings may have been required in less invasive options.<\/jats:p>\n                  <jats:p>Discussion: SCs, which can be complete or partial, often result in renal impairment. Hence, it is crucial to implement a proactive therapeutic approach that includes a thorough evaluation of the stone\u2019s size and position, the patient\u2019s choice, and institutional capacity. Complete elimination of SCs is preferred to maintain maximal renal function. Based on clinical, technical, and socioeconomic considerations, open pyelolithotomy or OSS was chosen over percutaneous nephrolithotomy for SC removal in the discussed case.<\/jats:p>\n                  <jats:p>Conclusion: The ability to remove large stones in a single intervention with open pyelolithotomy has been very effective due to its distinctive clinical presentation and pathological abnormalities.<\/jats:p>","DOI":"10.5339\/qmj.2023.30","type":"journal-article","created":{"date-parts":[[2023,10,29]],"date-time":"2023-10-29T01:30:36Z","timestamp":1698543036000},"source":"Crossref","is-referenced-by-count":1,"title":["A huge staghorn renal stone: Is there still a need for open surgery to protect against further damage to the kidney? A case report"],"prefix":"10.5339","volume":"2023","author":[{"given":"Dharmendra Kumar","family":"Pipal","sequence":"first","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India Email: dr.dharmendrapipal2007@gmail.com ORCID iD: https:\/\/orcid.org\/0000-0002-4162-8617"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Saurabh","family":"Jain","sequence":"additional","affiliation":[{"name":"Arihant Hospital, Bhilwara, Rajasthan, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Prakash","family":"Biswas","sequence":"additional","affiliation":[{"name":"Department of General Surgery, All India Institute of Medical Sciences, Gorakhpur, Uttar Pradesh, India Email: dr.dharmendrapipal2007@gmail.com ORCID iD: https:\/\/orcid.org\/0000-0002-4162-8617"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"3277","reference":[{"issue":"(6):","key":"CIT001","series-title":"Int Braz J Urol","first-page":"927\u201333","article-title":"Staghorn renal stones: what the urologist needs to know","volume":"46","author":"Torricelli FCM","year":"2020"},{"issue":"(6):","key":"CIT002","series-title":"Nat Rev Urol","first-page":"333\u201341","article-title":"Renal struvite stones-pathogenesis, microbiology, and management strategies","volume":"11","author":"Flannigan R","year":"2014"},{"issue":"(2):","key":"CIT003","series-title":"Br J Urol","first-page":"122\u20134","article-title":"Staghorn calculi--long-term results of management","volume":"68","author":"Koga S","year":"1991"},{"issue":"(2):","key":"CIT004","series-title":"Asian J Urol","first-page":"130\u20138","article-title":"Management of staghorn stones in special situations","volume":"7","author":"Gao X","year":"2020"},{"issue":"(1):","key":"CIT005","series-title":"PLoS One","article-title":"Percutaneous nephrolithotomy versus open surgery for surgical treatment of patients with staghorn stones: a systematic review and meta-analysis","volume":"14","author":"Chen Y","year":"2019"},{"key":"CIT006","series-title":"Case Rep Urol","first-page":"873069","article-title":"Case report: successful staged ureteroscopic treatment of a 5 cm staghorn renal calculus","volume":"2012","author":"Ciccone JM","year":"2012"},{"issue":"Suppl 1:","key":"CIT007","series-title":"Turk J Urol","first-page":"S104-12","article-title":"Guideline of guidelines for kidney and bladder stones","volume":"46","author":"Hughes T","year":"2020"},{"key":"CIT008","series-title":"Res Rep Urol","first-page":"225\u201338","article-title":"Surgical management of urolithiasis of the upper tract - 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