Modified Anatrophic Nephrolithotomy “A Salalah Experience”

Anatrophic Nephrolithotomy is a major open trans renal surgery not too infrequently performed for a large branched stag horn calculus of the Kidney. The procedure involves adequate dissection of the kidney and its vascular supply, clamping the renal artery, surface cooling of the kidney with ice slush and performing a posterior capsulotomy and a blunt nephrotomy in a relatively a vascular plane directly leading to the collecting system, opening the collecting system, delivering the calculus, closing the collecting system and capsule and finally reestablishing the arterial flow. This is a case report of one such patient with a complete Staghorn calculus who underwent a modified Anatrophic Nephrolithotomy at our hospital with a successful outcome in the form of complete stone clearance and a normally functioning kidney post operatively with no complications.