Joual A, Dassouli B, Hafiani M, Debbagh A, Bennani S, el Mrini M, Benjelloun S
Département d'urologie, CHU Ibn-Rochd, Casablanca, Maroc.
Ann Urol (Paris). 2000 Dec;34(6):402-5.
In the era of lithotripsy, surgery gets a limited place in the management of renal stones. This study has for a goal to evaluate the practice, indications and results of anatrophic nephrolithotomy in the treatment of staghorn calculi.
Between 1998 and 1999, six patients, mean age 37 years, had complete staghorn calculi treated by anatrophic nephrolithotomy, and two patients had a bilateral lithiasis. After lombar incision, the kidney was incised on the convexity after pedicular control. In this way, we have extracted all lithiases. The nephrorrhaphy permits hemostasis and parenchymal reparation. A ureteral stent was placed.
The operatory follow-up was simple; hemostasis was controlled by fast extraction of the lithiasis and nephrorrhaphy. The operating time was 70 minutes (40-110). The stone free rate was 100% without alteration of renal function, patients with bilateral lithiasis have been operated twice time.
The anatrophic nephrolithotomy is a safe technic without risk of haemorrhage or renal function alteration.
在碎石术时代，手术在肾结石治疗中的地位有限。本研究旨在评估无萎缩性肾切开取石术治疗鹿角形结石的实践、适应证及结果。
1998年至1999年间，6例平均年龄37岁的患者接受了无萎缩性肾切开取石术治疗完全鹿角形结石，2例为双侧结石。经腰部切口，在控制肾蒂后于肾脏凸面切开。通过这种方式，我们取出了所有结石。肾缝合术可实现止血和实质修复。放置了输尿管支架。
手术随访简单；通过快速取出结石和肾缝合术控制了止血。手术时间为70分钟（40 - 110分钟）。结石清除率为100%，肾功能无改变，双侧结石患者接受了两次手术。
无萎缩性肾切开取石术是一种安全的技术，无出血风险或肾功能改变。
