Castillo Octavio A, Metrebian Esteban, Vitagliano Gonzalo
Section of Endourology and Laparoscopic Urology, Department of Urology, Clínica Santa Maria, Santiago de Chile, Chile.
JSLS. 2007 Jan-Mar;11(1):116-8.
Percutaneous nephrolithotomy is a relatively safe technique. However, it is not exempt from complications, some of which can be severe and even fatal. Some complications may be plausible for laparoscopic management. We report our experience in the management of a rare complication by laparoscopic means.
We report the case of an Amplatz sheath that inadvertently migrated out of the renal parenchyma during a percutaneous nephrolithotomy. Patient data, procedure conditions, and laparoscopic retrieval of the sheath are detailed.
The Amplatz sheath was successfully retrieved laparoscopically. Total operative time was 180 minutes. Operative bleeding was minimal. The postoperative period was uneventful, and the patient was discharged on postoperative day 3.
Laparoscopy must be regarded as an option for the management of a surgical complication, especially if a minimally invasive approach is to be kept.
经皮肾镜取石术是一种相对安全的技术。然而，它并非没有并发症，其中一些可能很严重甚至致命。有些并发症采用腹腔镜处理可能是可行的。我们报告通过腹腔镜处理一种罕见并发症的经验。
我们报告了1例在经皮肾镜取石术中安普瑞兹鞘意外移出肾实质的病例。详细介绍了患者资料、手术情况以及腹腔镜取出鞘的过程。
腹腔镜成功取出安普瑞兹鞘。总手术时间为180分钟。术中出血极少。术后恢复顺利，患者于术后第3天出院。
腹腔镜应被视为处理手术并发症的一种选择，特别是在希望保持微创方法的情况下。
