North Shore Long Island Jewish Health System, The Arthur Smith Institute for Urology, 450 Lakeville Road, New Hyde Park, NY 11040, USA.
Ther Adv Urol. 2011 Apr;3(2):59-68. doi: 10.1177/1756287211400661.
Percutaneous renal surgery provides a minimally invasive approach to the kidney for stone extraction in a number of different clinical scenarios. Certain clinical cases present inherent challenges to percutaneous access to the kidney. Herein, we present scenarios in which obtaining and/or maintaining percutaneous access is difficult along with techniques to overcome the challenges commonly encountered. Also, complications associated with these challenging percutaneous renal surgeries are discussed.
经皮肾手术为肾结石的提取提供了一种微创的肾脏治疗方法,适用于多种不同的临床情况。某些临床病例给经皮肾入路带来了固有挑战。本文介绍了经皮肾入路困难的病例,并提供了克服常见困难的技术。此外,还讨论了这些具有挑战性的经皮肾手术相关的并发症。