Department of Urology, Detroit Medical Center, Detroit Medical Center, 4160 John R Street, Detroit, MI 48201, USA.
J Endourol. 2012 Oct;26(10):1268-74. doi: 10.1089/end.2012.0160. Epub 2012 Jul 3.
We describe flexible ureteroscopy-directed retrograde nephrostomy access using a puncture wire to achieve renal access. This is a natural extension of modern retrograde intrarenal surgical techniques and a modernization of the original Lawson technique for retrograde nephrostomy tract creation. In appropriately selected patients, this approach is safe and permits reduced radiation exposure. We believe this technique is easy to learn and may overcome the difficult learning curve of antegrade nephrostomy techniques faced by urologists who have not undergone subspecialty training in endourology.
我们描述了一种使用穿刺钢丝实现经输尿管镜逆行肾造瘘术入路的方法，以获得肾脏通道。这是现代逆行性肾内手术技术的自然延伸，也是对原始 Lawson 技术的现代化改进，用于逆行肾造瘘术通道的建立。在适当选择的患者中，这种方法是安全的，可以减少辐射暴露。我们相信，这种技术易于学习，并且可能克服了未接受过内镜泌尿外科专业培训的泌尿科医生在进行顺行肾造瘘技术时所面临的困难学习曲线。
