Division of Urology, Department of Surgery, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Asian J Surg. 2012 Jan;35(1):53-6. doi: 10.1016/j.asjsur.2012.04.009. Epub 2012 May 25.
The objective of this study is to report the first case in Thailand of a single port laparoscopic nephrolithotomy in a double collecting system of a right kidney. The operation was successfully done in a 49-year-old Thai female presented with a full staghorn kidney stone in the lower moiety of the duplex right kidney. Percutaneous nephrolithotomy was performed first but the removal of the lower calyceal branch and the rest failed because the access tract was lost. Then the residual stones were successfully removed by single port laparoscopic nephrolithotomy. This study proves that single port laparoscopic nephrolithotomy is technically feasible without additional skin incisions.
本研究旨在报告泰国首例右肾双集合系统单孔腹腔镜肾切开取石术。该手术成功应用于一名 49 岁泰国女性，其右肾下极存在完全鹿角形肾结石。先行经皮肾镜取石术，但因通道丢失而无法取出下盏分支和其余结石。随后，采用单孔腹腔镜肾切开取石术成功取出残余结石。本研究证明，单孔腹腔镜肾切开取石术技术上可行，无需额外的皮肤切口。
