Chu William, Chien Gary W, Finley David S
Department of Urology, Kaiser Permanente , Los Angeles, California.
J Endourol. 2015 Apr;29(4):397-400. doi: 10.1089/end.2014.0441. Epub 2014 Nov 20.
Caliceal leak after partial nephrectomy (PN) typically resolves with conservative management. However, persistent fistulae pose a formidable challenge that may require additional therapeutic actions.
We describe a case of a patient with a solitary kidney who suffered a persistent urine leak following PN. A novel retrograde ureteroscopic approach was taken that utilized the combined techniques of caliceal fulguration and fibrin glue injection.
Imaging demonstrated resolution of the caliceal fistula at 13 months postoperatively.
Persistent urine leak after PN remains a burdensome complication that often requires creative steps to resolve. Our case presents a solution using a novel ureteroscopic technique.
部分肾切除术后肾盏漏通常通过保守治疗得以解决。然而，持续性瘘管构成了一项艰巨挑战，可能需要采取额外的治疗措施。
我们描述了一例孤立肾患者在部分肾切除术后发生持续性尿漏的病例。采用了一种新颖的逆行输尿管镜检查方法，该方法运用了肾盏电灼和纤维蛋白胶注射的联合技术。
影像学检查显示术后13个月肾盏瘘消失。
部分肾切除术后持续性尿漏仍然是一个棘手的并发症，通常需要采取创新措施来解决。我们的病例展示了一种使用新颖输尿管镜技术的解决方案。
