马蹄肾的腹腔镜肾盂切开取石术
Laparoscopic pyelolithotomy in a horseshoe kidney.
作者信息
Ölçücüoğlu Erkan, Çamtosun Ahmet, Biçer Sait, Bayraktar Ahmet Murat
机构信息
Department of Urology, Türkiye Yüksek İhtisas Hospital, Ankara, Turkey.
Department of Urology, Yenimahalle State Hospital, Ankara, Turkey.
出版信息
Turk J Urol. 2014 Dec;40(4):240-4. doi: 10.5152/tud.2014.73604. Epub 2014 Oct 15.
The horseshoe kidney is the most frequent renal anomaly, with a prevalence of 0.25% and a male to female ratio of 2:1. In this article we aimed to report a 50-year-old man who had left kidney stones accompanied with a horseshoe kidney. In this case percutaneous nephrolithotomy was deemed to be a risky procedure due to malrotation of the pelviocalyceal system and possible interposition of bowel loops between kidney and the abdominal wall. Therefore, we preferred laparoscopic pyelolithotomy. At the end of the procedure, the patient was stone-free. We observed no complication. The patient was discharged after 72 hours. We assume that laparoscopic pyelolithotomy is a safe and effective approach for renal pelvic stone in case of horseshoe kidney.
马蹄肾是最常见的肾脏异常，患病率为0.25%，男女比例为2:1。在本文中，我们旨在报告一名50岁男性，其左肾结石合并马蹄肾。在该病例中，由于肾盂肾盏系统旋转不良以及肾脏与腹壁之间可能存在肠袢，经皮肾镜取石术被认为是一种有风险的手术。因此，我们选择了腹腔镜肾盂切开取石术。手术结束时，患者结石清除。我们未观察到并发症。患者在72小时后出院。我们认为，对于马蹄肾合并肾盂结石的情况，腹腔镜肾盂切开取石术是一种安全有效的方法。
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