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Heart of Darkness.《黑暗之心》
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2
Percutaneous nephrolithotomy of bilateral staghorn renal calculi in pediatric patients: 12 years experience in a tertiary care centre.经皮肾镜碎石术治疗小儿双侧鹿角状肾结石：三级医疗中心 12 年经验。
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The management of large staghorn renal stones by percutaneous versus laparoscopic versus open nephrolithotomy: a comparative analysis of clinical efficacy and functional outcome.经皮肾镜取石术、腹腔镜肾切开取石术与开放性肾切开取石术治疗大型鹿角形肾结石的比较：临床疗效和功能结果的对比分析
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Perioperative and long-term results of retroperitoneal laparoscopic pyelolithotomy versus percutaneous nephrolithotomy for staghorn calculi: a single-center randomized controlled trial.后腹腔镜肾盂切开取石术与经皮肾镜碎石术治疗鹿角形结石的围手术期和长期结果：一项单中心随机对照试验。
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本文引用的文献

1
The management of large staghorn renal stones by percutaneous versus laparoscopic versus open nephrolithotomy: a comparative analysis of clinical efficacy and functional outcome.经皮肾镜取石术、腹腔镜肾切开取石术与开放性肾切开取石术治疗大型鹿角形肾结石的比较：临床疗效和功能结果的对比分析
Urolithiasis. 2016 Nov;44(6):551-557. doi: 10.1007/s00240-016-0877-6. Epub 2016 Mar 31.
2
Combined laparoscopic pyelolithotomy and endoscopic pyelolithotripsy for staghorn calculi: long-term follow-up results from a case series.联合腹腔镜肾盂切开取石术和内镜下肾盂碎石术治疗鹿角形结石：病例系列的长期随访结果
Ther Adv Urol. 2016 Feb;8(1):3-8. doi: 10.1177/1756287215607417.
3
Comparison of 1-stage With 2-stage Multiple-tracts Mini-percutaneous Nephrolithotomy for the Treatment of Staghorn Stones: A Matched Cohorts Analysis.一期与二期多通道微创经皮肾镜取石术治疗鹿角形结石的比较：一项配对队列分析
Urology. 2016 Jan;87:46-51. doi: 10.1016/j.urology.2015.09.006. Epub 2015 Oct 23.
4
Mortality and flexible ureteroscopy: analysis of six cases.死亡率与软性输尿管镜检查：6例病例分析
World J Urol. 2016 Mar;34(3):305-10. doi: 10.1007/s00345-015-1642-0. Epub 2015 Jul 26.
5
[Single procedure treatment of complex nephrolithiasis: about a modern series of anatrophic nephrolithotomy].[复杂肾结石的单一手术治疗：关于现代一系列无萎缩性肾切开取石术]
Prog Urol. 2015 Feb;25(2):90-5. doi: 10.1016/j.purol.2014.09.050. Epub 2014 Oct 25.
6
Prognostic factors of morbidity in patients undergoing percutaneous nephrolithotomy.经皮肾镜取石术患者发病的预后因素。
J Endourol. 2014 Sep;28(9):1078-84. doi: 10.1089/end.2013.0781. Epub 2014 Jul 1.
7
Infectious outcomes of nephrostomy drainage before percutaneous nephrolithotomy compared to concurrent access.经皮肾镜碎石取石术前与同期通道相比，肾造瘘引流的感染结局。
J Urol. 2014 Sep;192(3):770-4. doi: 10.1016/j.juro.2014.03.004. Epub 2014 Mar 12.
8
Laparoscopic pyelolithotomy compared to percutaneous nephrolithotomy as surgical management for large renal pelvic calculi: a meta-analysis.腹腔镜肾盂切开取石术与经皮肾镜取石术治疗肾盂大结石的比较：一项荟萃分析。
J Urol. 2013 Sep;190(3):888-93. doi: 10.1016/j.juro.2013.02.092. Epub 2013 Feb 27.
9
The effect of delayed percutaneous nephrolithotomy on the risk of bacteremia and sepsis in patients with neuromuscular disorders.延迟经皮肾镜取石术对神经肌肉疾病患者菌血症和败血症风险的影响。
World J Urol. 2013 Dec;31(6):1611-5. doi: 10.1007/s00345-013-1044-0. Epub 2013 Feb 27.
10
Temporal trends, practice patterns, and treatment outcomes for infected upper urinary tract stones in the United States.美国感染性上尿路结石的时间趋势、实践模式和治疗结果。
Eur Urol. 2013 Jul;64(1):85-92. doi: 10.1016/j.eururo.2012.09.035. Epub 2012 Sep 25.

《黑暗之心》

Heart of Darkness.

作者信息

Alken Peter

机构信息

Department of Urology, Mannheim University Hospital , Mannheim, Germany .

出版信息

J Endourol Case Rep. 2016 Nov 1;2(1):180-183. doi: 10.1089/cren.2016.0114. eCollection 2016.

DOI:10.1089/cren.2016.0114
PMID:27868094
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5107655/
Abstract

Significant literature has an impact on the reader. Reading the novella Heart of Darkness by Joseph Conrad as a young boy rose emotions comparable to those I felt when losing a patient after percutaneous nephrolithotomy (PCNL) as a grown up. The case of a 37-year-old woman with bilateral staghorn and a fatal outcome after PCNL is presented and alternatives are discussed.

摘要

大量的文学作品会对读者产生影响。小时候读约瑟夫·康拉德的中篇小说《黑暗之心》所引发的情感，与我长大后在经皮肾镜取石术（PCNL）后失去一位患者时的感受不相上下。本文介绍了一位37岁双侧鹿角形结石女性患者在PCNL后出现致命结局的病例，并讨论了其他治疗方案。