Verbrugghe Anneleen, Gaillandre Loïc, Mouton Damien, Deschildre Franck, Koenig Philippe, Ballereau Charles, Colin Pierre
Hôpital privé La Louvière, Ramsay GDS, 69 rue de la Louvière, 59000 Lille, France.
Centre Libéral d'Imagerie de l'Agglomération Lilloise (CLIMAL), 26 rue du Ballon, 5900 Lille, France.
Urol Case Rep. 2017 May 13;13:133-136. doi: 10.1016/j.eucr.2017.04.004. eCollection 2017 Jul.
Standard treatment modalities of caliceal diverticular calculi range from extracorporal shockwave lithotripsy (SWL) over retrograde intrarenal surgery (RIRS), percutaneous nephrolithotomy (PNL) and laparoscopic stone removal. A 55-year-old woman presented with a history of pyelonephritis based on a caliceal diverticular calculus. Due to the narrow infundibulum and anterior location, a robot-assisted laparoscopic calicotomy with extraction of the calculi and fulguration of the diverticulum was performed, with no specific perioperative problems and good stone-free results. This article shows technical feasibility with minimal morbidity of robot-assisted laparoscopic stone removal and obliteration of a caliceal diverticulum.
肾盂憩室结石的标准治疗方式包括体外冲击波碎石术（SWL）、逆行性肾内手术（RIRS）、经皮肾镜取石术（PNL）以及腹腔镜取石术。一名55岁女性因肾盂憩室结石出现肾盂肾炎病史。由于漏斗部狭窄且位于前方，遂行机器人辅助腹腔镜肾盂切开取石术，同时切除憩室，术中无特殊围手术期问题，结石清除效果良好。本文展示了机器人辅助腹腔镜取石术及肾盂憩室切除术的技术可行性及低发病率。
