Nouralizadeh Akbar, Kashi Amir H, Valipour Reza, Nasiri Kopaee Mahmood Reza, Zeinali Mahdi, Sarhangnejad Reza
Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Urol J. 2017 Nov 4;14(6):5043-5046. doi: 10.22037/uj.v14i6.3802.
To present our experience with synchronous or metachronous laparoscopic pyelolithotomy and ureterolithotomy for patients with bilateral urolithiasis.
The data of all patients who underwent laparoscopic pyelolithotomy (± ureterolithotomy) for bilateral renal and/or ureteral stones from November 2009 to July 2014 were included. Laparoscopic operations were performed through a transperitoneal approach.
10 patients underwent laparoscopic operations for renal stones (19 kidney stones) and ureteral stones (1 ureteral stone). 4 patients underwent synchronous operations and 6 patients underwent metachronous operations. The mean ± SD of operation duration were 212 ± 51 minutes for synchronous operations and 166 ± 41 minutes for metachronous operations. Residual stone was observed 5 patients. No patient developed urinary leakage.
Laparoscopic pyelolithotomy and/or ureterolithotomy for bilateral stones is a feasible option in centers with experience in laparoscopy.
介绍我们对双侧尿路结石患者进行同期或异期腹腔镜肾盂切开取石术和输尿管切开取石术的经验。
纳入2009年11月至2014年7月期间因双侧肾和/或输尿管结石接受腹腔镜肾盂切开取石术（±输尿管切开取石术）的所有患者的数据。腹腔镜手术通过经腹途径进行。
10例患者接受了肾结石（19颗肾结石）和输尿管结石（1颗输尿管结石）的腹腔镜手术。4例患者接受同期手术，6例患者接受异期手术。同期手术的平均手术时长±标准差为212±51分钟，异期手术为166±41分钟。5例患者观察到残余结石。无患者发生尿漏。
对于有腹腔镜经验的中心，腹腔镜肾盂切开取石术和/或输尿管切开取石术治疗双侧结石是一种可行的选择。
