Inoue Takaaki, Okada Shinsuke, Hamamoto Shuzo, Yoshida Takashi, Matsuda Tadashi
Department of Urology and Andrology, Kansai Medical University, Hirakata, Osaka, Japan.
Department of Urology, Gyotoku General Hospital, Ichikawa, Chiba, Japan.
Int J Urol. 2018 Feb;25(2):121-133. doi: 10.1111/iju.13491. Epub 2017 Nov 14.
Current development of endoscopic technology, lithotripters, and stone-retrieval devices has expanded the indications for retrograde and antegrade endoscopic therapy in the management of urolithiasis. This technology has also resulted in minimally invasive therapy. As surgeons' experience of endourological procedures with the newer instruments has become integrated, the surgical technique and indications for urolithiasis have also changed in the past few years. The present review provides an overview of endourological procedures for upper urinary tract stones and the key points related to surgical techniques.
目前，内镜技术、碎石器和结石取出装置的发展扩大了逆行和顺行内镜治疗在尿路结石管理中的应用指征。这项技术也带来了微创治疗。随着外科医生使用更新仪器进行腔内泌尿外科手术的经验日益丰富，在过去几年中，尿路结石的手术技术和应用指征也发生了变化。本综述概述了上尿路结石的腔内泌尿外科手术以及与手术技术相关的关键点。
