Department of Urology, Tenon Hospital, Assistance-Publique Hôpitaux de Paris, 4 rue de la Chine, 75020, Paris, France.
Pierre et Marie Curie University, Paris, France.
Urolithiasis. 2018 Feb;46(1):47-58. doi: 10.1007/s00240-017-1030-x. Epub 2017 Dec 8.
During the last decades, the surgical management of kidney stones benefited of many technological advances and one of them is the development of flexible ureteroscopy (fURS). This tool, ancillary equipment such as graspers and baskets, and lithotripsy technique with Holmium:YAG laser underwent many improvements leading to a widening of its indications with diagnostic and therapeutic management of upper urinary tract pathologies such as urolithiasis and urothelial tumors. The objective of this review is to describe the surgical technique for fURS as well as tips and tricks for the treatment of renal stones.
在过去的几十年中,肾结石的外科治疗受益于许多技术进步,其中之一是软性输尿管镜技术(fURS)的发展。这种工具、抓钳和篮子等辅助设备以及钬激光碎石技术都经过了多次改进,从而扩大了其适应证范围,可用于诊断和治疗上尿路疾病,如尿石症和尿路上皮肿瘤。本文的目的是描述 fURS 的手术技术以及治疗肾结石的技巧。