经皮肾镜取石术联合囊肿激光肾内切开引流术同期治疗肾及上段输尿管结石和囊肿

Simultaneous Treatment of Renal and Upper Ureteral Stone and Cysts With Percutaneous Nephrolithotomy and Cyst Laser Intrarenal Incision and Drainage.

作者信息

Hu Xiaohui, Jiang Kehua, Chen Hongbo, Zhu Shenliang, Zhao Chunxiong

机构信息

Department of Urology, The central hospital of Enshi Tujia and Miao Autonomous prefecture, Enshi, HuBei Province, China.

出版信息

Urol J. 2017 Jan 23;15(1):6-10. doi: 10.22037/uj.v0i0.3775.

DOI:10.22037/uj.v0i0.3775

PMID:29290086

Abstract

PURPOSE

To assess the feasibility and safety of percutaneous nephrolithotomy (PCNL) combined with cyst laser intrarenal incision and drainage in the management of renal and upper ureteral stones with ipsilateral renal cyst.

MATERIALS AND METHODS

Between March 2011 and March 2016, 28 patients with ipsilateral renal cyst in renal and upper ureteral stones underwent PCNL combined with cyst laser intrarenal incision and drainage. The perioperative evaluated variables included operation time, cyst size after surgery, complications and stone-free rate(SFR).

RESULTS

All patients successfully underwent the operation without conversion to open surgery. The mean operative time was 64.4±30.1 minutes; the mean hemoglobin reduction was 7.9±1.6 g/dL; the mean time to removal of nephrostomy tube and double J ureteral stent was 3.0±1.0 days, and 30.3±7.0 days; the mean hospital stay was8.5±2.0 days. The SFR of all the patients was 89.3%(25/28), and no serious perioperative complications occurred.

CONCLUSION

PCNL combined with cyst laser intrarenal incision and drainage is a feasible and safe approach for treatment of renal and upper ureteral stones with ipsilateral renal cyst.

摘要

目的

评估经皮肾镜取石术（PCNL）联合囊肿激光肾内切开引流术治疗合并同侧肾囊肿的肾及上段输尿管结石的可行性和安全性。

材料与方法

2011年3月至2016年3月，28例合并同侧肾囊肿的肾及上段输尿管结石患者接受了PCNL联合囊肿激光肾内切开引流术。围手术期评估变量包括手术时间、术后囊肿大小、并发症及结石清除率（SFR）。

结果

所有患者均成功完成手术，无一例转为开放手术。平均手术时间为64.4±30.1分钟；平均血红蛋白下降7.9±1.6 g/dL；肾造瘘管和双J输尿管支架平均拔除时间分别为3.0±1.0天和30.3±7.0天；平均住院时间为8.5±2.0天。所有患者的结石清除率为89.3%（25/28），围手术期未发生严重并发症。