Abdessater Maher, Kanbar Anthony, El Khoury Joey, El Hachem Charbel, Halabi Rami, Akl Halim, Boustany Johnny, El Khoury Raghid
Department of Urology, Notre Dame des Secours, University Medical Center, Byblos, Lebanon.
Faculty of Medicine and Medical Sciences, Holy Spirit University of Kaslik, Jounieh, Lebanon.
J Endourol Case Rep. 2020 Jun 4;6(2):99-102. doi: 10.1089/cren.2019.0126. eCollection 2020.
The aim of this article is to describe our technique of bilateral laparoscopic pyelolithotomy (LP) in a 54-year-old patient with bilateral large stones of which one is a staghorn stone (SS). The patient's legs were extended and spaced from each other; the table was tilted to the right and to the left in a way to use only five trocars for both sides. The calculi were delivered intact at the end of the procedure. Operating time was 208 minutes. Blood loss was 250 mL. Hospital stay was 3 days. Double-J stents were removed 4 weeks later. The patient was stone free with a stable serum creatinine. This case report is the first to describe a bilateral LP for large and SS. This procedure can minimize the postoperative morbidity and is associated with high stone-free rates. It is safe when done by expert surgeons, but further investigations are required to assess its reproducibility.
本文旨在描述我们在一名54岁双侧大结石患者（其中一侧为鹿角形结石）身上实施双侧腹腔镜肾盂切开取石术（LP）的技术。患者双腿伸直并分开；手术台向右侧和左侧倾斜，以便双侧仅使用5个套管针。手术结束时结石完整取出。手术时间为208分钟。失血量为250毫升。住院时间为3天。4周后取出双J支架。患者结石清除且血清肌酐稳定。本病例报告首次描述了针对大结石和鹿角形结石的双侧LP。该手术可将术后发病率降至最低，并具有较高的结石清除率。由经验丰富的外科医生实施时是安全的，但需要进一步研究以评估其可重复性。
