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超声引导下完全无管化微通道经皮肾镜取石术治疗合并复杂解剖结构的完全孤立性肾盏憩室

Ultrasound-Guided Totally Tubeless Mini-Percutaneous Nephrolithotomy for a Completely Excluded Caliceal Diverticulum Associated with Challenging Anatomy.

作者信息

Thomas Devon N, Atallah William, Chandhoke Ryan, Bamberger Jacob N, Gupta Mantu

机构信息

St. George's University, School of Medicine, True Blue, Grenada, West Indies.

Department of Urology, Icahn School of Medicine at Mount Sinai Hospital, New York City, New York, USA.

出版信息

J Endourol Case Rep. 2020 Sep 17;6(3):121-123. doi: 10.1089/cren.2019.0151. eCollection 2020.

Abstract

Mini-percutaneous nephrolithotomy (mini-PCNL) has been described as a safe and effective technique to eliminate stones in patients in whom a less-invasive approach is desired. It was originally developed to treat stones in the pediatric population, but has since been adapted to serve a role in the adult urologic community. This approach has been reported to result in less blood loss and postoperative pain when compared with traditional PCNL. Herein, we present a case in which a recurrent caliceal diverticulum containing stones was managed using a mini-PCNL technique in a patient who previously failed multiple other retrograde endoscopic approaches.

摘要

微创经皮肾镜取石术(mini-PCNL)已被描述为一种安全有效的技术,用于那些希望采用侵入性较小方法的患者来清除结石。它最初是为治疗儿科患者的结石而开发的,但后来已适用于成人泌尿外科领域。据报道,与传统经皮肾镜取石术相比,这种方法导致的失血量和术后疼痛更少。在此,我们报告一例病例,一名既往多次逆行内镜治疗失败的患者,其复发性肾盂憩室合并结石采用微创经皮肾镜取石术进行治疗。

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