真空辅助微型内镜联合肾内手术治疗复杂肾结石时同时联合使用铥光纤激光和钬激光：1例病例报告
Simultaneously combining a thulium fiber laser and holmium:YAG laser in vacuum-assisted mini-endoscopic combined intrarenal surgery on a complex renal calculus: A case report.
作者信息
Siantong Mookdarat, Ketsuwan Chinnakhet
机构信息
Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
出版信息
SAGE Open Med Case Rep. 2024 Feb 12;12:2050313X241232278. doi: 10.1177/2050313X241232278. eCollection 2024.
Abstract
Employing percutaneous nephrolithotomy to manage a complex renal calculus has always been challenging due to the blood transfusion requirement and the frequent necessity of using multiple access tracts. We report a novel treatment modality in the case of a 65-year-old male with a complex, large-volume renal calculus who was successfully treated by vacuum-assisted miniaturized endoscopic combined intrarenal surgery using the combination of a thulium fiber laser in retrograde fashion with a holmium:YAG laser in antegrade fashion. The kidney stone was entirely cleared, and the patient fully recovered with no adverse event.
摘要
由于需要输血以及经常需要使用多个穿刺通道，采用经皮肾镜取石术治疗复杂肾结石一直具有挑战性。我们报告了一种新的治疗方式，用于一名65岁患有复杂、大量肾结石的男性患者，该患者通过真空辅助微型内镜联合肾内手术成功治疗，采用逆行方式的铥光纤激光与顺行方式的钬激光联合使用。肾结石被完全清除，患者完全康复，无不良事件发生。
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