Li Shuxin, Wang Fulin, Cao Hongliang, Zhang Yueqiu, Wang Binbin, Huang Gengchen, Wei Wei
Department of Urology, The First Hospital of Jilin University, Changchun, China.
Department of Otorhinolaryngology, Head and Neck Surgery, West China Hospital, Sichuan University, Chengdu, China.
Front Surg. 2025 May 16;12:1599309. doi: 10.3389/fsurg.2025.1599309. eCollection 2025.
Renal cysts and renal stones are common diseases in urology, but it is less common for both to coexist in a patient's kidney. In some unsophisticated urology clinics, separate elective treatments for renal cysts and renal stones are usually chosen, reducing the surgery risk but increasing the financial burden for patients. In this paper, we report a case of percutaneous nephrolithotomy for managing renal stones and endoscopy of renal cysts. The patient was a 61-year-old woman with back pain for more than 10 days. She was preoperatively diagnosed with left kidney stones and bilateral renal cysts. The patient underwent percutaneous nephrolithotomy with laser lithotripsy for left kidney stones and end cystectomy for left kidney cysts, with an indwelling ureteral stent and nephrostomy tube. The patient's back pain subsided postoperatively, and he was discharged on the 5th postoperative day. The nephrostomy tube was removed 1 week after surgery, and the ureteral stent was removed 1 month after surgery. The purpose of this case is to demonstrate to surgeons the advantages of percutaneous nephrolithotomy laser lithotripsy for treating renal stones combined with intrarenal cysts. Suppose a kidney stone is adjacent to a renal cyst, for example. In that case, if the stone is located adjacent to the renal pelvis or near the calyx in which the stone is located, percutaneous nephrolithotomy laser lithotripsy can treat both conditions.
肾囊肿和肾结石是泌尿外科的常见疾病，但二者在同一患者肾脏中共存的情况较为少见。在一些基层泌尿外科诊所，通常会分别选择对肾囊肿和肾结石进行择期治疗，这样虽降低了手术风险，但增加了患者的经济负担。在本文中，我们报告了一例经皮肾镜取石术治疗肾结石及肾囊肿内镜治疗的病例。患者为一名61岁女性，背痛超过10天。术前诊断为左肾结石和双侧肾囊肿。患者接受了经皮肾镜激光碎石取石术治疗左肾结石及左肾囊肿囊肿切除术，并留置输尿管支架管和肾造瘘管。患者术后背痛缓解，术后第5天出院。术后1周拔除肾造瘘管，术后1个月拔除输尿管支架管。本病例的目的是向外科医生展示经皮肾镜激光碎石术治疗肾结石合并肾内囊肿的优势。例如，假设肾结石与肾囊肿相邻。如果结石位于肾盂附近或结石所在肾盏附近，经皮肾镜激光碎石术可同时治疗这两种情况。
