Segura J W, Patterson D E, LeRoy A J, May G R, Smith L H
J Urol. 1983 Dec;130(6):1051-4. doi: 10.1016/s0022-5347(17)51678-x.
We have performed percutaneous extractions of renal pelvic stones in 194 patients via the Wolf percutaneous universal nephroscope. At 1 session, with the patient under general anesthesia, a percutaneous tract is dilated to 24F and the stone is removed immediately. We have removed 185 stones successfully by ultrasonic lithotripsy, basket retrieval and/or use of forceps. Average operating time was 54 minutes and mean hospitalization was 5 days. The advantages of this technique are that a skin incision of only 1 cm. is required to remove the stone, hospital days are fewer than with open procedures and postoperative morbidity is minimal. In selected situations this method represents a significant advance over standard open surgical procedures for removal of renal pelvic stones.
我们通过Wolf经皮通用肾镜对194例患者进行了肾盂结石的经皮取石术。在一次手术中，患者在全身麻醉下，将经皮通道扩张至24F，然后立即取出结石。我们通过超声碎石术、网篮取石和/或使用钳子成功取出了185颗结石。平均手术时间为54分钟，平均住院时间为5天。该技术的优点是仅需1厘米的皮肤切口即可取出结石，住院天数比开放手术少，术后发病率极低。在特定情况下，这种方法相对于标准的开放手术治疗肾盂结石有显著进步。
