Godec C J, Cass A S
Urology. 1982 May;19(5):529-31. doi: 10.1016/0090-4295(82)90612-4.
The treatment of recurrent renal calculi in patients after ureteroileal urinary diversion is difficult, especially when urinary stones are formed in the presence of urinary tract infection. In many cases, these patients already have undergone multiple renal operations and more surgery could pose difficult technical problems. We report on a patient with a high urinary diversion in whom bilateral staghorn renal calculi developed, and then were endoscopically removed. The conversion of ureteroileocutaneous diversion to a high pyeloileocutaneous diversion is recommended in selected cases as alternate treatment for patients with recurrent stone formation.
输尿管回肠代膀胱术后患者复发性肾结石的治疗困难，尤其是在存在尿路感染的情况下形成尿路结石时。在许多情况下，这些患者已经接受过多次肾脏手术，再次手术可能会带来棘手的技术问题。我们报告一例高位尿路改道患者，其双侧鹿角形肾结石形成，随后通过内镜取出。对于复发性结石形成的患者，建议在特定情况下将输尿管回肠皮肤造口术转换为高位肾盂回肠皮肤造口术作为替代治疗。
