Van Cangh P J, Abi Aad A S, Lorge F, Wese F X, Opsomer R
Division of Urology, University of Louvain Medical School, Brussels, Belgium.
Urology. 1995 Mar;45(3):516-9. doi: 10.1016/S0090-4295(99)80027-2.
Laparoscopic nephrolithotomy was used as an alternative to open surgery in a patient who had failed extracorporeal shock-wave lithotripsy and whose anteriorly located stone-bearing calix precluded percutaneous extraction. Endocavitary ultrasonography and color Doppler render the procedure safe and effective; localization of the stone, selection of an optimal nephrotomy site away from large vessels and where cortical thickness is minimal, and control of fragment clearance are greatly facilitated.
对于一位体外冲击波碎石术失败且位于前方的结石性肾盏无法进行经皮取石的患者，采用了腹腔镜肾切开取石术作为开放手术的替代方法。腔内超声和彩色多普勒使该手术安全有效；结石的定位、远离大血管且皮质厚度最小处的最佳肾切开部位的选择以及碎片清除的控制都得到了极大的便利。
