Ruckle H C, Segura J W
Department of Urology, Mayo Clinic, Rochester, Minnesota.
J Urol. 1994 Jan;151(1):122-4. doi: 10.1016/s0022-5347(17)34887-5.
We describe the laparoscopic treatment of a symptomatic, stone-filled caliceal diverticulum in a patient who would have otherwise required open surgical excision of the diverticulum. Laparoscopic management was chosen as an alternative to an open operation in this patient because the anterior location of the diverticulum precluded treatment with percutaneous nephrolithotomy, while the stone burden and stenotic orifice precluded management with extracorporeal shock wave lithotripsy. The patient had no morbidity, returned to the preoperative activity level by 2 weeks and remains asymptomatic. The options for managing caliceal diverticula are discussed.
我们描述了一名有症状的、充满结石的肾盏憩室患者的腹腔镜治疗，该患者原本需要进行憩室的开放手术切除。选择腹腔镜治疗作为该患者开放手术的替代方案，是因为憩室位于前方，无法采用经皮肾镜取石术治疗，而结石负荷以及狭窄的憩室口使体外冲击波碎石术也无法实施。患者未出现并发症，2周后恢复到术前的活动水平，且仍无症状。文中还讨论了肾盏憩室的治疗选择。
