Trapeznikova M F, Dutov V V, Urenkov S B, Kulachkov S M, Mezentsev V A
Urol Nefrol (Mosk). 1995 Nov-Dec(6):18-22.
Renal carcinoma and urolithiasis combine rather rarely. Postnephrectomy patients often consult the urologist when the condition is serious because of complications resultant from uroliths in the contralateral kedney. In view of solitary kidney, progressive chronic pyelonephritis, associated chronic renal failure surgical treatment of the condition becomes risky and necessitates individual approach to choice of therapeutic policy and definition of indications to urolithiasis treatment in patients after nephrectomy for renal carcinoma. This includes the decision whether to perform nephrolithiasis before or after nephrectomy and whether to attempt any surgery in the absence of urolithiasis clinical symptoms.
肾癌与尿路结石合并出现的情况相当罕见。肾切除术后的患者，当因对侧肾脏出现尿路结石并发症而病情严重时，常常会咨询泌尿外科医生。鉴于存在孤立肾、进行性慢性肾盂肾炎以及相关的慢性肾衰竭，对这种情况进行外科治疗存在风险，因此在选择治疗策略以及确定肾癌肾切除术后患者尿路结石治疗的适应症时，需要采取个体化方法。这包括决定是在肾切除术前还是术后进行尿路结石手术，以及在没有尿路结石临床症状的情况下是否尝试进行任何手术。
