微创经皮肾镜联合腹腔镜治疗异位肾合并结石

Minimally invasive percutaneous nephrolithotomy (mini-PCNL) with laparoscopy for treatment of ectopic kidney with calculi

摘要:

目的 评价微创经皮肾镜联合腹腔镜治疗异位肾合并结石的安全性和有效性。方法 回顾性分析微创经皮肾镜联合腹腔镜治疗异位肾合并结石21例患者的临床资料。21例异位肾患者中18例为肾结石，3例为输尿管上段结石。结果 该组手术21例均先留置输尿管导管于患侧，腹腔镜观察异位肾位置及毗邻，再直视下行微创经皮肾镜，患者均通过一次手术清除结石，1期结石取尽率为100％，平均手术时间120 min，平均住院天数10 d。该组病例中没有重大并发症出现。随访3～21个月，未见有结石复发。结论 微创经皮肾镜联合腹腔镜治疗异位肾合并结石是一种安全有效的方法。

Abstract:

【Objective】 To assess the safety and feasibility of minimally invasive percutaneous nephrolithotomy (m-PCN L) with laparoscopy in treating ectopic kidney with calculi. 【Methods】 We retrospectively investigated the outcome of 21patient of ectopic kidney with calculi who were treated with minimally invasive percutaneous nephrolithotomy (mini-PCNL) with laparoscopy; Of 21 cases ectopic kidney with calculi within kidneys calculi was 18 and calculi within ureter was 3. 【Results】 The group operation 21 cases were first adopted indwelling ureteral catheter on the affected side, laparoscopic observation of ectopic kidney position and adjacent, then under direct vision minimally invasive percutaneous nephrolithotomy. 100％ (21／21) were rendered stone free at 1 session. Average operation time was 120 minutes, and the mean hospital stay was 10 days. No major complications were seen. Follow up w as 3 to 21 months, no stone recurrence was noted. 【Conclusion】 Minimally invasive percutaneous nephrolithotomy (mini-PCNL) with laparoscopy for treatment ectopic kidney with calculi is a safe and effective method.