Nephrolithotomy at the posterior basal segment for complex nephritic stone

VernacularTitle:肾后基段间区切开取石术治疗复杂性肾结石
Author: Li-Yu LI ¹ ; SUN-Qiong ; Zhi-Xing TAO ; Xing-Ze XU ; Chun-Ming HUANG ; Hao-Yuan LI
Author Information

1. 云南省曲靖市第二人民医院
Keywords: Posterior basal segment of kidney Operation Kidney calculi
From: Journal of Clinical Urology 2000;15(11):488-490
CountryChina
Language:Chinese
Abstract: Purpose:To study the curative effect of nephrolithoto my at the posterior basal segment forstaghorn calculus and other complex calculus of kidney. Methods:We applied nephrolithotomy at the posteriorbasal segment for complex neophrolithiasis in 31 cases. Results: 8 cases needed intraoperative blood transfusionand the mean amount of blood was 116 ml. Three weeks postoperatively KUB & IVU indicated normal kidneydevelopment, improved hydronephrosis, no intrarenal and extrarenal stricture. Single-time clearance in 26 casesand remanent calculus in 5 cases ,in which 4 case were cured by ESWL and 1 case discharged by self. Conclusions:Nephrolithotomy at the posterior basal segment has the advantages of little intraoperative bleeding,high single-time clearance rate,slight impairment of renal function,little damage of renal collecting system and it is favorablefor the operative treatment for the remanent calculus. This method is suitable for intrarenal staghorn and othercomplex pyelolithiasis with multiple calyceal calculus.