Efficacy of percutaneous nephrolithotomy on solitary kidney: an analysis of 20 cases
10.3760/cma.j.issn.1008-6315.2012.06.035
- VernacularTitle:经皮肾镜治疗孤立肾上尿路结石20例临床分析
- Author:
Ran MENG
;
Lei WANG
- Publication Type:Journal Article
- Keywords:
Kidney stone;
Nephrolithotomy;
Urinary tract stones
- From:
Clinical Medicine of China
2012;28(6):654-655
- CountryChina
- Language:Chinese
-
Abstract:
Objective To retrospec the efficacy of percutaneous nephrolithotomy on treatment of urinary tract stones in solitary kidney.Methods From June 2008 to April 2011,percutaneous nephrolithotomy technique was used to treat 20 cases of urinary tract stones,with kidney stone or cast form staghorn calculi in 4 cases,single pelvis,calyceal stones 10 cases,6 cases of upper ureteral calculi;Fourteen cases used the standard channel F24;6 cases used F16 Micro Channel.Among the 20 patients,16 cases performed stage Ⅰ single channel surgery;2 cases performed dual-channel surgery in Ⅰ stage;2 patients with severe infection performed stage Ⅱ single channel surgery.Results The average duration of the operation was 66mins.The stone clearance rate was 88.36％ on average(18/20),without laceration or bleeding of pelvis or renal calyces mucosa or any other complications.Postoperative indwelling nephrostomy tubes were removed 6 -7 days later,without complications found during the follow-up period.For the 6 cases with preoperative renal dysfunction before surgery,the levels of blood Cr decreased at 2 weeks after surgery.Conclusion Compared to open surgery,percutaneous nephrolithotomy is safe and effective with small wound in treatment of solitary kidney with invasive upper urinary tract calculi.
