Mini -percutaneous nephrolithotomy combined with antegrade modular flexible ureteroscope for treatment of staghorn stones
10.3760/cma.j.issn.1008-6706.2016.13.016
- VernacularTitle:微通道经皮肾镜联合顺行输尿管软镜手术治疗鹿角形肾结石
- Author:
Chaoyang YE
;
Jie LI
;
Weiwu WU
;
Yi CHENG
;
Ming LI
- Publication Type:Journal Article
- Keywords:
Nephrostomy,percutaneous;
Ureteroscopy;
Kidney calculi
- From:
Chinese Journal of Primary Medicine and Pharmacy
2016;23(13):1978-1981
- CountryChina
- Language:Chinese
-
Abstract:
Objective To identify the therapeutic effect and safety of mini -percutaneous nephrolithotomy combined with antegrade modular flexible ureteroscope for the treatment of staghorn stone.Methods The clinical data of 116 patients with staghorn calculi who underwent mini -percutaneous nephrolithotomy combined with antegrade modular flexible ureteroscope were retrospectively analyzed.Of the 116 patients,63 cases were men,53 cases were women .Age ranged from 2 5 to 6 7 years .The diameter ofcalculi ranged from 4 6 to 9 8 (mean =4 6 )mm .There were 63 large complete staghorn renal calculi in these patients.Results All procedures were performed successfully using a single lithotripsy tract.The mean surgical time was (125.4 ±30.0)minutes.The initial stone -free rate was 81.03%(94 /116).Twenty -two cases had several residual calculi from 12 to 25mm.Post -procedure complications included hemorrhage in 9 patients,fever(>38.5 ℃)in four patients,and reactive pleural effusion in one patient. Blood loss requiring transfusion,sepsis,adjacent organ injury and kidney loss were not observed.Conclusion Mini -percutaneous nephrolithotomy combined with antegrade modular flexible ureteroscope has good therapeutic effect in treating renal staghorn calculi,since the technique in treating the renal staghorn calculi makes the operation period shorter,the rate of stone -free higher,the operation wounds smaller,the rate of complication lower,the rate of surrounding organ injury less.
