Application of Percutaneous Nephrolithotomy Combined with Ureteroscopy in Supine Anterolateral Lithotomy Position for the Management of Complicated Upper Ureteric Calculi

VernacularTitle:斜仰卧截石位经皮肾镜联合输尿管镜处理输尿管上段复杂结石
Author: Shengtao IE ; Guangyu CHEN
Publication Type:Journal Article
Keywords: Percutaneous nephrolithotomy; Ureteroscopy; Upper ureteric calculi; Supine anterolateral position
From: Chinese Journal of Minimally Invasive Surgery 2014;(4):348-349,369
CountryChina
Language:Chinese
Abstract: Objective To investigate the safety and efficacy of percutaneous nephrolithotomy ( PCNL ) combined with ureteroscopy in supine anterolateral lithotomy position for the management of complicated upper ureteric calculi . Methods From January 2009 to October 2012, 67 patients underwent PCNL combined with ureteroscopy in supine position under general anesthesia . Renal calculi was treated with PCNL , and then ureteroscopy was used to break and wash out the residual calculi . Results All the 67 surgeries were completed successfully .Operation time was 46 -106 min ( average, 76 min); stone clearance rate was 92.5%(62/67);residual stone was found in 5 cases and were completely removed two weeks after ESWL .No massive hemorrhage , ureteral avulsion, pleura, abdominal organ injury or other complications occurred . Conclusions PCNL combined with ureteroscopy in supine anterolateral lithotomy position for the treatment of complicated upper ureteric calculi is safe and effective .It has shorter operative time and is convenient for the patients .