Percutaneous Nephrolithotomy Combined with Semirigid Ureteroscopic Lithotripsy in Semisupine-lithotomy Position for Encrusted Ureteral Stents:Report of 5 Cases
10.3969/j.issn.1009-6604.2017.11.024
- VernacularTitle:斜仰卧截石位经皮肾镜联合输尿管镜治疗双J管滞留致全程附壁结石5例报告
- Author:
Jianzhang GE
1
;
Fajun FU
;
Yuming LIU
Author Information
1. 长沙市中心医院泌尿外科
- Keywords:
Percutaneous nephrolithotomy;
Ureteroscopy;
Semisupine-lithotomy position
- From:
Chinese Journal of Minimally Invasive Surgery
2017;17(11):1044-1047
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of percutaneous nephrolithotomy with semirigid ureteroscopic lithotripsy in semisupine-lithotomy position for treatment of encrusted ureteral stents . Methods Patients were placed in semisupine-lithotomy position .The bladder stones and ureteral encrusted stones were treated with ureteroscopy , and then percutaneous holmium laser nephrolithotomy was used to break and wash out the renal pelvis stones and renal new stones . Results The stone fragmentation and stent removal were completed in one session in all 5 cases without conversion to open surgery .The mean operative time was 65 min (range, 40-130 min).No massive hemorrhage, ureteral avulsion, or ureteral perforration occurred during the operation .Two cases had postoperative fever without sepsis .No patients had ureteral stricture or recurrent calculus within follow-ups for 3 -6 months. Conclusion Percutaneous nephrolithotomy combined with semirigid ureteroscopic lithotripsy in semisupine-lithotomy position for treatment of encrusted ureteral stents is safe and effective , being worthy of clinical promotion .
