Natural orifice transluminal endoscopic lithotripsy with intelligent control of renal pelvic pressure for staghorn calculi with infection: a case report with surgical video
10.3760/cma.j.cn112330-20220420-00108
- VernacularTitle:智能控压经自然腔道取石术治疗鹿角形肾结石并感染1例报告(附手术视频)
- Author:
Xiaolin DENG
1
;
Xin HUANG
;
Jin KUANG
;
Qiliang ZHAI
;
Tao GUO
;
Zuofeng PENG
;
Leming SONG
;
Chuance DU
Author Information
1. 赣州市人民医院泌尿外科,赣州 341000
- Keywords:
Kidney calculi;
Staghorn;
Lithotripsy;
Intelligent control of renal pelvic pressure
- From:
Chinese Journal of Urology
2023;44(5):381-382
- CountryChina
- Language:Chinese
-
Abstract:
Percutaneous nephrolithotripsy is the first line treatment for complete staghorn calculi, but there are risks such as renal function damage, bleeding, and infection. A case of complete staghorn calculi 8.3 cm×4.5 cm and mean CT value of 1 321 HU was reported. Urine culture suggested proteus mirabilis infection. The patient was given sensitive antibiotics for 3 days, and was treated with one session of natural orifice transluminal endoscopic lithotripsy with intelligent control of renal pelvic pressure. KUB on the first postoperative day showed residual stones of 1.0 cm×0.5 cm. There were no complications.