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首页> 外文期刊>International braz j urol >Laparoscopic surgery for renal stones: is it indicated in the modern endourology era?
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Laparoscopic surgery for renal stones: is it indicated in the modern endourology era?

机译：腹腔镜手术为肾脏石头：它在现代宿舍时代表示吗？

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Purpose: To report the outcomes of laparoscopic surgery combined with endourological assistance for the treatment of renal stones in patients with associated anomalies of the urinary tract. To discuss the role of laparoscopy in kidney stone disease. Materials and Methods: Thirteen patients with renal stones and concomitant urinary anomalies underwent laparoscopic stone surgery combined with ancillary endourological assistance as needed. Their data were analyzed retrospectively including stone burden, associated malformations, perioperative complications and outcomes. Results: Encountered anomalies included ureteropelvic junction obstruction, horseshoe kidney, ectopic pelvic kidney, fussed-crossed ectopic kidney, and double collecting system. Treatment included laparoscopic pyeloplasty, pyelolithotomy, and nephrolithotomy combined with flexible nephroscopy and stone retrieval. Intraoperative complications were lost stones in the abdomen diagnosed in two patients during follow up. Mean number of stones removed was 12 (range 3 to 214). Stone free status was 77% (10/13) and 100% after one ancillary treatment in the remaining patients. One patient had a postoperative urinary leak managed conservatively. Laparoscopic pyeloplasty was successful in all patients according to clinical and dynamic renal scan parameters. Conclusions: In carefully selected patients, laparoscopic and endourological techniques can be successfully combined in a one procedure solution that deals with complex stone disease and repairs underlying urinary anomalies.
机译：目的：报告腹腔镜手术的结果结合核心辅助治疗泌尿道相关异常患者的肾结石。探讨腹腔镜检查在肾结石疾病中的作用。材料和方法：13例肾结石患者和伴随尿的异常接受了腹腔镜石手术，结合辅助宿志援助。他们的数据进行了回顾性地分析，包括石头负担，相关的畸形，围手术期并发症和结果。结果：遇到异常包括输尿管尿道结阻塞，马蹄肾，异位盆腔肾，迷惑交叉异位肾脏和双收集系统。治疗包括腹腔镜卵体，肾小瓣分离术和肾功能亢进结合柔性肾脏检查和石头检索。在随访期间诊断为两名患者的腹部术中的并期并发症。移除的平均石头数为12（范围3至214）。石材自由状态为77％（10/13）和剩余患者辅助治疗后100％。一名患者保守术后尿泄漏。根据临床和动态肾扫描参数，所有患者都成功了腹腔镜Pyoplasty。结论：在精心挑选的患者中，腹腔镜和宿舍技术可以成功组合在一种处理复杂的石疾病和尿路异常的潜在的尿液疾病的过程中。

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    《International braz j urol》 |2009年第1期|共10页
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