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首页> 外文期刊>Journal of endourology >Bilateral single-session percutaneous nephrolithotomy: a feasible and safe treatment.
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Bilateral single-session percutaneous nephrolithotomy: a feasible and safe treatment.

机译：双边单次经皮肾镜取石术：一种可行且安全的治疗方法。

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BACKGROUND AND PURPOSE: The treatment of bilateral urinary calculus disease is often staged, irrespective of the modality of the treatment. Bilateral simultaneous percutaneous nephrolithotomy (PCNL) is still considered by many to be adventurous and risky. We carried out this prospective study of bilateral PCNL under a single anesthesia to study the feasibility, success rate, and complications if any. PATIENTS AND METHOD: From September 1996 to May 1999, 25 consecutive medically fit patients with bilateral renal calculi needing PCNL were subjected to bilateral PCNL under a single anesthesia. RESULTS: The PCNL could be accomplished bilaterally in 24 patients (96%). In one patient, the second-side PCNL was abandoned because of excessive bleeding on the first side. A total of 58 tracts and 27 sessions were required for complete treatment of the 48 renal units in the 24 successfully treated patients. The average operating time required for the procedure was 122 minutes. Nineteen patients were rendered stone free in one session, and two more patients were made stone free in a second session. Four renal units in three patients with residual calculi were cleared with double-J stenting and SWL. CONCLUSION: Bilateral PCNL in a single session is feasible and safe and can be carried out without increased morbidity. We advocate that an endourologist be prepared for bilateral PCNL in the patients in whom it is indicated. The opposite-side PCNL can be done if the first-side treatment is accomplished smoothly and in a reasonable time.
机译：背景与目的：双侧尿路结石病的治疗通常是分阶段进行的，与治疗方式无关。许多人仍认为双侧同时经皮肾镜取石术（PCNL）具有冒险性和风险。我们在一次麻醉下对双侧PCNL进行了这项前瞻性研究，以研究可行性，成功率和并发症（如果有）。患者与方法：自1996年9月至1999年5月，对25例连续健康状况良好且需要PCNL的双侧肾结石患者进行了单次麻醉下的双侧PCNL。结果：PCNL可以双侧完成24例患者（96％）。在一名患者中，由于第一侧过多的出血而放弃了第二侧PCNL。完全治疗24例成功治疗的患者中，总共需要58个道和27个疗程才能完全治疗48个肾单位。该过程所需的平均操作时间为122分钟。在一个疗程中使19名患者无结石，在第二疗程中使另外两名患者无结石。双J支架和SWL清除了3例残余结石患者的4个肾单位。结论：单次双侧PCNL是可行且安全的，并且可以在不增加发病率的情况下进行。我们建议在有适应症的患者中为双侧PCNL准备一名内科医师。如果在合理的时间内顺利完成第一面处理，则可以完成对面PCNL。

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