Percutaneous nephrolithotomy (PCNL) is very popular and an efficient method as a gold standard in management of renal calculi. It is the first-choice method in management of renal calculi larger than 2 cm. Our patient...Percutaneous nephrolithotomy (PCNL) is very popular and an efficient method as a gold standard in management of renal calculi. It is the first-choice method in management of renal calculi larger than 2 cm. Our patient underwent PCNL upon observing multiple renal calculi larger than 10 mm in a lower pole of the right kidney. Biopsy was performed during PNCL because morphology and endoscopic view of the calyx were irregular, calcific and pale white in color. The patient developed prolonged urinary leakage from the lumbar region and J-stent was inserted after the re-entry catheter had been removed following successful PCNL. Prolonged urinary leakage persisted although location of the J-stent was normal. Tuberculosis of the urinary tract should be the first option in the dif ferential diagnosis of fistula discharge following PCNL. In our patient, the biopsy taken at the time of PCNL revealed renal tuberculosis. Urinary tract tuberculosis must definitely be considered in the fistula tract persisted and not closed fol lowing PCNL as in the present case. Diagnosis of tuberculosis was made early in this case owing to tissue sampling during operation, and thus the treatment was begun early. So we consider this patient as a special case.展开更多
Objectives:To explore the feasibility and safety of retroperitoneoscopic nephroureterectomy for kidney tuberculosis.Methods:Forty-eight retroperitoneoscopic nephroureterectomies and thirty-five nephroureterectomies fo...Objectives:To explore the feasibility and safety of retroperitoneoscopic nephroureterectomy for kidney tuberculosis.Methods:Forty-eight retroperitoneoscopic nephroureterectomies and thirty-five nephroureterectomies for kidney tuberculosis procedures were performed from June 2008 to December 2014.The patients consisted of 53 males and 30 females with a mean age of 36 years (range:26-51 years).The patients' data were reviewed and analyzed.Results:The retroperitoneoscopic nephroureterectomy procedures were completed successfully in 48 cases with no conversions to open surgery.The mean operating time was 170 minutes (range:121-258 minutes),the mean blood loss was 110 ml (range:70-250 ml),and the mean hospital stay was 5.70 days (range:5-14 days); these were all much less than nephroureterectomy procedures (P ＜ 0.05).A total of five minor complications (10.4％) occurred,injury to the peritoneum was observed in three patients,and infection at the incision site was observed in two patients,there were no obvious difference between the two surgical methods (P ＞ 0.05).Seventy-five patients were followed up,and the average follow-up time was 12.5 months (range:6-20 months).All the patients recovered without any lesions remaining.Conclusions:The results of this study indicate that retroperitoneoscopic nephroureterectomy is a feasible,safe,effective,and less invasive treatment modality for treating renal tuberculosis.展开更多
文摘Percutaneous nephrolithotomy (PCNL) is very popular and an efficient method as a gold standard in management of renal calculi. It is the first-choice method in management of renal calculi larger than 2 cm. Our patient underwent PCNL upon observing multiple renal calculi larger than 10 mm in a lower pole of the right kidney. Biopsy was performed during PNCL because morphology and endoscopic view of the calyx were irregular, calcific and pale white in color. The patient developed prolonged urinary leakage from the lumbar region and J-stent was inserted after the re-entry catheter had been removed following successful PCNL. Prolonged urinary leakage persisted although location of the J-stent was normal. Tuberculosis of the urinary tract should be the first option in the dif ferential diagnosis of fistula discharge following PCNL. In our patient, the biopsy taken at the time of PCNL revealed renal tuberculosis. Urinary tract tuberculosis must definitely be considered in the fistula tract persisted and not closed fol lowing PCNL as in the present case. Diagnosis of tuberculosis was made early in this case owing to tissue sampling during operation, and thus the treatment was begun early. So we consider this patient as a special case.
文摘Objectives:To explore the feasibility and safety of retroperitoneoscopic nephroureterectomy for kidney tuberculosis.Methods:Forty-eight retroperitoneoscopic nephroureterectomies and thirty-five nephroureterectomies for kidney tuberculosis procedures were performed from June 2008 to December 2014.The patients consisted of 53 males and 30 females with a mean age of 36 years (range:26-51 years).The patients' data were reviewed and analyzed.Results:The retroperitoneoscopic nephroureterectomy procedures were completed successfully in 48 cases with no conversions to open surgery.The mean operating time was 170 minutes (range:121-258 minutes),the mean blood loss was 110 ml (range:70-250 ml),and the mean hospital stay was 5.70 days (range:5-14 days); these were all much less than nephroureterectomy procedures (P ＜ 0.05).A total of five minor complications (10.4％) occurred,injury to the peritoneum was observed in three patients,and infection at the incision site was observed in two patients,there were no obvious difference between the two surgical methods (P ＞ 0.05).Seventy-five patients were followed up,and the average follow-up time was 12.5 months (range:6-20 months).All the patients recovered without any lesions remaining.Conclusions:The results of this study indicate that retroperitoneoscopic nephroureterectomy is a feasible,safe,effective,and less invasive treatment modality for treating renal tuberculosis.
