Renal sinus renal pelvis plus incision for treatment of complex renal calculi.docVIP

 PAGE \* MERGEFORMAT 9 Renal sinus renal pelvis plus incision for treatment of complex renal calculi [Abstract] Objective To explore the complexity of the method of kidney stone surgery take. Methods 58 cases of complicated kidney stone patients with renal sinus renal pelvis plus incision. Results All patients were removed stones, postoperative recovery of renal function is good, a small residual stones in 9 cases, complicated by leakage of urine in 4 cases, secondary hemorrhage 1 cases of the line of nephrectomy. Conclusion This method is simple, less bleeding, little effect on renal function is suitable for the treatment of complex renal calculi. [Keywords:] kidney stones; Surgery The complexity of the surgical treatment of kidney stones more difficult, our hospital from June 1996 to May 2006, use of renal pedicle occlusion of renal sinus renal pelvis plus incision for treatment of complex renal calculi 58 patients with satisfactory outcome is reported are as follows. 1 Data and methods 1.1 The clinical data of 58 patients in this group, male 31 cases, female 27 cases, aged 18-66 years, mean 40 years. Course of 4d-20 years, an average of 38 months. 26 cases the left kidney, right kidney 24 cases, double kidney in 8 cases, mostly at the renal pelvis staghorn calculi complicated by upper, middle and lower lights multiple small stones. Stone’s largest 6.8cm * 3.2cm, minimum 0.2cm * 0.2cm. Ureteral calculi in 4 cases of ipsilateral, contralateral ureteral calculi in 5 cases, 44 cases of hydronephrosis, chronic renal insufficiency in 6 cases. 1.2 Methods used in this group are 11 intercostal incision. Free kidney and upper ureter, separation of renal sinus renal pelvis, revealing the deep pelvis and renal infundibular lamp. Finger touch stone size, location, and renal artery pulsatility circumstances, under direct vision V-shaped or Y-shaped incision the renal pelvis, with the meninges stripped separation calyceal stones and the renal pelvis mucosa adhesio