Real-time simultaneous endoscopic combined intrarenal surgery with intermediate-supine position: Washout mechanism and transport technique

被引:23
|
作者
Do Jung, Hae [1 ]
Kim, Jong Chan [2 ]
Ahn, Hyun Kyu [2 ]
Kwon, Joon Ho [3 ]
Han, Kichang [3 ]
Han, Woong Kyu [2 ]
Kim, Man-Deuk [3 ]
Lee, Joo Yong [2 ]
机构
[1] Yonsei Univ Hlth Syst, Yongin Severance Hosp, Dept Urol, Yongin, South Korea
[2] Yonsei Univ, Urol Sci Inst, Severance Hosp, Dept Urol,Coll Med, 50-1 Yonsei Ro, Seoul 03722, South Korea
[3] Yonsei Univ, Res Inst Radiol Sci, Severance Hosp, Dept Radiol,Coll Med, Seoul, South Korea
关键词
Kidney; Nephrolithiasis; Ureteroscopy; Urinary calculi; PERCUTANEOUS NEPHROLITHOTOMY; FLEXIBLE URETEROSCOPY; VALDIVIA POSITION; URETERAL STONES; MANAGEMENT; LITHOTOMY; CALCULI;
D O I
10.4111/icu.2018.59.5.348
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Endoscopic combined intrarenal surgery (ECIRS) with simultaneous retrograde intrarenal surgery (RIRS) and percutaneous nephrolithotomy (PCNL) has been proposed as a new surgical treatment to overcome the disadvantage of RIRS and PCNL monotherapies in the treatment of renal stone. One of advantages of ECIRS is that it can increase stone-free rates in complex renal stone within single-session. Intermediate-supine position in real-time simultaneous ECIRS can prevent an anesthesiologic problem, and patient's burden is small even for long-term operation. Thus, we will share the experience and advantages of real-time simultaneous ECIRS and introduce techniques to increase the stone-free rate.
引用
收藏
页码:348 / 354
页数:7
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