Percutaneous Nephrolithotripsy in Morbidly Obese Patient: A Case Report.

Fadhel Yusuf, Amr Elmekresh, Senthil Kumar, Fariborz Bagheri
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引用次数: 2

Abstract

A 50-year old male patient with morbid obesity was admitted for removal of large staghorn calculi and multiple small stones in the left kidney. The patient was managed by Percutaneous Nephrolithotomy (PCNL). Surgery was carried out in prone position and Alken's metal dilators were used for tract dilation. Alken dilators were inserted without any challenges, and the procedure was completed in a shorter span of time than anticipated with total operative time of 2 hours, including the change of positioning from lithotomy to prone. No intra-operative or post-operative complications were encountered. The patient has been followed up for 6 months post-operatively, without any complications or any evidence of stone recurrence.

Abstract Image

Abstract Image

病态性肥胖患者经皮肾镜碎石1例报告。
一位50岁男性病态肥胖患者因左肾大鹿角结石及多颗小结石切除而入院。患者行经皮肾镜取石术(PCNL)。手术采用俯卧位,使用Alken氏金属扩张器进行尿道扩张。置入Alken扩张器无任何困难,手术完成时间比预期短,总手术时间为2小时,包括从取石到俯卧位的改变。术中、术后均无并发症发生。术后随访6个月,无并发症,无结石复发迹象。
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13 weeks
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