输尿管肾盂交界处梗阻同时伴有 144 颗残留结石：无结石状态可能吗？病例介绍。

IF 0.9 4区医学 Q3 SURGERY

Annali italiani di chirurgia Pub Date : 2024-01-01 DOI:10.62713/aic.3289

Tugay Aksakalli, Ahmet Emre Cinislioglu, Adem Utlu, Feyzullah Celik, Ibrahim Karabulut

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引用次数: 0

摘要

输尿管肾盂连接处（UPJ）梗阻除了会导致肾功能逐渐减退外，还会形成潴留结石。对于结石和输尿管肾盂连接部（UPJ）同时梗阻的处理方案，文献中一直存在争议。我们为一名患有UPJ狭窄的37岁男性实施了腹腔镜肾盂成形术，并在无线柔性膀胱镜引导下从肾盂和肾盏中取出了全部144颗结石。围手术期和术后均未出现并发症。对于在多个肾盏位置有结石的UPJ梗阻疑难病例，同步柔性膀胱镜检查为临床医生提供了显著的优势。

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With 144 Retained Stones alongside Ureteropelvic Junction Obstruction: Is Stone-Free Status Possible? A Case Presentation.

Ureteropelvic junction (UPJ) obstruction, in addition to causing progressive renal function loss, can lead to the formation of retained stones. Management planning for concomitant stones and UPJ obstruction is a topic of debate in the literature. We performed laparoscopic pyeloplasty and extracted all 144 stones from the renal pelvis and calyces of a 37-year-old male with UPJ stricture, using wireless flexible cystoscopic guidance. No complications occurred during the perioperative and postoperative periods. In challenging cases of UPJ obstruction with stones in multiple calyceal locations, simultaneous flexible cystoscopy offers clinicians a significant advantage.

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来源期刊

Annali italiani di chirurgia 医学-外科

CiteScore

0.90

自引率

12.50%

发文量

116

审稿时长

>12 weeks

期刊介绍： Annali Italiani di Chirurgia is a bimonthly journal and covers all aspects of surgery:elective, emergency and experimental surgery, as well as problems involving technology, teaching, organization and forensic medicine. The articles are published in Italian or English, though English is preferred because it facilitates the international diffusion of the journal (v.Guidelines for Authors and Norme per gli Autori). The articles published are divided into three main sections:editorials, original articles, and case reports and innovations.