体外输尿管镜联合激光输尿管切开术在活体肾移植中的应用

D. LyonTimothy, WijkstromMartin, HumarAbhinav, M. RileyJulie
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引用次数: 0

摘要

摘要简介:在活体供体候选人中偶然发现肾结石的管理正在不断发展。最近,体外输尿管镜用于供肾结石取出的安全性和有效性已被描述。1-3在这里,我们介绍了体外输尿管镜和激光输尿管切开术治疗肾盏憩室结石的经验。已知盏憩室内有细菌,对免疫抑制的受者有感染风险,因此我们决定在移植前谨慎治疗。材料和方法:一名38岁的女性,既往结石发作,作为活体肾供者进行评估。术前ct血管造影显示左肾偶发两颗结石,尺寸分别为6和2mm,密度为530 Hounsfield单位。Litholink 24小时尿液收集对高钠血症和高钙尿有重要意义。在左手辅助腹腔镜供体肾切除术后,肾脏…
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Ex Vivo Ureteroscopy with Laser Infundibulotomy in Living Donor Kidney Transplantation
Abstract Introduction: The management of incidentally discovered renal stones in living donor candidates is evolving. Recently, the safety and efficacy of ex vivo ureteroscopy for stone removal in donor kidneys have been described.1–3 Here, we present our experience with ex vivo ureteroscopy and laser infundibulotomy for the treatment of a stone contained within a calyceal diverticulum. Calyceal diverticulae are known to harbor bacteria and pose an infection risk for the immunosuppressed recipient,4 leading us to decide that treatment was prudent before transplantation. Materials and Methods: A 38-year-old woman with a previous stone episode presented for the evaluation as a living kidney donor. Preoperative computed tomography angiogram revealed two incidental stones in the left kidney, measuring 6 and 2 mm, with a density of 530 Hounsfield units. Litholink 24-hour urine collection was significant for hypernatremia and hypercalciuria. Following left hand-assisted laparoscopic donor nephrectomy, the kidne...
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