论文部分内容阅读
目的:探寻一种经皮肾镜手术常规皮肾通道建立失败时术中安全可行的非常规皮肾通道建立的方法。方法:在常规建立皮肾通道失败时,采用背部12肋下小切口,直视下建立皮肾通道作为补救措施。结果:6例手术均顺利清除肾及输尿管上端结石。自背部小切口开始至手术结束,历时40~80min,平均60min,避免了终止手术及二次手术可能引发的不良后果,同时避免了无法观察及不可预测的肾脏出血风险。结论:在常规经皮肾镜的微创不能完美拥有时,做出适度改变,在确保安全的前提下采用该术式,如期完成了预定手术。不失为安全有效的术式。
Objective: To explore a percutaneous nephroscopic routine renal access failure to establish intraoperative safe and feasible method of establishing unconventional renal access. Methods: In the conventional failure to establish the renal access, the use of a small incision on the back of 12 ribs, under direct vision to establish a renal access as a remedy. Results: Six cases of operation were successful in removing renal and upper ureteral calculi. Since the incision from the back to the end of the operation, which lasted 40 ~ 80min, an average of 60min, to avoid the termination of surgery and secondary surgery may lead to adverse consequences, while avoiding unobservable and unpredictable risk of renal bleeding. Conclusion: In the minimally invasive percutaneous nephrolithotomy can not have the perfect ownership, to make a modest change, to ensure safety under the premise of using the procedure, scheduled to complete the scheduled operation. After all, safe and effective operation.