First case report of staghorn calculi successfully removed by mini-endoscopic combined intrarenal surgery in a 2-year-old boy.
First case report of staghorn calculi successfully removed by mini-endoscopic combined intrarenal surgery in a 2-year-old boy.
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首例2岁男孩通过微型内镜联合肾内手术成功切除鹿角结石的病例报告。
DOI：
10.1111/iju.12860
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发表时间：
2015
影响因子：
2.6
通讯作者：
Yasui Takahiro
中科院分区：
文献类型：
--
作者：
Taguchi Kazumi;Hamamoto Shuzo;Okada Atsushi;Mizuno Kentaro;Tozawa Keiichi;Hayashi Yutaro;Kohri Kenjiro;Yasui Takahiro
由于设备的小型化和光学的改进，儿童尿路结石的侵入性较小的治疗方法是可行的；然而，外科治疗策略，特别是对大型结石，仍然存在争议。我们在此描述一例2岁男童左肾鹿角形结石的治疗经验，采用单次微型内窥镜联合肾内手术，采用俯卧位、输尿管前支架置入术和超声定向增强血流成像技术。这是首例成功的儿童微型内窥镜联合肾内手术，无任何重大并发症。我们相信这项技术为儿童患者的巨大肾结石提供了一个重要的治疗选择。
Less‐invasive therapy for pediatric urolithiasis is available due to the miniaturization of equipment and improved optics; however, surgical treatment strategies, especially for large calculi, remain controversial. We describe here our experience of treating a 2‐year‐old boy with left renal staghorn calculi with a single session of mini‐endoscopic combined intrarenal surgery in the prone split‐leg position with pre‐ureteral stenting and the directional enhanced flow imaging ultrasound technique. This is the first report of successful pediatric mini‐endoscopic combined intrarenal surgery without any major complications. We believe this technique provides an important therapeutic option for large renal calculus in pediatric patients.