Abstract：Objective:To evaluate the efficacy and safety of minimally invasive percutaneous nephrolithotomy(MPCNL) in the treatment of calyceal diverticula.Methods:The records of 16 symptomatic patients with caliceal diverticular which were treated with MPCNL between July 2006 and September 2011 were reviewed and analyzed.Results:16 cases were treated successfully in a single procedure and all stone were removed. 16 cases had followup for12-36 (22.6±7.1) months in whom there were no stone found in all calyceal diverticular and they are asymptomatic.Conclusions:MPCNL approach is the most effective and minimally invasive treatment for calyceal diverticular and to be worth generalizing in clinic.
王峰, 李佳, 王玉杰. 微创经皮肾镜技术治疗肾盏憩室[J]. 微创泌尿外科杂志, 2012, 1(1): 79-81.
Wang Feng, Li Jia, Wang Yujie. Renal caliceal diverticular treated with mini percutaneous nephrolithotomy. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2012, 1(1): 79-81.
[1]Gross AJ, Herrmann TR. Management of stones in calyceal diverticulum. Curr Opin Urol, 2007, 17(2):136-140. [2]Steg A. Cystic diseases of the kidney in adults. J Urol Nephrol, 1975, 81(9 Suppl):1-282. [3]Wulfsohn MA. Pyelocaliceal diverticula. J Urol, 1980, 123(1):1-8. [4]Monga M, Smith R, Ferral H, et al. Percutaneous ablation of caliceal diverticulum: long-term followup. J Urol, 2000, 163(1):28-32. [5]Kim SC, Kuo RL, Tinmouth WW, et al. Percutaneous nephrolithotomy for caliceal diverticular calculi: a novel single stage approach. J Urol, 2005, 173(4):1194-1198. [6]Middleton AW Jr, Pfister RC. Stone-containing pyelocaliceal diverticulum: embryogenic, anatomic, radiologic and clinical characteristics. J Urol, 1974, 111(1):2-6. [7]Matlaga BR, Miller NL, Terry C, et al. The pathogenesis of calyceal diverticular calculi. Urol Res, 2007, 35(1):35-40. [8]Auge BK, Maloney ME, Mathias BJ, et al. Metabolic abnormalities associated with calyceal diverticular stones. BJU Int, 2006, 97(5):1053-1056. [9]Staios D, Andrews HO, Shaik T, et al. Quality of life after percutaneous nephrolithotomy for caliceal diverticulum and secluded lower-pole renal stones. J Endourol, 2007, 21(5):515-519. [10]Keeling AN, Wang TT, Lee MJ. Percutaneous balloon dilatation of stenotic calyceal diverticular infundibula in patients with recurrent urinary tract infections. Eur J Radiol, 2011, 77(2):335-339. [11]Auge BK, Munver R, Kourambas J, et al. Neoinfundibulotomy for the management of symptomatic caliceal diverticula. J Urol, 2002, 167(4):1616-1620.
