The reporter learned today from the Affiliated Stomatological Hospital of Jinan University (Daliang Hospital) that a few days ago, the hospital admitted a patient with multiple staghorn stones in both kidneys. Fortunately, through minimally invasive surgery, the hospital successfully removed the stones from both of Mr. Zhu's kidneys. What is shocking is that the stones taken out of Mr. Zhu's body are full of curved plates.
It is recalled that Mr. Zhu, who is from Guangxi, works in Shunde and has basically no discomfort before. Half a year ago, during a physical examination in the outer hospital, I unexpectedly found that I had multiple stones in both kidneys. At that time, because there were no symptoms of stone pain, and Mr. Zhu was still in the critical period of rising work, it was delayed. Recently, under the repeated urging of his family, Mr. Zhu finally made up his mind and came to the Department of Urology of the Affiliated Stomatological Hospital of Jinan University (Daliang Hospital) for treatment.
Preoperative examination: left kidney stone up to 9cm in length
Take out a whole plate of stones.
According to the hospital, at that time, through urological CT examination, the urological surgeon of the hospital found that multiple antler-shaped stones could be seen in the patient's bilateral renal pelvis, of which the left kidney stone was 9cm in length and diameter, which had caused severe hydrops in the left kidney, and only 30% of the functional effect was left. It is reported that staghorn stones are usually associated with infection and undesirable natural processes, and if not timely**, they are likely to lead to renal insufficiency, severe systemic infection, malignant tumors and even death. In addition, the 10-year mortality rate and the risk of severe renal impairment are high in staghorn stones, so early intervention is needed.
After learning about the urgency of his condition, Mr. Zhu agreed to be admitted to the hospital**. Immediately, the hospital's team of doctors launched a special case discussion. According to the principle of **, it is necessary to give priority to the treatment of left kidney stones, but the current imaging shows that the number of stones is large and the volume is large, and the treatment of stones on only one side is extremely difficult, and it is difficult to fully grasp the complications after surgery. After systematically and comprehensively communicating with Mr. Zhu and his family, the urology team of the hospital finally planned to implement "dual-channel percutaneous nephroscopic holmium laser lithotripsy for left kidney stones". The project is a minimally invasive surgery, with little trauma and a low probability of complications, which can better meet Mr. Zhu's wishes.
After completing all the preoperative examinations, Mr. Zhu was under the supervision of the anesthesiology team and smoothly entered the state of general anesthesia. Subsequently, according to the preoperative plan, the stone range was accurately located in the patient's waist, and two stone removal channels less than 1cm were successfully established through minimally invasive fine needle puncture. The doctor inserts a nephroscope behind it, reaches each renal calyx in the kidney through a double channel, and crushes the stones one by one with the help of a holmium laser lithotripter, and finally takes out all the stones, and the stones taken out are enough to have a curved disk.
It is reported that after the operation, Mr. Zhu quickly regained consciousness and was able to get out of bed on the same day after returning to the ward. After the doctor's examination, the drainage tube could be removed 2 days after surgery, and the CT lithotripsy effect was satisfactory.
Text Guangzhou** New Flower City Reporter: Huang Zining Correspondent: Tan Qi Biaotu Provided by the AcademyGuangzhou ** New Flower City Editor: He Bo.