用逆行性腎臟內視鏡手術治療腎盞憩室結石：病例報告
張朋暉1、葉忠信1,2
新光吳火獅紀念醫院 外科部 泌尿科1
輔仁大學 醫學系2
Retrograde Intrarenal Surgery in Calyceal Diverticular Stone: A Case Report and Literature Review
Peng-Hui Chang1, Chung-Hsin Yeh1,2
Division of Urology, Department of Surgery, Shin Kong WHS Memorial Hospital1
School of Medicine, Fu-Jen Catholic University2
Abstract:
Renal calyceal diverticulum is a congenital disorder, and stones were found up to 50% of the diverticulum. Surgical intervention is indicated in symptomatic patients. Herein, we report a 40 years old female who came to our hospital with repeat intermittent left flank pain. Extracorporeal shock wave lithotripsy had been done twice recently at another hospital but in vain. KUB showed left renal stones, and further intravenous pyelography (IVP) revealed left renal calyceal diverticulum with stones in upper pole. Retrograde intrarenal surgery was performed via a tiny ostium in the upper calyx. Further Holmium laser incision of diverticular neck was done. Stones were found inside the diverticulum and removed by stone basket. Postoperative x-ray showed stone-free outcome. The literature was reviewed with the topic discussed.