体外腎手術による腎結石の治療

概要

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We presented six cases with extensive renal calculi treated by ex vivo renal surgery and renal autotransplantation. These cases in which complete stone extraction was thought to be impossible by in situ surgery were evaluated. Out of six cases, five patients had good results but one patient died of septicemia on the 30th post operative day. In all cases, stones were extracted completely, and urinary tract infection which was present before surgical treatment was eradicated except in one case who died of septicemia. Periodical post operative renal function tests from 5 months up to 15 months showed no exacerbation or even improvement in some cases. Furthermore, the indication of ex vivo surgery for renal calculi was discussed and our point of view for such extensive renal calculi was also indicated.
社団法人日本泌尿器科学会の論文