马蹄肾是最常见的先天性肾脏融合异常,影响总人口的0.25%,发生在400-1600例新生儿中的1例。大约40%的患者由于异常而发展为肾结石。在我们的案例中,我们的目标是对马蹄形异常患者进行腹腔镜肾盂切开取石术和逆行肾内手术(RIRS)联合,而不是经皮肾镜取石术(PNL)。此程序使我们能够使用RIRS检测活动结石的位置,然后通过腹腔镜肾盂切开取石术成功地将其取出。腹腔镜肾盂切开取石术联合RIRS是由于马蹄肾异常引起的复杂结石手术的合理额外治疗选择。
Horseshoe kidney is the most prevalent congenital kidney fusion anomaly, affecting 0.25% of the general population and occurring in 1 in 400-1600 births. Approximately 40 percent of patients develop kidney stones due to anomalies. In our
case, we aimed to perform combined laparoscopic pyelolithotomy with retrograde intrarenal surgery (
RIRS) instead of percutaneous nephrolithotomy (PNL) in a patient with a horseshoe anomaly. This procedure enabled us to detect the location of the mobile stone with
RIRS and then successfully extract it with laparoscopic pyelolithotomy. Laparoscopic pyelolithotomy combined with
RIRS is a reasonable additional treatment option for complicated stone surgery due to horseshoe kidney anomalies.