Hydatidosis: experience with hepatic and pulmonary hydatid disease.

PURPOSE: To assess the feasibility and safety of percutaneous nephrolithotomy (PCNL) combined with cyst laser intrarenal incision and drainage in the management of renal and upper ureteral stones with ipsilateral renal cyst.

MATERIALS AND

METHODS

Between March 2011 and March 2016, 28 patients with ipsilateral renal cyst in renal and upper ureteral stones underwent PCNL combined with cyst laser intrarenal incision and drainage. The perioperative evaluated variables included operation time, cyst size after surgery, complications and stone-free rate(SFR).

RESULTS

All patients successfully underwent the operation without conversion to open surgery. The mean operative time was 64.4±30.1 minutes; the mean hemoglobin reduction was 7.9±1.6 g/dL; the mean time to removal of nephrostomy tube and double J ureteral stent was 3.0±1.0 days, and 30.3±7.0 days; the mean hospital stay was8.5±2.0 days. The SFR of all the patients was 89.3%(25/28), and no serious perioperative complications occurred.

CONCLUSION

PCNL combined with cyst laser intrarenal incision and drainage is a feasible and safe approach for treatment of renal and upper ureteral stones with ipsilateral renal cyst.