Minimally Invasive Surgery in Treatment of Single-Kidney Patients with Acute Upper Urinary Tract Obstruction Complicated by Septic Shock and Acute Renal Failure
YUAN Peng-fei
YANG Ying-gang
GUO Jian-jun
LIANG Rong-xing
CAI Heng
Abstract：Objective To explore the effect of minimally invasive surgery in treatment of single-kidney patients with acute upper urinary tract obstruction complicated by septic shock and acute renal failure. Methods 28 single-kidney patients with acute upper urinary tract obstruction complicated by septic shock and acute renal failure underwent minimally invasive treatment in our hospital, and the clinical data was retrospectively analyzed. Results Among these patients, 17 cases were operated with minimally invasive percutaneous nephrostomy drainage, 11 cases were treated by placing ureteral stent retro-gradely under ureteroscopy. All cases removed the upper tract obstruction in time, body states also were effectively improved, and patients' renal function recovered to different extent. There were 3 cases needing hemodialysis 1 time, and 2 cases treated with long-term indwelling renal fistula drainage. White blood cell count, blood urea nitrogen, serum creatinine and urine vol-ume in all patients were significantly improved post-operation when compared with those pre-operation (P<0. 01). Conclu-sion It is crucial to operate minimally invasive percutaneous nephrostomy and retrograde ureteral catherer placing besides an-tibiotic therapy, correction of shock and electrolytic equilibrium for single-kidney patients with acute upper urinary obstruction complicated by septic shock and acute renal failure.
Keywords：Single kidneyUrethral obstructionShocksepticRenal insufficiencySurgical proceduresminimally invasive
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 81-84 )