What are the open surgical treatments in kidney calculi?

With the development of kidney calculi's disease, stones will gradually increase. Because larger stones may cause obstruction or secondary infection, surgery is needed. Open surgical treatment in kidney calculi includes pyeloplasty, nephrostomy and partial nephrectomy.

Open surgical treatment in kidney calculi

1. pyeloplasty: It is suitable for kidney calculi patients with extrarenal and intrarenal calculi, and the pyeloplasty can be performed directly.

2. Sinus pyeloplasty: It is suitable for patients with renal pelvis and calculus in renal pelvis. After separating the renal pelvis inward to the renal sinus, the renal pelvis was cut in the renal sinus to take stones.

3. Partial nephrectomy: it is suitable for patients with stones confined to one pole of the kidney, extremely dilated renal calices, atrophy of parenchyma and obvious recurrence factors.

4. Nephrolithotomy: It is suitable for patients with renal calyceal stones or most renal calyceal stones, but it is difficult to remove the stones through pyeloplasty or the stones are not clean. According to the number and location of stones, the stones were cut along the straight line between the anterior and posterior segments of the kidney.

5. clot method pyelolithotomy: inject liquid coagulant into the renal pelvis to solidify the stone into a block, and then cut the renal pelvis to take out the clot. It is suitable for most patients with renal calices stones, active stones and brittle stones.

6. Nephrectomy: Nephrectomy is feasible, because stones in kidney calculi cancer patients can cause serious renal damage, functional loss and pyonephrosis, but the contralateral renal function is good.