ObjectiveTo explore the efficacy of percutaneous nephrostomy combined with anterograde flexible ureteroscopy for treating ureterointestinal anastomotic calculus after Bricker procedure. MethodsThe clinical data of 5 patients with ureterointestinal anastomotic calculus after Bricker procedure were retrospectively analyzed, of them, one patient underwent synchronous percutaneous nephrostomy combined with holmium laser lithotripsy using anterograde flexible ureteroscope, and the remaining 4 patients underwent stage Ⅰ percutaneous nephrostomy with nephrostomy tube indwelled for 1-2 weeks prior to stage Ⅱ holmium laser lithotripsy using anterograde flexible ureteroscope for the management of ureteral calculi. ResultsAll of the 5 cases achieved successful operation, with an operation duration of 68（range 60-110）minutes. No conversion to open surgery occurred, one case appeared postoperative fever, and there were no cases of severe renal hemorrhage requiring blood transfusion or cases having interventional embolization for hemostasis. One week after operation, the recheck-up CT revealed that no residual stones were observed. After 6-8 weeks of operation, indwelling double J ureteral stent was removed. After a 1-year follow-up, no stones recurrence was reported. ConclusionPercutaneous nephrostomy combined with anterograde flexible ureteroscopic holmium laser lithotripsy has advantages of being minimally invasive, safe and effective, and having fewer complications for the management of ureterointestinal anastomotic calculus after Bricker procedure, which is worthy of clinical application and promotion.

无