ABSTRACT
Comparative analysis of two variants of transcutaneous nephrolithotripsy (TCNLT) in 45 patients, suffering nephrolithiasis, was performed. In 17 patients (the first group) the ultra-mini (UM) TCNLT, using tubus 11Сh, was done, and in 28 patients (the second group) TCNLT, using a standard tubus 24Сh. The operation duration in the first group have had constituted (86.2 ± 16.3) min at average, and in the second group (51 ± 13.6) min. The method of UÐ TCNLT is a secure, miniinvasive, owing low rate of morbidity, comparing with a standard procedure, but with equal efficacy, concerning the «stone free¼ status (accordingly, 95.3 and 96.5%) in patients when calculi's diameter up to 2 sm. Тubus 11Ch guarantees lesser risk of hemorrhagic complications occurrence, permits to conduct UM TCNLT without nephrostomic draining of the renal calyx and pelvis system more confidently.
Subject(s)
Gastrointestinal Hemorrhage/prevention & control , Kidney/surgery , Lithotripsy/methods , Minimally Invasive Surgical Procedures/methods , Nephrolithiasis/surgery , Humans , Kidney/diagnostic imaging , Kidney/pathology , Lasers , Minimally Invasive Surgical Procedures/instrumentation , Neodymium , Nephrolithiasis/diagnostic imaging , Nephrolithiasis/pathology , Operative Time , Tomography, X-Ray Computed , Treatment Outcome , UltrasonographyABSTRACT
Algorithm of the patients examination, suffering hydronephrosis, caused by obstruction of different etiology, was optimized, what permitted, using qualification of rational volume and sequence of diagnostic methods, owing high sensitivity and specificity, as well as morphological diagnostic coefficients (parenchymalstromal, dysbalance of collagens) and the risk criterion for recurrence occurrence, to estimate renal structure functional state, to determine the disease stage, its course severity and to substantiate a volume and duration of preoperative preparation needed, the operative intervention kind and postoperative management of the patients.
Subject(s)
Algorithms , Hydronephrosis/diagnostic imaging , Kidney/diagnostic imaging , Nephrostomy, Percutaneous/methods , Ureteral Obstruction/diagnostic imaging , Adult , Female , Humans , Hydronephrosis/pathology , Hydronephrosis/surgery , Kidney/pathology , Kidney/surgery , Male , Postoperative Period , Retrospective Studies , Risk , Severity of Illness Index , Tomography, Emission-Computed , Ureteral Obstruction/pathology , Ureteral Obstruction/surgeryABSTRACT
AIM: Application of the authors' GIS <