Abstract
The presented article focuses on the important matters of development of intraoperative and postoperative complications in patients with urolithiasis undergoing percutaneous operative treatment for coral calculus of a solitary or sole functioning kidney. Complications of percutaneous X-ray-endoscopic operations in these patients always require careful medical and diagnostic approach, as they can lead to oppression of an already impaired solitary kidney function and, as a consequence, can have life-threatening nature. They are divided into two groups: intraoperative and postoperative complications. Intraoperative complications include: bleeding, damage of the renal pelvis in the course of creating of puncture access, perforation of internal organs, loss of stroke. Postoperative complications include: development of acute inflammation in a single kidney, bleeding, urinoma or hematoma development, progression of renal failure, leave of residual concretions, organ loss. There is a sufficient amount of data on the development of complications after percutaneous endoscopic surgeries in the literature, but very few works are devoted to a solitary kidney matter. The object of this study was the group of patients with urolithiasis, coral nephrolithiasis by a solitary or a single functioning kidney, who were on treatment in the urology department of the N.I. Pirogov City Clinical Hospital No. 1 from January 2007 to July 2014. All patients underwent percutaneous operative treatment for the removal of coral calculi.
Highlights
В статье уделяется внимание важным вопросам развития интраоперационных и послеоперационных осложнений у пациентов с мочекаменной болезнью, перенесших перкутанное оперативное лечение по поводу коралловидного камня единственной либо единственной функционирующей почки
The presented article focuses on the important matters of development of intraoperative and postoperative complications in patients with urolithiasis undergoing percutaneous operative treatment for coral calculus of a solitary or sole functioning kidney
Complications of percutaneous X-ray-endoscopic operations in these patients always require careful medical and diagnostic approach, as they can lead to oppression of an already impaired solitary kidney function and, as a consequence, can have life-threatening nature
Summary
Одним из наиболее часто встречающихся осложвотечение, повреждение лоханки в ходе создания пунк- нений, возникающих при выполнении чрескожных ционного доступа, перфорацию внутренних органов, (перкутанных) рентгенэндоскопических операций, явпотерю рабочего хода. Выделяют 2 вида кровотечения: ния включают: развитие острого воспалительного про- интраоперационное и послеоперационное. Интраопецесса, кровотечение, развитие уриномы либо гематомы, рационное кровотечение происходит, как правило, на прогрессирование почечной недостаточности. Однак послеоперационным осложнениям относят наличие ко в настоящее время благодаря применению кожухов резидуальных конкрементов после завершения опера- Amplaz при создании нефростомического хода интентивного вмешательства, однако у нашей категории боль- сивность и время кровотечения значительно сократиных такой исход операции носил в большей степени лись. Быть обусловлено движениями нефроскопа в чашечно-лоханочной системе почек
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