Multi-percutaneous access in the treatment of coral nephrolithiasis

In order to assess the efficacy and safety of a combination of standard and minimally invasive multi- percutaneous nephrolithotomy in coral nephrolithiasis, we analyzed 55 patients with coral stones, who were treated at the urology clinic of the First Moscow State Medical University named after I.M. Sechenov, where combined standard and minimally invasive percutaneous nephrolithotomy (PNL) was performed. Nephroscope 24 Ch or 26 Ch and Amplatz-casings 28-30 Ch, ultrasonic lithotriptor; for minimally invasive - minnefroscope 12 Ch with tubes 16,5 Ch, ultiminefroscope 7.5 Ch with a tube 11 Ch, laser lithotripter were used during standard PNL. 2 access were performed in 48 (87.3%) observations, 3 - in 6 (10.9%), 4 - 1 (1.8%). Complete renal sanation after the first procedure was achieved in 47 (85.5%) observations, 6 patients underwent repeated nephroscopy, the remaining 2 residual stones were in isolated calyces and did not require additional treatment. Intraoperative complications were recorded in 3 patients in the form of hemorrhage, who underwent second nephroscopy. Among the postoperative complications, fever above 38 ° in 8 patients was noted. The obtained results demonstrate high efficiency and safety of combined standard and minimally invasive PNl from multi-access.

коралловидный нефролитиаз, перкутанная (чрескожная) нефролитотомия, мультиперкутанный доступ, миниперкутанная нефролитотомия, комбинированное лечение коралловидного нефролитиаза, coral nephrolithiasis, percutaneous (percutaneous) nephrolithotomy, multipercutaneous access, mineroperutaneous nephrolithotomy, combined treatment of coral nephrolithiasis

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