Autor: |
S V, Popov, I N, Orlov, F R, Asfandiyarov, O N, Skryabin, M M, Suleymanov, D A, Sytnik |
Rok vydání: |
2020 |
Předmět: |
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Zdroj: |
Urologiia (Moscow, Russia : 1999). (3) |
ISSN: |
1728-2985 |
Popis: |
This lecture is dedicated to increasing stone free rate (SFR) in patients with staghorn renal stones by using a multimodal approach. Percutaneous nephrolithotomy (PCNL) is the "gold standard" for the treatment of this group of patients. Depending on a stone size and complexity, SFR for PCNL varies from 55 to 98%. Due to low SFR, which is a main criterion for the effective procedure, various approaches currently are being suggested. In this lecture, we highlighted the following approaches: multi-access PCNL, a use of a ureteroscope in case of antegrade stone migration, a use of flexible instruments, ureterorenoscopy in combination with PCNL. Various lithotripsy techniques are briefly described. The advantage of ultrasound-guided puncture of the kidney is also discussed. |
Databáze: |
OpenAIRE |
Externí odkaz: |
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