THE CHOICE OF SURGICAL MODALITY TO TREAT PATIENTS WITH STAGHORN NEPHROLITHIASIS
- Authors: Imamverdiyev S.B1, Talybov T.A1
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Affiliations:
- Issue: No 2 (2016)
- Pages: 18-22
- Section: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/282397
- ID: 282397
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Abstract
Aim. Improvement in the results of the treatment of patients suffering from staghorn and multiple nephrolithiasis, using open method of surgery and a retrospective analysis of the surgical data. Material and methods. There was executed asurgical treatment of the 730 patients with staghorn and multiple nephrolithiasis in the period from 1998 to 2012. 480 of the patients had one-sided staghorn stones and 250 of them had double-sided staghorn stones. Age of the patients varied from 4 to 76 years old (average - 49). There were 351 men (48,0%) and 379 women (51,9 %). 290 (39,8%) patients had only staghorn stones, but 440 (60,2%) patients suffered from staghorn stones combining with multiple ones. Results. There were executed 1065 surgical operations at the 730 patients. There was used pyelotomy and nephrolithotomyfor the purpose of the ablation of stones. Nephrostomy was placed on the right of the 116patients (15,8%), on the left - 93patients (12,7%), pyelostomy on the right - 46 patients (6,3%), on the left - 31patients (4,2%), intrarenalstent on the right - 181 patients (24,7%), on the left - 167patients (22,8%), stent and nephrostomy on the right - 29 patients (3,9%), on the left - 6 patients (0,8%). Surgical operations of 184 patients (25,2%)fulfilled throughcross-clamping of the nephritic artery.Cross-clamping time of the nephritic artery in average was 16.5 minutes (5-50), average duration of the surgical operation - 2,6 hours (1,5-6), intraoperative hemorrhage - 110 ml (50-300). During the re-examination there was found that 175 patients (23,9%) had recurrent stones.During first ten years after operation there were found recurrent stones at 238 patients (32,6%), 100 (13,6%) of them had the second operation. Conclusion. Taking into account that minimally invasive methods of the staghorn and multiple nephrolithiasistreatment is ineffective and demand a few courses of medical treatment, open surgical operations still have a leading positions as they create extensive possibilities for the favorable and safe revision of the kidney during ablation of stones.
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About the authors
S. B Imamverdiyev
Email: d_urology@mail.ru
Prof., Corr. member of the ANAS, Head of the Department of Urology Azerbaijan Medical University Baku, Azerbaijan
T. A Talybov
Department of Urology of the Azerbaijan Medical University Baku, Azerbaijan
References
- Imamverdiev S.B. Surgical treatment of staghom and multiple nephrolithiasis. Baku. 1993. 107 c. Russian (Имамвердиев С.Б. Оперативное лечение коралловидного и множественного нефролитиаза. Баку. 1993. 107 с.).
- Dzeranov N.K., Yaanenko E.K. Surgical treatment of staghorn nephrolithiasis. Urologiya i nefrologiya. 2004;1:34-38. Russian (Дзеранов Н.К., Яаненко Э.К. Оперативное лечение коралловидного нефролитиаза. Урология и нефрология. 2004;1:34-38).
- Lopatkin N.A., Trapeznikova M.F., Dutov V.V., Dzeranov N.K. Extracorporeal shock-wave lithotripsy: Past, Present and Future. Urologiia. 2007;6:3-13. Russian (Лопаткин Н.А., Трапезникова М.Ф., Дутов В.В., Дзеранов Н.К. Дистанционная ударноволновая литотрипсия: прошлое, настоящее, будущее. Урология. 2007;6:3-13).
- Dutov V.V., Urenkov S.B., Parshenkova I.G., Rumyantsev A.A., Mamedov E.A. Effectiveness of extracorporeal shock wave lithotripsy in patients with urolithiasis of a solitary kidney. Urologiia. 2015;2:52-55. Russian (Дутов В.В., Уренков С.Б., Паршенкова И.Г., Румянцев А.А., Мамедов Э.А. Ообенности чрескожной нефролитотрипсии у пациентов с мочекаменной болезнью единственной почки. Урология. 2015;2:52-55).
- Nasirov F.R., Mirkhamidov D.Kh., Giyasov Sh.I., Alidzhanov Zh.F., Abdufattaev U.A., Yuldashev Zh.M., Mukhtarov Sh.T., Akilov F.A. Evaluation of the efficacy of standard percutaneous nephrolithotripsy in staghorn and multiple nephrolithiasis. Urologiia. 2015;1:66-69. Russian (Насиров Ф.Р., Мирхамидов Д.Х., Гиясов Ш.И., Алиджанов Ж.Ф., Абдуфаттаев У.А., Юлдашев Ж.М., Мухтаров Ш.Т., Акилов Ф.А. Оценка эффективности применения стандартной перкутанной нефролитотрипсии при коралловидном и множественном нефролитиазе. Урология. 2015;1:66-69).
- Tiktinskii O.L., Aleksandrov V.P. Urolithiasis. SPB. «Piter», 2000. 384 p. Russian (Тиктинский О.Л., Александров В.П. Мочекаменная болезнь. СПб.: «Питер», 2000. 384 с.).
- Kosta P., Dias S., Freitas R. et al. Perkutaeous nefrolithtomiy Maybe the side matters. Proqrammme and abstrekts Abstracts of the 3-rd Meeting ot the EAU Section of Urolithiasis. Alicante. Spain. 72-73 р.
- Miernik A., Wilhelm K., Ardelt P., Bulla S., Schoenthaler M. Modern stone therapy: Is the era of extracorporeal shock wave lithotripsy at an end? Urologe A. 2012;51(3):372-378.
- Zenkov N.K., Lankin V.Z., Men'shikova E.B. Oxidative stress. The biochemical and pathophysiological aspects. M.: MAIK «Nauka. Interperiodika». 2001. 343 p. Russian (Зенков Н.К., Ланкин В.З., Меньшикова Е.Б. Окислительный стресс. Биохимический и патофизиологические аспекты. М.: МАЙК «Наука. Интерпериодика». 2001. 343 с.).
- Imamverdiev S.B., Kerimov A.B., Abdurragimova V. Ya., Astanov Yu.M. Rationalmethodsofsurgical treatment ofnephroptosis.Vestnikkhirurgii im. I.I. Grekova. 2002;1:99-102. Russian (Имамвердиев С.Б., Керимов А.Б., Абдуррагимова В.Я., Астанов Ю.М. Рациональные методы хирургического лечения нефроптоза Вестник хирургии им. И.И. Грекова. 2002;1:99-102).
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