Transurethral contact ureteral lithotripsy in a gaseous (CO 2) medium


Citar

Texto integral

Acesso aberto Acesso aberto
Acesso é fechado Acesso está concedido
Acesso é fechado Acesso é pago ou somente para assinantes

Resumo

The paper describes for the first time the method of contact ureteral lithotripsy in gaseous (CO 2) medium. It presents the results of a comparative study of urolithiasis patients treated with this treatment modality (study group, n=30) and with traditional contact ureteral lithotripsy in liquid medium (control group, n=30). The incidence of retrograde migration of calculus in the kidney in the study group was 0%, while it was 16.6% in the control group. Acute or exacerbation of chronic pyelonephritis was diagnosed in only 3 (10%) patients in the control group. The suggested method of contact ureteral lithotripsy is safe and provides several advantages over traditional contact ureteral lithotripsy in a fluid medium, such as: physiologic validity, absence of calculus hypermobility (increased mobility), improved visualization during surgery and high cost effectiveness.

Texto integral

Acesso é fechado

Sobre autores

P. Glybochko

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

Ju. Aljaev

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

L. Rapoport

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

D. Carichenko

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

E. Arzumanjan

Research Institute of Uronephrology and Human Reproductive Health of Sechenov First Moscow State Medical University

Email: xachulya@mail.ru

Bibliografia

  1. Аляев Ю.Г., Руденко В.И., Газимиев М.-С.А. Мочекаменная болезнь, актуальные вопросы диагностики и выбора метода лечения. М., 2006. С. 1.
  2. Фомкин Р.Н. Клинико-экспериментальное обоснование выбора оптимального способа контактной пневматической уретеролитотрипсии. Дисс. канд. мед. наук. Саратов, 2008.
  3. Национальное руководство по урологии. Под ред. Н.А. Лопаткина. М., 2009. С. 627.
  4. Sofer M., Grunstein A., KerenPaz G.,Ben Chaim J., Chen J., Matzkin H. Epidemiological characteristics and ureteroscopic treatment of large ureteral stones. Eur. Urol. Suppl. 2007;6(2):270.
  5. Miller O.F., Kane C.J. Time to stone passage for observed ureteral calculi: a guide for patient education. J. Urol. 1999;162:688-690.
  6. Аляев Ю.Г., Рапопорт Л.М., Цариченко Д.Г., Аксенов А.В., Сорокин Н.И. Интра- и послеоперационные осложнения эндоскопических операций на мочеточнике. Российские медицинские вести. 2012;17(1):53-56.
  7. Голубев А.А. Характерные изменения регуляции сердечного ритма в ходе выполнения лапароскопических вмешательств с использованием карбоксиперитонеума. Эндоскоп. хир. 2001;2:45-48.
  8. Corwin C.L. Pneumoperitoneum. In: The SAGES manual. Fundamentals of Laparoscopy and GI Endoscopy. Soper N.J., Scott-Conner C.E.H., eds. New York: Springer; 1999. Vol. 4. P. 372-387.
  9. Mann C., Boccara G., Grevy V., Navarro F., Fabre J.M., Colson P. Argon pneumoperitoneum is more dangerous than CO2 pneumoperitoneum during venous gas embolism. Anesth. Analg. 1997;85(6):1367-1371.
  10. McMahon A.J. Helium pneumoperitoneum for laparosrapic cholecystectomy: ventilatory and blood gas changes. Br. J. Surg. 1994;81:1033-1036.
  11. Кучера Я. Хирургия гидронефроза и уретерогидронефроза. Прага: Гос. изд. мед. лит., 1963. 222 с.
  12. Бакунц С.А. Вопросы физиологии мочеточников. Л.: Медицина, 1970. 160 с.
  13. Пытель Ю.А., Золотарев И.И. Неотложная урология. М.: Медицина, 1985. 320 с.

Arquivos suplementares

Arquivos suplementares
Ação
1. JATS XML

Declaração de direitos autorais © Bionika Media, 2015

Este site utiliza cookies

Ao continuar usando nosso site, você concorda com o procedimento de cookies que mantêm o site funcionando normalmente.

Informação sobre cookies