Multimodal approach to the treatment of staghorn stones in modern clinic


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详细

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.

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作者简介

S. Popov

FGBOU VO North-Western State Medical University named after I.I. Mechnikov; GBUZ “Public Hospital of Saint Luca”

Email: doc.popov@gmail.com
MD, associate professor at the Department of Urology of FGBOU VO North-Western State Medical University named after I.I. Mechnikov, Chief of GBUZ “Public Hospital of Saint Luca” Saint Petersburg, Russia

I. Orlov

FGBOU VO North-Western State Medical University named after I.I. Mechnikov; GBUZ “Public Hospital of Saint Luca”

Email: doc.orlov@gmail.com
Ph.D., assistant at the Department of Urology of FGBOU VO North-Western State Medical University named after I.I. Mechnikov, Head of the Department of Urology of GBUZ “Public Hospital of Saint Luca” Saint Petersburg, Russia

F. Asfandiyarov

FGBOU VO «Astrakhan state medical university» of the Russian Ministry of Health

Email: drfa@rambler.ru
MD, associate professor, Head of the Department of Urology Astrakhan, Russia

O. Skryabin

Saint-Petersburg Public Hospital of Saint Luca

Email: skryabin55@mail.com
MD, professor, chief oncologist Saint Petersburg, Russia

M. Suleymanov

GBUZ “Public Hospital of Saint Luca”

Email: doc.suleimanov@gmail.com
Ph.D., urologist at the Department of Urology Saint Petersburg, Russia

D. Sytnik

GBUZ “Public Hospital of Saint Luca”

Email: doc.dmitriysytnik@gmail.com
urologist at the Department of Urology N01 Saint Petersburg, Russia

参考

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