Advantages and disadvantages of percutaneous surgery of urolithiasis in the patient’s supine position
- Authors: Suleymanov S.I.1,2, Kadyrov Z.A.1, Aguzarov A.M.2, Ashurov Z.I.2, Babkin A.S.2, Bagaturiya K.K.2, Musohranov V.V.2, Tyagun A.A.2, Fedorov D.A.2
-
Affiliations:
- People’s Friendship University of Russia
- City Clinical Hospital No.13 of the Moscow Healthcare Department
- Issue: Vol 13, No 4 (2023)
- Pages: 369-376
- Section: Original articles
- URL: https://journals.eco-vector.com/uroved/article/view/568970
- DOI: https://doi.org/10.17816/uroved568970
- ID: 568970
Cite item
Abstract
BACKGROUND: Studying the clinical features of different surgical approaches in patients with urolithiasis with stones localized in the kidney and the upper third of the ureter is an important practical issue in modern urology.
AIM: The aim of the study is a clinical evaluation of the results of percutaneous surgery for urolithiasis with the patient in the supine position.
MATERIALS AND METHODS: The results of surgical treatment of 316 patients with urolithiasis with stones localized in the kidney (more than 10 mm) and the upper third of the ureter (more than 8 mm) are presented. All patients underwent percutaneous nephrolithotripsy in the supine position.
RESULTS: Complete elimination of stones was achieved in 91.3% of patients with stones of the upper third of the ureter and 96.2% of patients with kidney stones. Clinical evaluation of the surgical results showed that the frequency of intraoperative complications of traumatic origin is about 10%, the most common complication being bleeding. At the same time, complications of grades IV and V according to the Clavien–Dindo classification were noted. Performing percutaneous nephrolithotripsy in the supine position reduces the time required to position the patient, allows for the combination of transurethral and percutaneous interventions, is more effective for patients with increased weight and concomitant diseases, and also provides a significant advantage in the need for ventilation and possible resuscitation.
CONCLUSIONS: It is advisable to introduce a personalized approach to the choice of surgical access when performing invasive interventions on the upper urinary tract.
Full Text
About the authors
Suleyman I. Suleymanov
People’s Friendship University of Russia; City Clinical Hospital No.13 of the Moscow Healthcare Department
Author for correspondence.
Email: s.i.suleymanov@mail.ru
ORCID iD: 0000-0002-0461-9885
SPIN-code: 7168-8819
Scopus Author ID: 57080003900
MD, Dr. Sci. (Medicine)
Russian Federation, Moscow; MoscowZieratsho A. Kadyrov
People’s Friendship University of Russia
Email: zieratsho@yandex.ru
ORCID iD: 0000-0002-1108-8138
SPIN-code: 6732-8490
Scopus Author ID: 6602093282
MD, Dr. Sci. (Medicine), Professor
Russian Federation, MoscowAlan M. Aguzarov
City Clinical Hospital No.13 of the Moscow Healthcare Department
Email: aguzarofff@ya.ru
Russian Federation, Moscow
Zaur I. Ashurov
City Clinical Hospital No.13 of the Moscow Healthcare Department
Email: zaur_ashurov@mail.ru
Russian Federation, Moscow
Alexandr S. Babkin
City Clinical Hospital No.13 of the Moscow Healthcare Department
Email: alexbabkin3004@mail.ru
ORCID iD: 0000-0003-1570-1793
Russian Federation, Moscow
Konstantin K. Bagaturiya
City Clinical Hospital No.13 of the Moscow Healthcare Department
Email: buba-190@rambler.ru
Russian Federation, Moscow
Vladislav V. Musohranov
City Clinical Hospital No.13 of the Moscow Healthcare Department
Email: vlad412@mail.ru
ORCID iD: 0000-0003-1336-931X
MD, Cand. Sci. (Med.)
Russian Federation, MoscowAlexander A. Tyagun
City Clinical Hospital No.13 of the Moscow Healthcare Department
Email: tyagun1976@gmail.com
Russian Federation, Moscow
Dmitrii A. Fedorov
City Clinical Hospital No.13 of the Moscow Healthcare Department
Email: fedorov3867@icloud.com
Russian Federation, Moscow
References
- Suleimanov SI. Urolithiasis: clinical and biochemical aspects of pathogenesis, diagnosis and treatment [dissetation]. Moscow: 2018. 221 p. (In Russ.)
- Galkina NG, Kalinina EA, Galkin AV. Urolithiasis: modern concepts of etiology of disease (review). Saratov Journal of Medical Scientific Research. 2020;16(3):773–779.
- Bobylev DA, Chekhonatskaya ML, Osadchuk MA, et al. Prediction of the result of remote shock-wave lithotripsia in patients with nephrolythisis. REJR. 2018;8(2):110–115. doi: 10.21569/2222-7415-2018-8-2-110-115
- Khanaliev BV, Gusarov VG, Butareva DV, et al. Infectious complications of percutaneous nephrolithotripsy in patients at infected kidney stones. Bulletin of Pirogov National Medical & Surgical Center. 2021;16(4):138–140. doi: 10.25881/20728255_2021_16_4_138
- Tivtikyan AS, Savilov AV, Okhobotov DA, et al. Hereditary factor of metaphylaxis of urolithiasis: current state of the issue. Experimental and Clinical Urology. 2022;15(1):76–84. doi: 10.29188/2222-8543-2022-15-1-76-84
- Saenko VS, Pesegov SV, Vovdenko SV. A modern view of the mechanisms of urinary stone formation and the principles of general metaphylaxis of urolithiasis. Spravochnik Poliklinicheskogo Vracha. 2018;(1):33–38.
- Sitdykova ME, Viktorov EA, Zubkov AJ. Modern methods of surgical treatment of staghorn nephrolithiasis. Kazan Medical Journal. 2021;102(1):60–73. doi: 10.17816/KMJ2021-60
- Zubkov IV, Zhidkova EA, Sevryukov FA, et al. Organizational aspects of urolithiasis treatment in a hospital. Medical Newsletter of Vyatka. 2020;4(68):57–65. doi: 10.24411/2220-7880-2020-10132