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A Two-Step Method for Percutaneous Transhepatic Choledochoscopic Lithotomy
Published on: September 13, 2022
[Complications of percutaneous nephrolithotripsy in staghorn nephrolithiasis]
Abstract:
The aim of the study was to analyze the complications of percutaneous nephrolithotripsy (PCNL) in staghorn nephrolithiasis. The analysis revealed that in case of "full" staghorn stone risk of complications of percutaneous nephrolithotripsy raises twice in comparison with cases of "incomplete" staghorn stones. The choice of least invasive method at treatment of patients with staghorn nephrolithiasis is one of challenges in urological practice. Superiority began to belonged so-called, least invasive interventions - percutaneous nephrolithotripsy, extracorporal shock-wave lithotripsy and also combined ("sandwich" - therapy) methods. In connection with development of modern methods of visualization, complication of percutaneous treatment methods of staghorn nephrolithiasis decrease, and efficiency and possibilities of their use raise. The analysis revealed that in aspect of development of complications after percutaneous nephrolithotripsy presence of "full" staghorn stone plays defining role, raises risk of development of complications twice in comparison with patients with presence "incomplete" staghorn stones.
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