The Use Of The Method Of Retrograde Pyelolithotripsy With Kidney Stones

Authors

  • D.E.. Mami JSC “Scientific Center of Urology named after B.U. Dzharbusynov”, Almaty, Kazakhstan
  • M.A. Malikh JSC “Scientific Center of Urology named after B.U. Dzharbusynov”, Almaty, Kazakhstan
  • D.I. Sengirbaev NJSC “National Medical University named after S.D. Asfendiyarov”
  • R.R. Asoev JSC “Scientific Center of Urology named after B.U. Dzharbusynov”, Almaty, Kazakhstan

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Abstract

The article provides a brief review of the literature on the effectiveness of the method of intrarenal sur-gery - retrograde pyelolithotripsy (RPT) in urolithiasis. The method has been actively introduced since 2005 with the development of flexible ureteroscopes. In our center, the method has been introduced since 2015. There is a sufficient number of studies on the use of retrograde pyelolithotripsy with kidney stones more than 2 cm, the effectiveness, minimally invasiveness and safety of this method have been proved so far. There are few studies to study the possibilities of using RPT for staghorn calculi and multiple stones, which confirms the relevance of research in this direction. The purpose of this work is to analyze literature data on the topic of intrarenal surgery for staghorn and multiple stones.

Methods: We conducted a systematic search of literature data and selected sources from the Cochrane database, MEDLINE, PubMed, EMBASE, Google Scholar, as well as research works and online educational publications in Russian. Twenty works were included that met inclusion criteria.

Results: The review article describes the method of surgical treat-ment of patients with kidney stones, indications and contraindications. Evaluation of the effectiveness of the method is assessed by the complete release of the cavity system from concernments (stone-free rate).

Conclusion: Thereby, the problem of the study of RPT and its effectiveness in the treatment of nephroli-thiasis is undoubtedly relevant and requires further study. RPT is a good method of choice, with anatomical difficult accesses, with obesity and prolonged use of anticoagulants. But this is a relatively effective method in the treatment of patients with staghorn stones, and is the method of choice for a certain contingent of patients in whom the formation of percutaneous access to the stone is impossible or is associated with a high risk of complications.

Keywords

urolithiasis, staghorn calculus

References

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Published

2020-07-01

Issue

No. 2 (2020)

Section

Articles