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Articolul urmator |
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Ultima descărcare din IBN: 2023-10-31 15:33 |
SM ISO690:2012 CEBAN, Ilie, ROTARI, Vladislav, BÎTCA, Renata. Eficacitatea tratamentului într-un an de experiență clinică în nefrolitotomia percutanată . In: Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”, 21-23 octombrie 2020, Chişinău. Chişinău: USMF, 2020, p. 398. |
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Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu” 2020 | ||||||
Congresul "Congresul consacrat aniversării a 75-a de la fondarea Universității de Stat de Medicină şi Farmacie „Nicolae Testemiţanu”" Chişinău, Moldova, 21-23 octombrie 2020 | ||||||
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Background. Percutaneous nephrolithotomy (PCNL) is the preferred, minimally-invasive, treatment of choice for large (>2 cm) renal or staghorn renal stones. It facilitates a direct approach to the calculus while the kidney is subjected to lesser trauma as compared to the open procedure. Objective of the study. Analysis of the results obtained in the clinic following PCNL intervention applied to patients with urolithiasis, during one year. Material and Methods. The cross-sectional study was performed in the Department of Urology and Surgical Nephrology of the State University of Medicine and Pharmacy "Nicolae Testemitanu", within the Republican Clinical Hospital "Timofei Moşneaga", on a batch of 43 patients with Urolithiasis, treated by the PCNL, during the year 2019. Results. Anatomical distribution of renal stones: right kidney 21 (48,9%) patients, left kidney 22 (51,1%) patients, dimensions ranged between 2 cm and >4,5cm. Postoperative period: 5 days. Stone locations: Renal pelvis 18 (41,8%) patients, caliceal 16 (37,2%) patients, staghorn 9 (21%) patients. Stones dimensions: 2-2,5 cm-18 (41,86%) patients; 2,6- 4 cm-16 (37,2%) patients; >4,5cm – 9 (20,93%) patients. Postoperative complications by the Clavien-Dindo score: CDS I, 31 (72,1 %) patients; CDS II, 5 (11.6 %) patients; CDS III, 3 (7 %) patients. CDS IV and V patients were not detected. From the group of patients, 3 (7%) were tubeless and 1 (2,3%) with double-punctured channels. Conclusion. Percutaneous nephrolithotomy success rate depended on: stone composition, size, number, location in the urinary tract, BMI, as well as kidney collecting system anatomy. Overall stone free success rate was 90% and 90-100% after a “second look” procedure, with minimal complications. |
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Cuvinte-cheie percoutaneous nephrolithotomy, nephrolithiasis, nefrolitotomie percutanată, nefrolitiază |
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