Peculiarities of Percutaneous Surgery for Coral Calculi
Mukhtarov S. T., Nasirov F. R., Kayumov A. A., Yuldashev F. Y.
Keywords: Corral stones (CC), Extracorporeal (remote) shock wave lithotripsy (EShWL), Percutaneous nephrolithotripsy (lithotomy) (PCNLT), Endoscopic method, The traditional open access surgical intervention
Abstract
The aim of the study was to evaluate the effectiveness, safety and advantages of the introduction of modern endoscopic methods for the removal of coralloid stones (CC) in a comparative aspect with traditional methods. Prognostic efficacy of additional procedures was also evaluated: extracorporeal (remote) shock wave lithotripsy (EShWL) and percutaneous nephrolithotripsy (lithotomy) (PCNLT). After endoscopic access using such additional methods as EShWL and PCNLT the rate of detection was on the average 8,2%, and after conventional surgical intervention it was statistically significantly more frequent - 31,8% of cases (p<0,001). Our study has shown a significantly greater efficacy, reduction of the frequency and severity of adverse events and improvement of prognostic indicators achieved by using endoscopic method, in comparison with the traditional open access surgical intervention.