Percutaneous Urolithiasis Surgery in Military


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Abstract. The clinical efficacy and safety of the use of percutaneous techniques in the treatment of kidney stones in 72 servicemen were studied. All percutaneous operations were performed by one operating team. It was found that percutaneous urolithiasis surgery was effective in 88.9% of people. «Stone free rate» was achieved in 83,8% of military personnel undergoing standard percutaneous nephrolitholapaxy and in 94.3% of patients undergoing minipercutaneous nephrolitholapaxy. With stones larger than 2 cm, the effect was observed in 81.8% of cases with standard surgery and in 96% of patients with mini-percutaneous approach. Percutaneous interventions in military personnel with stones larger than 2 cm were effective in 84,6% of patients with standard surgery and in 90% with mini-percutaneous access. Complications according to the Clavien-Dindo classification were found in 29,1% of servicemen: in 20,8% of cases of standard nephrolitholapaxy and in 8,3% of minipercutaneous nephrolitholapaxy. The bulk of the complications were Grade I–II – 20,8%. Grade III – IV were determined less frequently – in 8,3% of cases. Urosepsis (Grade IV b) and death (Grade V) were not observed in our study. Duration of labor losses for conscripted servicemen were about 17 days, for contract servicemen when performing standard nephrolitholapaxy – 12,8 days, for military personnel with minipercutaneous nephrolitholapaxy – 11,2 days. The dismissal rate among conscripts was 18,2%. There were no contractual servicemen who were dismissed from the ranks of the Armed Forces of the Russian Federation, however, 14,7% of servicemen who underwent a standard operation and 11,1% of patients who underwent mini-percutaneous nephrolitholapaxy after surgery needed sick leave for a period of 15 days. In general, percutaneous techniques are common and effective methods of surgical treatment for military personnel suffering from urolithiasis. Mini-percutaneous approach for nephrolitholapaxy is safer than the standard approach, but it is less effective for coral calculi. Percutaneous methods for removing kidney stones are associated with a low rate of dismissal and short recovery times for military personnel.

作者简介

V. Protoshak

Military medical academy of S.M. Kirov

编辑信件的主要联系方式.
Email: vmeda-nio@mil.ru
俄罗斯联邦, Saint Petersburg

M. Paronnikov

Military medical academy of S.M. Kirov

Email: vmeda-nio@mil.ru
俄罗斯联邦, Saint Petersburg

A. Sivakov

Military medical academy of S.M. Kirov

Email: vmeda-nio@mil.ru
俄罗斯联邦, Saint Petersburg

K. Lukinov

Military medical academy of S.M. Kirov

Email: vmeda-nio@mil.ru
俄罗斯联邦, Saint Petersburg

A. Kiselev

Military medical academy of S.M. Kirov

Email: vmeda-nio@mil.ru
Saint Petersburg

S. Alentiev

Military medical academy of S.M. Kirov

Email: vmeda-nio@mil.ru
俄罗斯联邦, Saint Petersburg

M. Lazutkin

Military medical academy of S.M. Kirov

Email: vmeda-nio@mil.ru
俄罗斯联邦, Saint Petersburg

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