Perkutana nefrolitotripsija u liječenju nefrolitijaze ; Percutaneous nephrolithotripsy in the treatment of the nephrolithiasis

Bubrežni kamenci i njihovo liječenje oduvijek prate čovjeka. Prevencija, hidracija i ograničen unos hrane na bazi purina dovode do smanjenja stvaranja kamenaca. Kamenci mogu biti različitog sastava, a najčešći su od kalcijeva-oksalata. Kamenci u bubregu su najčešće asimptomatski ali mogu biti praćeni i renalnom kolikom. Liječenje urolitijaze je simptomatsko ali u nekih bolesnika je potrebno i kirurško liječenje. U današnje vrijeme prevladavaju minimalno-invazivne metode. Još od 1976. godine kada je perkutana nefrolitotripsija uvedena kao primarna metoda, liječnici su primjetili da uspješnost ove tehnike zahtjeva dodatnu naobrazbu i edukaciju. U današnje vrijeme se ova minimalno invazivna metoda koristi za razbijanje kamenaca većih od 2 cm. Poslijeoperacijske komplikacije koju mogu biti značajne dovele su 1997. godine do razoja miniperkutane nefrolitotripsije. MiniPCNL upotrebljava nefroskope do 20 Fr i ima manji broj postoperacijskih komplikacija, te se ova metoda preporuča i kod transplantiranih pacijenata. ; Kidney stones and their treatment have always followed a man and his development. Prevention, hydration, and limited intake of purine-based foods lead to a decrease in the formation of stones. The chemical composition of stones are different, but the most frequent are made of calcium oxalate. Stones in the kidney are usually asymptomatic but also can be presented with renal colic. The treatment of urolithiasis are symptomatic but in some patients operative treatment is needed. Today mostly used surgical methods are minimally invasive methods Since 1976, when percutaneous nephrolithotripsia was introduced as a primary method, the doctors noted that the success of this technique requires further education and training. In recent times this method is used for treatment of the kidney stones larger than 2 cm Postoperative complications could be significant an led to the minipercutaneous nephrolithotripsy in 1997. MiniPCNL uses nefroscopes up to 20 Fr and leads to a reduction in postoperative complications, and ...