This is an automatically translated article.
The article is expertly consulted by Master, Doctor Le Phuc Lien - Urologist - Department of General Surgery - Vinmec Central Park International General Hospital. The doctor has more than 12 years of experience in the field of urology and specialized urology.Percutaneous kidney stone lithotripsy is a new endoscopic method, being applied and effective in the treatment of kidney stones and ureteral stones. Percutaneous kidney stone lithotripsy is a minimally invasive surgical method, the stones will crumble on their own and be sucked out.
1. What is percutaneous renal lithotripsy?
Endoscopic percutaneous nephrolithiasis is a special endoscopic method for the treatment of kidney stones and ureteral stones with high efficiency. The patient will be under general anesthesia, then the surgeon will insert a needle through the skin of the back into the kidney.The tunnel of the puncture needle will be enlarged with a dilator to achieve the desired size, thereby allowing the insertion of the endoscope and the use of laser energy for lithotripsy. The gravel will be crushed to pieces and at the same time sucked out. Then, also through the tunnel, the doctor placed a renal catheter to help with the post-operative examination. This catheter will be removed after 24-48 hours.
In some cases, additional extracorporeal lithotripsy may be needed to deal with residual stone fragments.
2. Subjects indicated for endoscopic percutaneous renal lithotripsy
With these advantages, percutaneous lithotripsy is applied to:Stones larger than 2cm, including complex coral stones In case of extracorporeal lithotripsy, but failed Endoscopic percutaneous nephrolitholithography Not applicable to patients with coagulation disorders, abnormalities of blood vessels in the kidneys, at risk of heavy bleeding. In cases of high blood pressure, the contraindication to endoscopy is only temporary.
Những sỏi lớn hơn 2cm, bao gồm cả các sỏi san hô phức tạp sẽ được chỉ định tán sỏi thận qua da
3. Advantages of endoscopic percutaneous renal lithotripsy
Surgery is gentle, less painful, short hospital stay (3-4 days), recovers health and returns quickly (7-10 days) Avoid surgical scars for patients, non-invasive, avoid complications Symptoms of open nephrolithotomy to remove stones Minimize post-operative infection, superior to conventional surgery Less damage to the kidney, the effect of endoscopic percutaneous lithotripsy on renal function is <1 %, while open surgery to remove coral stones can cause >30% loss of kidney function due to the incision on the renal parenchyma. Recommended video:Things to know about urolithiasis
4. Care after endoscopic percutaneous renal lithotripsy
Patients after endoscopic percutaneous kidney stone lithotripsy can sit up and walk around the room, eating snacks from day one. On the second day, the patient will have a pyelogram to check through the renal drain, and at the same time determine the last time that there are no stones left and that the contrast medium is well circulating into the bladder. The renal tube is then removed.After removing the renal drain, some urine may leak from the drainage hole, but this usually clears up after 3 - 6 hours thanks to a local compression bandage.
Hospital stay is usually about 3 to 4 days. Patients can return to work in 7 to 10 days without any special treatment regimen. Drink 1.5 to 2 liters of water per day.
In general, with the outstanding advantages of endoscopic percutaneous lithotripsy, this method offers the hope of being able to replace most cases of kidney stones with indications for conventional surgery. Endoscopic percutaneous lithotripsy also has high medical economics, when it brings good health results, fewer complications, and reduces treatment time and hospital stay.
Nội soi tán sỏi qua da cũng có tính kinh tế trong y tế cao
5. Why should percutaneous renal lithotripsy be performed at Vinmec?
Percutaneous renal lithotripsy in the treatment of kidney stones and ureteral stones is currently being applied very successfully at Vinmec International General Hospital. This method achieves high treatment efficiency and very low complication rate.Percutaneous renal lithotripsy is performed at Vinmec with modern machinery and experienced doctors and urologists.
With the strengths of professional quality, experience of doctors and equipment system is superior investment, meeting international standards, endoscopic percutaneous kidney stone lithotripsy at Vinmec not only helps treat effective disease but also minimize postoperative complications, help patients return to normal life soon.
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Recommended video:Treatment of urolithiasis in a comprehensive, minimally invasive method
