Ureterorenoskopska laserska litotripsija u lečenju kamenova impaktiranih u levom ureteru deset godina nakon autotransplantacije desnog bubrega

  • Novak Milović Urology Clinic, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Vladimir Bančević Urology Clinic, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
  • Goran Teodorović Urology Clinic, Military Medical Academy, Belgrade, Serbia
DOI: https://doi.org/10.2298/3542
Ključne reči: ureterolithiasis||, ||ureterolitijaza, lithotripsy, laser||, ||litotripsija, laser, transplantation, autologous||, ||transplantacija, autologna, kidney||, ||bubreg,

Sažetak


Uvod. Kalkuloza urinarnog trakta sreće se veoma često u opštoj populaciji. Javlja se kod 5–10% populacije i može se zbrinjavati konzervativnim pristupom, minimalno invazivnim endoskopskim ili hirurškim procedurama ili razbijanjem kamena udarnim talasima van tela. Oštećenja uretera mogu biti rešavana plasiranjem ureteralnih sondi, termino-terminalnom anastomozom uretera, ureterocistoneostomijom, perkutanom nefrostomijom, interpozicijom grafta creva ili autotransplantacijom bubrega. Prikaz bolesnika. Prikazali smo tok i ishod lečenja bolesnice sa velikim defektom desnog uretera nastalog kao posledica lečenja zaglavljenog kamena, sa naknadnom uspešnom autotransplantacijom desnog bubrega. Posle deset godina, kamen se zaglavio u levom ureteru i uspešno je razbijen ureterorenoskopskom laserskom litotripsijom. Asinhrona autotransplantacija bubrega i ureterorenoskopska litotripsija su rezultovali očuvanjem bubrežne funkcije bolesnice. Zaključak. Očuvanje parnih organa  je opcija lečenja i u odsustvu malignih oboljenja, naročito kod mlađih bolesnika.

Biografija autora

Vladimir Bančević, Urology Clinic, Military Medical Academy, Belgrade, Serbia; Faculty of Medicine of the Military Medical Academy, University of Defence, Belgrade, Serbia
Dept of Urology

Reference

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Objavljeno
2015/04/24
Broj časopisa
Vol. 71 Br. 10 (2014)
Rubrika
Prikaz bolesnika