Study advances in monitoring methods of renal pelvic pressure in minimally invasive surgery for renal calculi
ZHONG Ling-li1WANG Lue2YANG Jie1,2▲ LI Wen-ze2
1.Medical School of Jishou University,Hunan Province,Jishou 416000,China;2.Department of Urology,Xiangtan Hospital Affiliated to Nanhua University the First People′s Hospital of Xiangtan City,Hunan Province,Xiangtan 411100,China
Abstract:Renal calculi are common diseases in department of urology,and their incidence is increasing.With the development of medical equipment,the mainstream of nephrolithotomy has gradually changed from traditional surgery to minimally invasive surgery.Usually,in the minimally invasive surgery of renal calculi,renal pelvis irrigation and perfusion are used to keep the surgical field clear and clear of the gravel.However,the current standard operation may still lead to renal pelvic pressure increasing,resulting in the absorption of perfusion with bacteria and endotoxin through renal regurgitation,causing postoperative fever and sepsis.Therefore,continuous and effective monitoring of intrarenal pressure,and control of the renal pelvis pressure to a certain level can reduce the occurrence of renal regurgitation and improve the safety of minimally invasive surgery of renal calculi.
Wu C,Hua LX,Zhang JZ,et al.Comparison of renal pelvic pressure and postoperative fever incidence between standard-and mini-tract percutaneous nephrolithotomy[J].Kaohsiung J Med Sci,2017,33(1):36-43.
[3]
Ferakis N,Stavropoulos M.Mini percutaneous nephrolithotomy in the treatment of renal and upper ureteral stones:lessons learned from a review of the literature[J].Urol Ann,2015,7(2):141-148.
[4]
Zeng G,Wan S,Z hao Z,et al.Super-mini pereuta neous nephrolithotomy(SMP):a new concept in technique and in-strumentation[J].BJU Int,2016,117(4):655-661.
Zhong W,Zeng G,Wu K,et al.Does a smaller tract in percutaneous nephrolithotomy contribute to high renal pelvic pressure and postoperative fever?[J].J Endourol,2008,22(9):2147-2151.
[10]
Koras O,Bozkurt IH,Yonguc T,et al.Risk factors for postoperative infectious complications following percutaneous nephrolithotomy:a prospective clinical study[J].Urolithiasis,2015,43(1):55-60.
[14]
Zhong W,Leto G,Wang L,et al.Systemic inflammatory response syndrome after flexible ureteroscopic lithotripsy:a study of risk factors[J].J Endourol,2015,29(1):25-28.
[15]
de la Rosette J,Denstedt J,Geavlete P,et al.The clinical research office of the endourological society ureteroscopy global study:indications,complications,and outcomes in 11,885 patients[J].J Endourol,2014,28(2):131-139.
Zhu X,Song L,Xie D,et al.Animal experimental study to test application of intelligent pressure control device in monitoring and control of renal pelvic pressure during flexible ureteroscopy[J].Urology,2016,91:242.e11-242.e15.