Frang D, Götz F, Verebélyi A, Nagy Z
Z Urol Nephrol. 1977 Jun;70(6):437-44.
Efforts aimed at surgical solutions conserving the organs obtained importance also in renal surgery in recent years. This fact meant a milestone in the life of patients suffering from coral calculi, since it has been recommended to perform nephrectomy only in rare cases, and in the majority of cases young mothers were concerned. On the basis of the operation material comprising 12 cases--out of which some cases are described--the points of view of the marginal nephrectomy are discussed in detail. Among the modified techniques on the one hand the hairpin-shaped suture, on the other in the case of the local disease of the calyx system the marginal nephrectomy combined with wedge-shaped resection are explained, for the reduction of the danger of a recidivation of calculi an essential importance is ascribed to the last mentioned method.
近年来,旨在通过手术解决方案保留器官的努力在肾脏手术中也变得愈发重要。这一事实对于患有肾结石的患者而言是一个里程碑,因为目前仅在极少数情况下才建议进行肾切除术,而且大多数患者是年轻母亲。基于包含12个病例的手术资料(其中部分病例将予以描述),详细讨论了边缘性肾切除术的观点。一方面阐述了改良技术中的发夹状缝合,另一方面针对肾盏系统局部病变的情况,解释了边缘性肾切除术联合楔形切除术,为降低结石复发的风险,上述最后一种方法被认为至关重要。