Gil-Vernet J M, Saladíe J M, Gil-Vernet A, Gil-Vernet J M
Centro de Urología, Universidad de Barcelona.
Actas Urol Esp. 1993 Feb;17(2):98-115.
With the discovery during the 1960s of an access to the renal sinus and intra-operative radiological monitoring, the lithiasis surgery reached its summit of technical perfection. A comparative study on the various therapeutical options is presented: NLP, URN, ESWL and open surgery, as the single or combined treatment in complex renal lithiasis. Also, intrasinusal and transparenquimatous accesses to the intrarenal tract are compared, evaluating the morbidity, surgical time and economical interpretation of both techniques. Establishment of each treatments' indications and contraindications as well as likely short- and long-term adverse effects of the new technologies.
随着20世纪60年代肾窦入路和术中放射学监测的发现，结石手术达到了技术完美的巅峰。本文对各种治疗方案进行了比较研究：自然腔道取石术（NLP）、输尿管软镜碎石术（URN）、体外冲击波碎石术（ESWL）和开放手术，作为复杂肾结石的单一或联合治疗方法。此外，还比较了肾窦内和经肾实质入路进入肾内通道的情况，评估了两种技术的发病率、手术时间和经济成本。确定了每种治疗方法的适应症和禁忌症，以及新技术可能的短期和长期不良反应。
