RESUMO
Over the last 30 years, the treatment of urinary lithiasis has changed dramatically. With the advent of extracorporeal lithotripsy and the advances on ureterorenoscopy and percutaneous nephrolithotomy, the need to turn to open and laparoscopic/robotic surgery has diminished. The objective of this article is to review the different indications for open and/or laparoscopic treatment of urinary lithiasis, to achieve its complete elimination with the less invasive possible means and trying to minimize the number of secondary procedures as well as complications.
Assuntos
Cálculos Renais/cirurgia , Laparoscopia , Terapia Combinada , Humanos , Cálculos Renais/complicações , Urolitíase/cirurgia , Procedimentos Cirúrgicos Urológicos/métodosRESUMO
Durante los últimos 30 años, el tratamiento de la litiasis urinaria ha cambiado drásticamente. Con el advenimiento de la litotricia extracorpórea y los avances en la ureteroscopia, y la nefrolitotomía percutánea, la necesidad de recurrir a la cirugía abierta y laparoscópica/robótica ha disminuido. El objetivo de este artículo es la revisión de las diferentes indicaciones del tratamiento abierto y/o laparoscópico de la litiasis urinaria, para conseguir la eliminación completa de la misma con los medios menos invasivos posibles y tratando de minimizar el número de procedimientos secundarios así como las complicaciones
Over the last 30 years, the treatment of urinary lithiasis has changed dramatically. With the advent of extracorporeal lithotripsy and the advances on ureterorenoscopy and percutaneous nephrolithotomy, the need to turn to open and laparoscopic/robotic surgery has diminished. The objective of this article is to review the different indications for open and/or laparoscopic treatment of urinary lithiasis, to achieve its complete elimination with the less invasive possible means and trying to minimize the number of secondary procedures as well as complications
Assuntos
Humanos , Urolitíase/cirurgia , Cálculos Urinários/cirurgia , Nefrolitíase/cirurgia , Laparoscopia/métodos , Resultado do Tratamento , Procedimentos Cirúrgicos Minimamente Invasivos/métodos , Cateterismo UrinárioRESUMO
Bladder diverticula are herniations of the mucosa through the fibers of the bladder muscle connected by necks of variable amplitude. They are often asymptomatic, although they may lead to complications that require a surgical therapeutic approach. We report the case of a patient with bilateral obstructive uropathy secondary to a giant periureteral diverticulum that was treated by diverticulectomy and reimplantation of the left ureter in the bladder.
