urovestВестник урологииUrology Herald2308-6424Rostov State Medical University10.21886/2308-6424-2026-14-3-146-151urovest-1252Research ArticleОБЗОРЫ ПУБЛИКАЦИЙ – ТЕКУЩЕЕ МНЕНИЕCURRENT STATE-OF-THE-ARTЧрескожная нефролитотрипсия в лечении резидуальных камней чашечек почекPercutaneous nephrolithotripsy in treatment of residual calyceal stoneshttps://orcid.org/0000-0003-3539-441XДутовВ. В.DutovV. V.

Валерий Викторович Дутов — д-р мед. наук, профессор

Москва

Valeriy V. Dutov— Dr.Sc.(Med), Full Prof.

Moscow

valeriy.dutov.52@mail.ruhttps://orcid.org/0009-0008-1919-9028ДадашовМ. Т.С.DadashovM. Т.S.

Магамед Таги Сулейман оглы Дадашов

Москва

Magamed T.S. Dadashov

Moscow

 

tagidadashov@gmail.comДутовС. В.DutovS. V.

Сергей Валерьевич Дутов — канд.мед. наук 

Москва

Sergey V. Dutov — Cand.Sc.(Med)

Moscow

hammerwise@gmail.comМосковский областной научно-исследовательский клинический институт им. М.Ф. ВладимирскогоРоссияVladimirskiy Moscow Regional Research and Clinical InstituteRussian FederationЦентральная клиническая больница гражданской авиации; Государственный научный центр Российской Федерации — Федеральный медицинский биофизический центр им. А.И. БурназянаРоссияCentral Clinical Hospital of Civil Aviation; State Research Centre of the Russian Federation – Burnasyan Federal Medical Biophysical CentreRussian Federation202608082026143144151Copyright © Дутов В.В., Дадашов М.Т., Дутов С.В., 20262026Дутов В.В., Дадашов М.Т., Дутов С.В.Dutov V.V., Dadashov M.Т., Dutov S.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.urovest.ru/jour/article/view/1252

Резидуальные камни чашечек почек — одна из существенных клинических проблем при мочекаменной болезни, поскольку их наличие повышает риск осложнений, включая ложные рецидивы, вторичные инфекции мочевых путей, а также миграцию камней либо их фрагментов с развитием обструкции. В представленном обзоре систематизированы актуальные сведения об использовании чрескожной нефролитотрипсии (ЧНЛТ) для устранения резидуальных камней чашечек почек: проанализированы показания к вмешательству, технические особенности и эффективность процедуры, а также спектр и частота потенциальных осложнений. Результаты анализа демонстрируют, что ЧНЛТ при условии прецизионного хирургического подхода остаётся надёжным, эффективным и безопасным способом лечения данной категории пациентов.

Residual calyceal stones are a significant clinical problem in patients with urolithiasis, as their presence increases the risk of complications, including apparent recurrences, secondary urinary tract infections, and migration of stones or fragments with subsequent obstruction. This review summarises current evidence on the use of percutaneous nephrolithotripsy (PCNL) for the management of residual calyceal stones, analysing indications for intervention, technical considerations, procedural effectiveness, and the spectrum and frequency of potential complications. The available data show that, when performed with a precise surgical approach, PCNL remains a reliable, effective, and safe treatment option for this category of patients.

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The authors declare that there are no conflicts of interest present.