Использование мочеточникового кожуха во время ретроградной интраренальной хирургии

Одним из современных методов лечения конкрементов почек до двух сантиметров является ретроградная интраренальная хирургия (РИРХ). Технический прогресс и развитие новых технологий привели к расширению показаний для проведения РИРХ. Использование мочеточниковых кожухов при этом не является обязательным, однако существует ряд причин, по которым урологи, как правило, используют кожухи, а именно: многократный и безопасный доступ в почку, снижение внутрипочечного давления, снижение риска повреждения инструмента, снижение риска травматизации стенок мочеточника во время литоэкстракции. В обзоре литературы представлены результаты исследований, показывающих безопасность и эффективность использования мочеточниковых кожухов при РИРХ у пациентов с конкрементами почек до 2 сантиметров. Оценивались такие показатели, как характеристики мочеточниковых кожухов, время оперативного вмешательства, показатель Stone Free Rate, интра- и послеоперационные осложнения, а также влияние кожуха на стенку мочеточника. Написание обзора проводили в соответствии с протоколом PRISMA protocol (http://www.prisma-statement.org) для данного типа исследования (ID-423604). При написании данного обзора мы проанализировали статьи, опубликованные в международных базах данных (Web of Science, PubMed, Google Scholar, Scopus).

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