A.S. Panferov

Pirogov Russian National Research Medical University

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РИ

Р И Сафиуллин

РИ

Р. И. Сафиуллин

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov of the Ministry of Healthcare of the Russian Federation

СВ

С В Котов

СВ

С В Котов

Pirogov Russian National Research Medical University

СВ

С. В. Котов

Pirogov Russian National Research Medical University

Cooperative Institutions

Bashkir State Medical University

Ministry of Health of the Russian Federation

Pirogov Russian National Research Medical University

National Medical Research Center for Obstetrics, Gynecology and Perinatology named after Academician V.I.Kulakov of the Ministry of Healthcare of the Russian Federation

Bashkir State University

City Clinical Hospital

National Medical and Surgical Center named after N.I. Pirogov

Sechenov University

Moscow City Clinical Hospital after V.M. Buyanov

Moscow State University of Medicine and Dentistry

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Analysis of changes in the quality of life of patients with bilateral nephrolithiasis after simultaneous and staged bilateral mini-percutaneous nephrolithotomy

Experimental and Сlinical Urology (2019)

A.S. Panferov С В Котов Р. И. Сафиуллин

10.29188/2222-8543-2019-11-1-64-69

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Анализ изменения качества жизни пациентов с двусторонним нефролитиазом после одномоментной и этапной билатеральной мини-перкутанной нефролитотомии

Experimental and Сlinical Urology (2019)

A.S. Panferov С В Котов Р И Сафиуллин

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A comparative analysis of simultaneous bilateral versus staged supine mini-percutaneous nephrolithotomy in patients with bilateral kidney stones

Urologiia (2019)

A.S. Panferov С. В. Котов

To evaluate feasibility and efficiency of simultaneous bilateral supine mini-percutaneous nephrolithotomy in patients with bilateral kidney stones.A total of 79 patients were included in prospective, randomized study. Single-stage bilateral supine mini-percutaneous nephrolithotomy was performed in the main group (n=37), while in control group (n=42) staged mini-percutaneous nephrolithotomy was done. All interventions were performed in supine position. A type and severity of postoperative complications, changes in biomarkers of acute kidney injury including serum creatinine, glomerular filtration rate (GFR) and cystatin C level were evaluated. The follow-up was 6 months.Stone-free rate in main and control groups was 89.1% and 88.9%, respectively, while the mean duration of the surgery was 82.76 and 140.14 minutes, respectively (p<0.05). There were no significant differences in the type and rate of postoperative complications between groups. Recovery time was significantly shorter in the main group (8.44 vs. 17,76+/-2,41 days, respectively [p<0.05]). There were significant changes in serum creatinine and cystatin C levels on 1st day after surgery compared to baseline values and between groups. However, the level of GFR didnt significantly change in both groups. After 1 month, an increase in GFR in the main group was 6.9% in comparison with 6.8% in control group.Our study demonstrates that simultaneous bilateral mini-percutaneous nephrolithotomy is a safe and effective treatment option for patients with bilateral kidney stones.

Supine position

10.18565/urology.2019.2.31-35

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