Handling and prevention of complications in stone basketing
Handling and prevention of complications in stone basketing
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DOI：
10.1016/j.eururo.2006.02.033
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发表时间：
2006-11-01
期刊：
影响因子：
23.4
通讯作者：
Segura, Joseph W.
中科院分区：
文献类型：
--
作者：
de la Rosette, Jean J. M. C. H.;Skrekas, Thomas;Segura, Joseph W.
目的：回顾泌尿外科取石网篮术中和术后并发症的发生率、危险因素和治疗选择，强调预防这些并发症必须坚持的某些原则。方法：使用MEDLINE数据库对1970年至2005年期间的取石网篮进行文献检索。因取石引起的医源性创伤是众所周知的，但确切的发生率很难确定。很少，结石篮可能会导致输尿管严重创伤，如撕脱或肠套叠，需要开放或腹腔镜介入恢复输尿管连续性。粘膜磨损、输尿管穿孔和狭窄形成也被描述为结石网篮术的并发症。有时候，即使是有经验的泌尿科医生也会对挂篮或破篮感到焦虑。并发症的风险增加的因素，修复的策略，和技术的预防进行了广泛的讨论。结论：罕见的，在石篮手术意外可能会发生，必须得到适当的治疗。仔细注意手术工具的选择和手术技术，了解风险因素以及潜在损伤的类型和部位，对于减少这些并发症至关重要。(c)2006年欧洲泌尿外科协会。Elsevier B.V.出版，保留所有权利。
Objective: To review the incidence, risk factors, and treatment options of intraoperative and postoperative complications of stone basketing in urology with emphasis on certain principles that must be upheld to prevent those complications.Methods: A literature search was performed using the MEDLINE database on stone basketing between 1970 and 2005.Results: Iatrogenic trauma due to retrieval of a stone is well known but the exact incidence is difficult to ascertain. Rarely, stone basketing can cause major trauma to the ureter, such as avulsion or intussusception, requiring open or laparoscopic intervention for ureteral continuity restoration. Mucosal abrasion, ureteral perforation, and stricture formation have also been described as complications of stone basketing. occasionally, the engaged or broken basket can provoke anxiety even for experienced urologists. Factors that increase the risk of complications, strategies for repair, and techniques for prevention are discussed extensively.Conclusion: Infrequent, surgical misadventures during stone basketing can occur and must be treated appropriately. Careful attention to instrument selection and surgical techniques and awareness of risk factors and type and site of potential injury are essential to reduce these complications. (c) 2006 European Association of Urology. Published by Elsevier B.V. All rights reserved.