TACTICS OF TREATMENT OF PATIENTS FOR ONCOLOGICAL DISEASES IN IATROGENIC INJURY OF UPPER URINARY WAYS

TACTICS OF TREATMENT OF PATIENTS FOR ONCOLOGICAL DISEASES IN IATROGENIC INJURY OF UPPER URINARY WAYS

Results of examination and treatment of 119 patients for oncological diseases were analyzed, in whom iatrogenic injury of ureter (IIU) have occurred. Remission of oncological diseases plastic operations were performed in 48 (40.3%) patients, reconstructive - in 23 (19.3%), restoration - in 3 (2.5%);...

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Veröffentlicht in:Klinična hìrurgìâ (Kiïv) 2015-10 (10), p.52-56
Hauptverfasser: Stakhovskyi, E O, Vukalovych, P S, Voylenko, O A, Stakhovskyi, O E, Vitruk, Yu V, Kononenko, O A
Format: Artikel
Sprache:ukr
Schlagworte:
Aged
Female
Humans
Kidney - pathology
Kidney - surgery
Male
Middle Aged
Neoplasms - complications
Neoplasms - pathology
Neoplasms - surgery
Nephrostomy, Percutaneous
Palliative Care
Reconstructive Surgical Procedures - methods
Ureter - pathology
Ureter - surgery
Ureteral Obstruction - complications
Ureteral Obstruction - pathology
Ureteral Obstruction - surgery
Urinary Tract Infections - complications
Urinary Tract Infections - pathology
Urinary Tract Infections - surgery
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Zusammenfassung:Results of examination and treatment of 119 patients for oncological diseases were analyzed, in whom iatrogenic injury of ureter (IIU) have occurred. Remission of oncological diseases plastic operations were performed in 48 (40.3%) patients, reconstructive - in 23 (19.3%), restoration - in 3 (2.5%); while a progress - palliative nephrostomy in 41 (34.5%) patients. In 4 (3.4%) patients dynamical observation was conducted. The method of operative treatment was selected, taking into account efficacy of treatment of oncological diseases; mechanism of IIU; level of obstruction and irreversibility of changes in wall of ureter; character of injury (one-sided, bilateral, injury of ureter of a single kidney); anatomo-functional changes of upper and lower urinary ways; the patient state severity.
ISSN:0023-2130