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Номер №3, 2021 - стр. 70-72

Формирование конкремента в мочевом пузыре в результате миграции клипсы Hem-o-lok после робот-ассистированной радикальной простатэктомии DOI: 10.29188/2222-8543-2021-14-3-70-72

Для цитирования: Кызласов П.С., Колпациниди Ф.Г., Казанцев Д.В., Мустафаев А.Т., Боков А.И. Формирование конкремента в мочевом пузыре в результате миграции клипсы Hem-o-lok после робот-ассистированной радикальной простатэктомии. Экспериментальная и клиническая урология 2021;14(3):70-72; https://doi.org/10.29188/2222-8543-2021-14-3-70-72
Kyzlasov P.S., Kolpacinidi F.G., Kazancev D.V., Mustafaev A.T., Bokov A.I.
Сведения об авторах:
  • Кызласов П.С. – д.м.н., профессор кафедры урологии и андрологии МБУ ИНО ФГБУ ГНЦ ФМБЦ им. А.И. Бурназяна ФМБА России; главный внештатный уролог ФМБА России; Москва, Россия; РИНЦ Author ID 615093
  • Колпациниди Ф.Г. – врач-уролог кафедры урологии и андрологии МБУ ИНО ФГБУ ГНЦ ФМБЦ им. А.И. Бурназяна ФМБА России; Москва, Россия; РИНЦ Author ID 911882
  • Казанцев Д.В. – ординатор 1 первого года обучения кафедры урологии и андрологии МБУ ИНО ФГБУ ГНЦ ФМБЦ им. А.И. Бурназяна ФМБА России; Москва, Россия; РИНЦ Author ID 1112845
  • Мустафаев А.Т. оглы – аспирант кафедры урологии и андрологии МБУ ИНО ФГБУ ГНЦ ФМБЦ им. А.И. Бурназяна ФМБА России; Москва, Россия; РИНЦ Author ID 1087946
  • Боков А.И. – врач-уролог кафедры урологии и андрологии МБУ ИНО ФГБУ ГНЦ ФМБЦ им. А.И. Бурназяна ФМБА России; Москва, Россия; РИНЦ Author ID 742544
903

Введение. При выполнении радикальной простатэктомии лапароскопическим или роботическим способом в гемостатических целях широко применяют полимерные клипсы. При этом одним из возможных осложнений послеоперационного периода является миграция клипсы в мочевыводящие пути. Нами приводится клинический случай формирования конкремента в мочевом пузыре в результате миграции клипсы Hem-o-lok после робот-ассистированной радикальной простатэктомии.

Клинический случай. Представлен клинический случай хирургического лечения пациента со склерозом шейки мочевого пузыря после хирургического лечения рака предстательной железы, конкрементом мочевого пузыря, образованным вокруг клипсы Hem-o-lok.

Обсуждение. В мировой литературе описаны случаи миграции клипсы в мочевой пузырь, уретру, прямую кишку после радикальной простатэктомии. Частота этого осложнения по данным литературы менее 1% и для его диагностики необходимо ультразвуковое и цистоскопическое исследования.

Выводы. После проведения операции роботической радикальной простатэктомии с наложением клипс Hem-o-lok при наличии дизурических явлений необходимо ультразвуковое исследование мочевого пузыря для исключения наличия клипсы Hem-o-lok и раннего удаления для предотвращения дальнейшей инкрустации.

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простатэктомия; робот ассистированная радикальная простатэктомия; послеоперационные осложнения; миграция клипсы Hem-o-lok

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