How to choose kidney stone surgery? Kidney stone surgery?

There is no best surgical method for kidney stones, only the most suitable plan. Therefore, patients need to undergo urological CT examination before surgery to determine the size and location of the stone and whether it is causing obstruction and causing hydronephrosis.

If the kidney stones are small, less than 1 cm, especially less than 6mm, they can be conservative** and do not need surgery. If the kidney stone is one centimeter long, does not cause hydronephrosis and does not require surgery, extracorporeal shock wave lithotripsy is an option. If the kidney stone is more than 1 cm long, resulting in hydronephrosis, ureteroscopic holmium laser lithotripsy may be preferred.

If the nephrolithiasis is larger, more than two centimeters in size, resulting in hydronephrosis, percutaneous nephrolithotripsy may be preferred.

If it is a relatively small stone, external lithotripsy can be discharged. If the stone is large, surgery is definitely necessary. At present, the most minimally invasive surgery is very safe, and the recovery is fast.

You can consult a doctor in a professional hospital about this, after all, the doctor is the most authoritative and experienced, so it is safer.

There are many kinds of kidney stones, there are minimally invasive, percutaneous nephroscopic surgery, etc., the general cost is about tens of thousands, but kidney stone surgery is not needed in any case, unless it is more than two or three centimeters of kidney stones or severe hydronephrosis needs to be used, otherwise the general situation is not surgery, the surgical damage is very large, the gains outweigh the losses, it is recommended that you can use the Cinnamomum tea acid dissolved stone without surgery.

Precautions. Control the diet structure and avoid excessive intake of acidic substances that can exacerbate acidic constitution. The pH balance of the diet is very important for the prevention and treatment of kidney disease and complications.

In terms of diet, we should eat more foods rich in plant organic active alkalis, less meat, and more vegetables.

Participating in aerobic exercise, exercising properly, and exercising more in the sun and sweating more can help eliminate excess acids from the body, thereby preventing the occurrence of kidney disease.

Maintain a good mood and do not have too much psychological pressure, which can lead to the deposition of acidic substances and affect the normal progress of metabolism. Proper regulation of mood and self-stress can maintain a weak alkaline constitution, thereby preventing the occurrence of kidney disease.

Eat less salt and vegetables that contain oxalate.

This is because oxalate combines with calcium in the body to form calcium oxalate and deposit it as a stone. Green vegetables contain more oxalate, especially spinach. Excessive oxalic acid accumulation is one of the factors that contribute to kidney stones.

Foods such as spinach, beans, grapes, cocoa, tea, oranges, tomatoes, potatoes, plums, bamboo shoots and other foods are high in oxalic acid. Secondly, abnormal purine metabolism, excessive fat intake, increased sugar, and excessive protein are the main reasons for the onset of kidney stones.

When kidney stones are of different sizes, they are treated differently:

1. Less than centimeter.

It depends on the size of the kidney stones, which are smaller than centimeters, you can drink more water, urinate more and exercise more to see if the stones can be discharged.

2. Greater than centimeters.

If the stone is larger than centimeter and there are bad symptoms such as low back pain, belching, nausea, etc., you need to find a doctor to take some medicine to drain the stone.

3. More than 1 cm.

If the stone is larger than 1 cm, the ureter will be easily obstructed, and it will cause great damage to the kidneys.

People who usually don't drink water, drink water, eat greasy and irregular, don't like exercise, often sit for a long time, skip breakfast, and love to eat supper, are most likely to get kidney stones.

People who have not had a physical examination, if they have these bad habits, they must check whether they already have kidney stones.

People who are found to have kidney stones in the physical examination should also have regular check-ups to understand the changes in the size of the kidney stones.

Generally speaking, when there was no minimally invasive surgery for kidney stones, incision generally refers to renal peliotomy or renal parenchymal incision and stone removal, like these two surgeries, the surgical wound is generally larger, the trauma is larger, and the patient's recovery after the operation is relatively slow, and the pain for the patient is also greater. Nowadays, general kidney stone surgery refers to minimally invasive surgery, which is currently commonly used in clinical practice, such as percutaneous nephroscopic laser lithotripsy, as well as ureteroscopic laser lithotripsy.

In many hospitals, some complex kidney stones such as ureteroscopic laser lithotripsy and percutaneous nephroscopic laser lithotripsy have been carried out in many hospitals, such as this is the clinical so-called double-mirror combination, which can significantly increase the clearance rate of stones and reduce the complications of surgery. Therefore, at present, open surgery for kidney stones often refers to minimally invasive surgery, and mainly refers to these two types of surgery.

Kidney stones are a very common disease, and its best methods include drug stone expulsion, surgical stone removal, extracorporeal lithotripsy, etc., while surgery has traditional methods, minimally invasive surgery, etc. At present, patients need to choose a specific method according to the size, number and location of the stones, and need to drink more water, urinate more, and jump more after surgery to facilitate the discharge of stones, and regularly review to understand the discharge of stones.

Surgery for kidney stones is divided into traditional open surgery** and minimally invasive surgery**, at present, it is mainly invasive surgery**, so what kind of patients need surgery**? 1. Larger renal pelvis and calyceal stones, such as stones with a diameter of more than 3cm or antler-shaped stones, these stones can also be made by endoluminal urological surgery and extracorporeal shock wave lithotripsy**. 2. Kidney stones that have obstruction and cause renal damage, such as renal calyceal stones with stenosis in the neck of the renal calyceses, renal pelvic stones with stenosis at the junction between the renal pelvis and ureters, and renal pelvic stones with high ureteral insertion malformation, etc., should be given surgery in time to relieve the obstruction and save the renal function for anuria caused by stone obstruction.

3. Surgery is taken for kidney stones with a diameter of more than 2cm and a rough surface, as well as stones that stay in a certain part for too long and are estimated to have formed adhesion and incarceration. In addition, patients with serious complications of the kidneys and poor general condition should choose surgery** to shorten the ** cycle. Then the last suggestion for those who do not need surgery is that Fu Ying Shi Qi tea melted stone, do not delay the condition, it can also be used after surgery to help restore prevention.

There are four types of kidney stone surgery:

1. Renal pelvis or sinus incision and stone removal: incision of the renal pelvis, removal of stones, antler stones or calyceal stones, sometimes it is necessary to perform renal pelvis and calyceal stone removal in the renal sinus.

2. Renal parenchymal incision and stone removal: the kidney stone is large, and the renal parenchyma needs to be incised and removed.

3. Partial nephrectomy: It is suitable for multiple stones at the first pole of the kidney (mostly at the lower pole of the kidney), or in the dilated and poor drainage of the renal calyce.

4. Nephrectomy: one side of the kidney stone and severe hydronephrosis or pyometra, which has caused serious damage or loss of kidney function, while the other kidney function is good.

For these four types of surgery, it is recommended that the stone is larger and difficult to drain the choice, in the need for surgery can choose lithotripsy, in less than one centimeter can be conservatively observed first, choose the stone of the stone discharge, do not wait until it is serious in regret!

Depending on the location of your stone and the size of the stone, the type of surgery will be determined, and if it is less than and you can be sure that the surface of the stone is smooth, you can urinate with medication and plenty of water. If it is less than 2 cm, it is more than 2 cm, and ureteroscopic lithotripsy is performed. If it is larger than 2 cm, you may need to have an open surgery.