{"id":5560,"date":"2016-07-15T12:15:46","date_gmt":"2016-07-15T10:15:46","guid":{"rendered":"http:\/\/spital.sf.treime.md\/?p=5560"},"modified":"2016-07-26T07:52:44","modified_gmt":"2016-07-26T05:52:44","slug":"tratamentul-chirurgical-laparoscopic-al-chisturilor-renale","status":"publish","type":"post","link":"https:\/\/treime.md\/ru\/tratamentul-chirurgical-laparoscopic-al-chisturilor-renale\/","title":{"rendered":"Tratamentul chirurgical laparoscopic al chisturilor renale"},"content":{"rendered":"<p>[vc_row][vc_column][vc_images_carousel images=&#187;5564,5652,5651,5650,5561,5563,5565,5562,5566,5567,5568,5569,5577&#8243; img_size=&#187;&#187; slides_per_view=&#187;4&#8243; autoplay=&#187;yes&#187; wrap=&#187;yes&#187; el_class=&#187;carusel_post&#187;][vc_empty_space][vc_column_text]<a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/chist.jpg\" rel=\"attachment wp-att-5574\"><img loading=\"lazy\" class=\"size-full wp-image-5574 aligncenter\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/chist.jpg\" alt=\"chist\" width=\"300\" height=\"298\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/chist.jpg 300w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/chist-200x200.jpg 200w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/chist-96x96.jpg 96w\" sizes=\"(max-width: 300px) 100vw, 300px\" \/><\/a>Pentru \u00eenceput trebuie men\u0163ionat c\u0103 un chist renal poate fi de mai multe feluri: benign, parazitar, obstructiv sau malign. Chisturile seroase (pline cu lichid) sunt \u00een general, congenitale. De cele mai multe ori sunt unice, localizate \u00een corticala renal\u0103, cu peretele transparent, avascular. Chisturile seroase sunt cel mai frecvent \u00eent\u00e2lnite la femei.<!--more--><\/p>\n<p>Totodat\u0103, chisturile pot fi \u015fi \u201ccomplexe\u201d, \u00een sensul c\u0103 peretele lor poate suferi diferite modific\u0103ri, merg\u00e2nd chiar spre malignizare (\u00een cazuri foarte rare) dar aceste modific\u0103ri sunt decelabile imagistic (ecografie, RMN, Tomografie Computerizat\u0103).<\/p>\n<p>Cel mai frecvent sunt descoperite odat\u0103 cu efectuarea unui <strong>examen ecografic<\/strong> de rutin\u0103 sau <strong>tomografie computerizat\u0103<\/strong>. C\u00e2nd ajung la dimensiuni mai mari de 6 cm pot deveni simptomatice datorit\u0103 distensiei: pot da dureri lombare sau \u00een ambele flancuri, rar ajung\u00e2nd s\u0103 fie palpabile.<\/p>\n<p><a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled2-1.png\" rel=\"attachment wp-att-5651\"><img loading=\"lazy\" class=\"wp-image-5651 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled2-1.png\" alt=\"Untitled2\" width=\"229\" height=\"159\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled2-1.png 638w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled2-1-300x208.png 300w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled2-1-500x347.png 500w\" sizes=\"(max-width: 229px) 100vw, 229px\" \/><\/a>      <a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled1.png\" rel=\"attachment wp-att-5650\"><img loading=\"lazy\" class=\"wp-image-5650 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled1.png\" alt=\"Untitled1\" width=\"173\" height=\"158\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled1.png 563w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled1-300x273.png 300w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled1-500x456.png 500w\" sizes=\"(max-width: 173px) 100vw, 173px\" \/><\/a>       <a href=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled3.png\" rel=\"attachment wp-att-5652\"><img loading=\"lazy\" class=\"wp-image-5652 alignnone\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled3.png\" alt=\"Untitled3\" width=\"141\" height=\"156\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled3.png 449w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled3-270x300.png 270w\" sizes=\"(max-width: 141px) 100vw, 141px\" \/><\/a><\/p>\n<p>\u00cen situa\u0163ii rare, aceste chisturi pot duce la complica\u0163ii precum: compresiune pe rinichi (manifest\u00e2ndu-se clinic prin durere) sau pe sistemul de colectare al urinei, traduc\u00e2ndu-se prin blocarea par\u0163ial\u0103 sau complet\u0103 a rinichiului; se mai pot infecta, pot s\u00e2ngera (hemoragii), sau pot maligniza.<\/p>\n<p>\u00cen continuare pute\u021bi urm\u0103ri un material realizat pe tema chisturilor renale care necesita interven\u021bia chirurgical\u0103:<\/p>\n<p><strong>Indica\u0163ia operatorie<\/strong> pentru chisturile renale include chisturile care dep\u0103\u015fesc 6 cm \u00een diametru \u015fi sunt clinic manifeste.<\/p>\n<p>Pentru efectuarea interven\u0163iei se fac 3 incizii mici (1-2 cm) prin care se introduc \u00een abdomen instrumentele de laparoscopie, a\u015fa cum este prezentat \u015fi \u00een figur\u0103. Interven\u0163ia se desf\u0103\u015foar\u0103 sub anestezie general\u0103, iar durata sa este de 60 \u2013 90 minute.<\/p>\n<p>Chistul renal este incizat, con\u0163inutul s\u0103u este drenat, apoi foi\u0163a care \u00eel tapeteaz\u0103 este t\u0103iat\u0103, \u201cdecupat\u0103\u201d \u015fi extras\u0103 pentru ca acesta s\u0103 nu recidiveze.<\/p>\n<p>Recuperarea postoperatorie este rapid\u0103, pacientul se poate externa la 48 de ore dup\u0103 interven\u0163ie. Drenajul postoperator nu este necesar de regul\u0103.<\/p>\n<p>\u00cen c\u00e2teva imagini, interven\u0163ia poate fi descris\u0103 astfel:<\/p>\n<ol>\n<ol>\n<ol>\n<li>Introducerea instrumentelor de lucru \u015fi realizarea disec\u0163iei p\u00e2n\u0103 la nivelul chistului.<\/li>\n<\/ol>\n<\/ol>\n<\/ol>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/nNHZap-OL1g?rel=0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>2. Descoperirea chistului.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/UV5a982GLe4?rel=0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>3. Punc\u0163ia \u015fi aspira\u0163ia con\u0163inutului chistului.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/8QVTBhilS5c?rel=0\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p>4. Excizia foi\u0163ei (\u201cc\u0103m\u0103\u015fii\u201d) chistului pentru a preveni recidiva sa ulterioar\u0103.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/yZNbzm4mG4U\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/p>\n<p><strong>Riscuri poten\u0163iale \u015fi complica\u0163ii<\/strong><\/p>\n<p>De\u015fi aceast\u0103 procedur\u0103 s-a dovedit a fi foarte sigur\u0103, la fel ca \u00een orice procedur\u0103 chirurgical\u0103 exist\u0103 riscuri \u015fi complica\u0163ii poten\u0163iale. Ratele de siguran\u0163\u0103 \u015fi complica\u0163ii sunt similare comparativ cu chirurgia deschis\u0103.<\/p>\n<p>Riscurile poten\u0163iale includ:<\/p>\n<p><em>S\u00e2nger\u0103ri<\/em>: pierderea de s\u00e2nge \u00een timpul acestei proceduri este de obicei minor\u0103 (mai pu\u0163in de 100 ml), \u00eentruc\u00e2t o transfuzie de s\u00e2nge este rareori necesar\u0103.<\/p>\n<p><em>Infec\u0163ie:<\/em> to\u0163i pacien\u0163ii sunt trata\u0163i cu antibiotice cu spectru larg pe cale intravenoas\u0103 \u00eenainte de a \u00eencepe interven\u0163ia chirurgical\u0103 \u00een vederea sc\u0103derii riscului de infec\u0163ie postoperatorie.<\/p>\n<p><em>Eventra\u0163ie<\/em>: aceast\u0103 complica\u0163ie apare foarte rar, deoarece toate inciziile \u201c\u00een gaur\u0103 de cheie\u201d sunt \u00eenchise cu grij\u0103 la \u00eencheierea interven\u0163iei chirurgicale. Faptul c\u0103 sunt de dimensiuni foarte mici constituie un factor de protec\u0163ie \u00eempotriva eventra\u0163iei.<\/p>\n<p><em>Conversia<\/em> c\u0103tre interven\u0163ia deschis\u0103: sunt situa\u0163ii \u00een care procedura poate necesita convertirea la opera\u0163ia deschis\u0103 \u00een cazul \u00een care din diferite motive procedura laparoscopic\u0103 nu reu\u0219e\u015fte s\u0103 rezolve problema obstacolului jonc\u0163ional. Conversia duce la o incizie mai mare \u015fi la o perioad\u0103 mai lung\u0103 de recuperare.<\/p>\n<p><strong>Dup\u0103 externarea din spital<\/strong><\/p>\n<p><em>Controlul durerii<\/em>: pot ap\u0103rea unele dureri care pot necesita medica\u0163ie antialgic\u0103 p\u00e2n\u0103 la o s\u0103pt\u0103m\u00e2n\u0103 de la externare.<\/p>\n<p><em>Du\u015f<\/em>: Pute\u0163i face du\u015f dup\u0103 \u00eentoarcerea acas\u0103 de la spital. Cicatricile operatorii trebuiesc totu\u015fi evitate de c\u0103tre ap\u0103. Baia \u00een cad\u0103 nu este recomandat\u0103 \u00een primele 2 s\u0103pt\u0103m\u00e2ni de la opera\u0163ie, deoarece aceasta poate cre\u015fte riscul de infec\u0163ie la nivelul pl\u0103gilor operatorii. Firele de sutur\u0103 de la nivelul tegumentului se extrag dup\u0103 7-10 zile de la opera\u0163ie.<\/p>\n<p><em>Activitate<\/em>:  Pentru \u00eenceput, plimbarea este un mod bun pentru mi\u015fcare. \u015eederea prelungit\u0103 \u00een pat trebuie evitat\u0103. \u015eofatul ar trebui evitat timp de cel pu\u0163in 1-2 s\u0103pt\u0103m\u00e2ni dup\u0103 interven\u0163ia chirurgical\u0103. Nu este permis efortul de ridicare de greut\u0103\u0163i. Cei mai mul\u0163i pacien\u0163i pot reveni la \u00eentreaga activitate pe care o desf\u0103\u015furau \u00eenainte de opera\u0163ie dup\u0103 aproximativ 3 s\u0103pt\u0103m\u00e2ni postoperator.<\/p>\n<p><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/bSGbv_dYfCg\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><br \/>\n<strong>Gheorghe STRAJESCU,<\/strong><\/p>\n<p><strong>doctor \u00een \u015ftiin\u0163e medicale, conferen\u0163iar universitar<\/strong><\/p>\n<p><strong>Vicedirector chirurghie, IMSP SCM \u201dSf\u00e2nta Treime\u201d<\/strong>[\/vc_column_text][vc_empty_space]<ul class=\"photostream clearfix page_margin_top_section\"><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/chist-96x96.jpg\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" 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height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled2-1-96x96.png\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled2-1-96x96.png 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled2-1-200x200.png 200w\" sizes=\"(max-width: 96px) 100vw, 96px\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/Untitled2-1.png\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><li class=\"gallery_box\"><img width=\"96\" height=\"96\" src=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled1-96x96.png\" class=\"attachment-medicenter-small-thumb size-medicenter-small-thumb\" alt=\"\" loading=\"lazy\" srcset=\"https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled1-96x96.png 96w, https:\/\/treime.md\/wp-content\/uploads\/2016\/07\/Untitled1-200x200.png 200w\" sizes=\"(max-width: 96px) 100vw, 96px\" \/><ul class=\"controls\">\n\t\t\t\t<li>\n\t\t\t\t\t<a href=\"http:\/\/spital.sf.treime.md\/wp-content\/uploads\/2016\/07\/Untitled1.png\" class=\"fancybox open_lightbox\" style=\"background-image: url('https:\/\/treime.md\/wp-content\/themes\/medicenter\/images\/icons_media\/blue_light\/image.png')\"><\/a>\n\t\t\t\t<\/li>\n\t\t\t<\/ul>\n\t\t<\/li><\/ul>[\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row][vc_column][vc_images_carousel images=&#187;5564,5652,5651,5650,5561,5563,5565,5562,5566,5567,5568,5569,5577&#8243; img_size=&#187;&#187; slides_per_view=&#187;4&#8243; autoplay=&#187;yes&#187; wrap=&#187;yes&#187; el_class=&#187;carusel_post&#187;][vc_empty_space][vc_column_text]Pentru \u00eenceput trebuie men\u0163ionat c\u0103 un chist renal poate fi de mai multe feluri: benign, parazitar, obstructiv sau malign. Chisturile seroase (pline cu lichid) sunt \u00een general, congenitale. De cele mai multe ori sunt unice, localizate \u00een corticala renal\u0103, cu peretele transparent, avascular. Chisturile seroase sunt cel mai frecvent<\/p>\n","protected":false},"author":2,"featured_media":5564,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[53,2],"tags":[],"_links":{"self":[{"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/posts\/5560"}],"collection":[{"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/comments?post=5560"}],"version-history":[{"count":30,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/posts\/5560\/revisions"}],"predecessor-version":[{"id":5710,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/posts\/5560\/revisions\/5710"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/media\/5564"}],"wp:attachment":[{"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/media?parent=5560"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/categories?post=5560"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/treime.md\/ru\/wp-json\/wp\/v2\/tags?post=5560"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}