{"id":137033,"date":"2026-01-12T17:02:19","date_gmt":"2026-01-12T17:02:19","guid":{"rendered":"https:\/\/www.deberes.net\/tesis\/sin-categoria\/estudio-multifactorial-de-la-tecnica-simplificada-de-la-nefrolitotomia-percutanea\/"},"modified":"2026-01-12T17:02:19","modified_gmt":"2026-01-12T17:02:19","slug":"estudio-multifactorial-de-la-tecnica-simplificada-de-la-nefrolitotomia-percutanea","status":"publish","type":"post","link":"https:\/\/www.deberes.net\/tesis\/ciencias-medicas\/estudio-multifactorial-de-la-tecnica-simplificada-de-la-nefrolitotomia-percutanea\/","title":{"rendered":"Estudio multifactorial de la tecnica simplificada de la nefrolitotomia percutanea."},"content":{"rendered":"<h2>Tesis doctoral de <strong>  Valer Algarabel Jes\u00fas Javier <\/strong><\/h2>\n<p>A pesar de la conocida eficacia de la litotricia extracorporea por ondas de choque (eswl) la extraccion de calculos urinarios situados en vias altas, mediante metodos percutaneos no ha perdido su vigencia. En el presente trabajo se exponen la casuistica compuesta por un total de 231 pacientes todos ellos afectos de diferentes procesos litiasicos del tracto urinario superior a los que se les ha realizado la tecnica simplificada de la nefrolitotomia percutanea. Asi como de un grupo a\u00f1adido de 11 pacientes, con procesos urolitiasicos complejos, a los que se les realizaron varias sesiones de cirugia percutanea.  brevemente la tecnica simplificada de la nefrolitotomia percutanea consiste en posicionar al paciente en decubito supino con una ligera elevacion del flanco homolateral a intervenir, aproximadamente unos 30 grados. Con el paciente bajo analgesia intravenosa y sedacion general, se practia una puncion percutanea en la linea axilar posterior por debajo de la duodecima costilla, llegando hasta un caliz renal previamente seleccionado. Una vez identificado el citado caliz, se realizan sucesivas maniobras conducnetes a la dilatacion del futuro tracto de nefrostomia. Una vez establecido dicho tracto se procede a la introduccion del andoscopio (nefroscopio) llevandose a cabo las maniobras de litofragmentacion y extraccion de los fragmentos litiasicos. Dejando finalmente una sonda de nefrostomia como drenaje.<\/p>\n<p>&nbsp;<\/p>\n<h3>Datos acad\u00e9micos de la tesis doctoral \u00ab<strong>Estudio multifactorial de la tecnica simplificada de la nefrolitotomia percutanea.<\/strong>\u00ab<\/h3>\n<ul>\n<li><strong>T\u00edtulo de la tesis:<\/strong>\u00a0 Estudio multifactorial de la tecnica simplificada de la nefrolitotomia percutanea. <\/li>\n<li><strong>Autor:<\/strong>\u00a0  Valer Algarabel Jes\u00fas Javier <\/li>\n<li><strong>Universidad:<\/strong>\u00a0 Zaragoza<\/li>\n<li><strong>Fecha de lectura de la tesis:<\/strong>\u00a0 01\/01\/1991<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h3>Direcci\u00f3n y tribunal<\/h3>\n<ul>\n<li><strong>Director de la tesis<\/strong>\n<ul>\n<li> Valdivia Uria Jos\u00e9 Gabriel<\/li>\n<\/ul>\n<\/li>\n<li><strong>Tribunal<\/strong>\n<ul>\n<li>Presidente del tribunal: Emilio Rubio Calvo <\/li>\n<li> Romero Fernandez Francisco Javier (vocal)<\/li>\n<li>Jos\u00e9 Alfredo Martinez Hernandez (vocal)<\/li>\n<li>Angel Bayo Ochoa (vocal)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Tesis doctoral de Valer Algarabel Jes\u00fas Javier A pesar de la conocida eficacia de la litotricia extracorporea por ondas de [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center 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