Role of Laparoscopic Retroperitoneal Pyelolithotomy in the Management of Large Renal Calculi: A Retrospective Study of 45 Cases in an Indian Rural Tertiary Care Centre
Asian Journal of Research in Surgery, Volume 5, Issue 2,
Page 96-104
Abstract
Objective: We evaluated the role of laparoscopic retroperitoneal pyelolithotomy in the management of large renal calculi.
Methods: A retrospective study including 45 cases (male, 27; female, 18) of solitary renal calculi of size more than 2.5cm were evaluated. There were 41 patients with single calculus, 4 patients with a staghorn calculus. Laparoscopic retroperitoneal pyelolithotomy was performed using balloon dissection with minor modifications.
Results: Stone clearance was achieved in all forty-five cases. The mean operative time was 90 min. Postoperative hospital stays averaged 5 days. Patients were ambulatory in 24 hours and returned to work in 7 days on average. The minor complications encountered were peritoneal rent, balloon rupture, and superficial wound infection. The postoperative analgesic requirement was average, the patients required 1 tablet of diclofenac sodium (50 mg of diclofenac) for an average duration of 2 days.
Conclusions: Laparoscopic retroperitoneal pyelolithotomy is a suitable minimally invasive method for the treatment of patients with staghorn and large renal calculi in centers without robotic facilities.
- Laparoscopy retroperitoneal pyelolithotomy
- renal calculi
- minimal invasive surgery
How to Cite
References
Clayman RV, Kavoussi LR, Soper NJ, et al. Laparoscopic nephrectomy: Initial case report. J Urol. 1991;146:278–282.
Gaur DD, Agarwal DK, Purohit KC. Retroperitoneal laparoscopic nephrectomy: Initial case report. J Urol. 1993;149:103–105.
Honeck P, Wendt-Nordahl G, Krombach P, Bach T, Häcker A, Alken P, Knoll T, Michel MS. Does open stone surgery still play a role in the treatment of urolithiasis? Data of a primary urolithiasis center. Journal of Endourology. 2009 Jul 1;23(7):1209-12.
Kijvikai K. The role of laparoscopic surgery for renal calculi management. Therapeutic Advances in Urology. 2011 Feb;3(1):13-8.
Doublet JD, Barreto HS, Degremont AC, Gattegno B, Thibault P. Retroperitoneal nephrectomy: comparison of laparoscopy with open surgery. World J Surg. 1996;20:713-6.
Rassweiler JJ, Henkel TO, Stoch C, Greschner M, Becker P, Preminger GM, Schulman CC, Frede T, Alken P. Retroperitoneal laparoscopic nephrectomy and other procedures in the upper retroperitoneum using a balloon dissection technique. European Urology. 1994; 25:229-36.
Hemal AK, Goel A, Kumar M, Gupta NP. Evaluation of laparoscopic retroperitoneal surgery in urinary stone disease. J Endourol. 2001;15(7):701-5.
Chander J, Suryavanshi M, Lal P, Singh L, Ramteke VK. Retroperitoneal pyelolithotomy for management of renal calculi. SLS. 2005;9(1):97-101.
Nouralizadeh A, Simforoosh N, Soltani MH, Sarhangnejad R, Ardestanizadeh A, Shabaninia S, Ziaee SA. Laparoscopic transperitoneal pyelolithotomy for management of staghorn renal calculi. Journal of Laparoendoscopic & Advanced Surgical Techniques. 2012 Jan 1;22(1):61-5.
Al-Hunayan A, Khalil M, Hassabo M, Hanafi A, Abdul-Halim H. Management of solitary renal pelvic stone: laparoscopic retroperitoneal pyelolithotomy versus percutaneous nephrolithotomy. Journal of Endourology. 2011 Jun 1;25(6):975- 8.
Patloo AM, Sarmast AH, Khan MA, Khan MA, Zaz M, Khan MA, et al. Laparoscopic retroperitoneal pyelolithotomy and open pyelolithotomy: a comparative study. Turkish Journal of Urology. 2012;38:195–200.
Chander J, Suryavanshi M, Lal P, Singh L, Ramteke VK. Retroperitoneal pyelolithotomy for management of renal calculi. JSLS. 2005;9(1):97–101.
Micali S, Moore RG, Averch TD, Adams JB, Kavoussi LR. The role of laparoscopy in the management of renal and ureteric calculi. J Urol. 1997;157:463-6.
Al‐Hunayan A, Abdulhalim H, El‐Bakry E, Hassabo M, Kehinde EO. Laparoscopic pyelolithotomy: is the retroperitoneal route a better approach?. International Journal of Urology. 2009 Feb;16(2):181-6.
Tefekli A, Tepeler A, Akman T, Akçay M, Baykal M, Karadağ MA, Muslumanoglu AY, de la Rosette J. The comparison of laparoscopic pyelolithotomy and percutaneous nephrolithotomy in the treatment of solitary large renal pelvic stones. Urological Research. 2012 Oct;40(5):549-55.
Li S, Liu TZ, Wang XH, Zeng XT, Zeng G, Yang ZH, Weng H, Meng Z, Huang JY. Randomized controlled trial comparing retroperitoneal laparoscopic pyelolithotomy versus percutaneous nephrolithotomy for the treatment of large renal pelvic calculi: a pilot study. Journal of Endourology. 2014 Aug 1;28(8):946-50.
Singh V, Gupta P, Rudramani, Singh SK, Kumar S, Verma S, Srivastava S. Laparoscopic retroperitoneal pyelolithotomy at UP Rural Institute of Medical Sciences and Research: our initial experience of 25 cases. Int Surg J. 2016;3:488-91.
Singal R, Dhar S. Retroperitoneal laparoscopic pyelolithotomy in renal pelvic stone versus open surgery-a comparative study. Clujul Medical. 2018;91(1):85.
Eterovic D, Juretic-Kuscic L, Capkun V, Dujie Z. Pyelolithotomy improves while extracorporeal lithotripsy impairs kidney function. J Urol. 1999;161:39-44.
Gaur DD, Trivedi S, Prabhudesai MR, Gopichand M. Retroperitoneal laparoscopic pyelolithotomy for staghorn calculus. J Laparoendosc Adv Surg Tech A. 2002;12(4):299-303.
Ramakumar S, Lancini V, Chan DY, Parsons JK, Kavoussi LR, Jarrett TW. Laparoscopic pyeloplasty with concomitant pyelolithotomy. J. Urol. 2002;167:1378– 80.
Harmon WJ, Kleer E, Segura JW. Laparoscopic pyelolithotomy for calculus removal in a pelvic kidney. J. Urol. 1996; 155:2019–20.
Nambirajan T, Jeschke S, Albqami N, Abukora F, Leeb K, Janetschek G. Role of laparoscopy in management of renal stones: Single-center experience and review of literature. J. Endourol. 2005; 19:353–9.
Nambirajan T, Jeschke S, Al-Zahrani H, Vrabec G, Leeb K, Janetschek G. Prospective, randomised controlled study: Transperitoneal laparoscopic versus retroperitoneoscopic radical nephrectomy. Urology. 2004;64:919–24.
-
Abstract View: 128 times
PDF Download: 0 times
