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
Published: 2022-09-24
Page: 96-104
Issue: 2022 - Volume 5 [Issue 2]
Sanjeev Singla
Department of General Surgery, BPS GMC Khanpur, Sonepat, Haryana, India.
Bhopesh Kadian *
Department of General Surgery, BPS GMC Khanpur, Sonepat, Haryana, India.
Rohit Virmani
Department of General Surgery, BPS GMC Khanpur, Sonepat, Haryana, India.
Garima Dwivedi
Department of General Surgery, BPS GMC Khanpur, Sonepat, Haryana, India.
*Author to whom correspondence should be addressed.
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.
Keywords: Laparoscopy retroperitoneal pyelolithotomy, renal calculi, minimal invasive surgery