Abstract | OBJECTIVE: We evaluated the role of retroperitoneoscopic pyelolithotomy in the management of renal calculi. METHODS: Fifty-six cases (male, 27; female, 29) of solitary or multiple renal calculi were evaluated in the study. There were 46 patients with a single calculus, 4 patients with a staghorn calculus, and 6 with a caliceal calculus. Retroperitoneoscopic pyelolithotomy was carried out after creating a retroperitoneal space with the balloon dissection method. Pneumoretroperitoneum was maintained by carbon dioxide insufflation. RESULTS: Stone clearance was achieved in all cases barring 2 cases of caliceal calculi that were converted to the open procedure. The postoperative hospital stay averaged 4 days. Patients were ambulatory within 24 hours and back to work within 7 days on average. Complications encountered were peritoneal rent, subcutaneous emphysema, and superficial wound infection. The postoperative analgesic requirement averaged 100 mg of diclofenac (2 tablets). CONCLUSIONS: Retroperitoneoscopic pyelolithotomy is a safe, simple, and effective minimally invasive procedure and is a feasible option that can be recommended for management of renal calculi.
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Authors | Jagdish Chander, Manav Suryavanshi, Pawan Lal, Lakvinder Singh, V K Ramteke |
Journal | JSLS : Journal of the Society of Laparoendoscopic Surgeons
(JSLS)
2005 Jan-Mar
Vol. 9
Issue 1
Pg. 97-101
ISSN: 1086-8089 [Print] United States |
PMID | 15791981
(Publication Type: Journal Article)
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Topics |
- Adolescent
- Adult
- Female
- Humans
- Kidney Calculi
(surgery)
- Kidney Pelvis
(surgery)
- Male
- Middle Aged
- Retroperitoneal Space
- Urologic Surgical Procedures
(methods)
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