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Retroperitoneal pyelolithotomy for management of renal calculi.

AbstractOBJECTIVE:
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.
AuthorsJagdish Chander, Manav Suryavanshi, Pawan Lal, Lakvinder Singh, V K Ramteke
JournalJSLS : Journal of the Society of Laparoendoscopic Surgeons (JSLS) 2005 Jan-Mar Vol. 9 Issue 1 Pg. 97-101 ISSN: 1086-8089 [Print] United States
PMID15791981 (Publication Type: Journal Article)
Topics
  • Adolescent
  • Adult
  • Female
  • Humans
  • Kidney Calculi (surgery)
  • Kidney Pelvis (surgery)
  • Male
  • Middle Aged
  • Retroperitoneal Space
  • Urologic Surgical Procedures (methods)

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