Retroperitoneal laparoscopic pyelolithotomy in the treatment of intrarenal pelvic calculi
- VernacularTitle:后腹腔镜下肾窦内肾盂切开取石术
- Author:
Chao LIN
;
Shaoxian SHI
;
Haitao LI
;
Gongsheng Lü
;
Xueqiang HE
;
Jiawang CHEN
- Publication Type:Journal Article
- Keywords:
Retroperitoneal laparoseopes;
Nephrolithiasis;
Pyelolithotomy
- From:
Chinese Journal of Urology
2008;29(9):603-604
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical efficacy and safety of retroperitoneal laparoscopic pyelolithotomy in the treatment of intrarenal pelvic staghorn calculus or multiple renal calculi. Methods Fifteen patients(9 males and 6 females)with average age of 40 years old were treated. The diameters of the calculi were from 1.5 cm to 3.7 cm. Three trocars were used in this procedure as rou-tine. The renal sinus was exposed by separating the pelvis from outside to inside until reaching the in-fundibulum of the renal calyx. Then the renal calyx was cut open and the calculus was taken out. Double J stent was placed in the ureter and the incision of pelvis was closed by 3-0 absorbable suture. The drainage tube was pulled out 3-4 d post-operatively according to the drainage quantity. Double J stent was then pulled out 2 weeks after surgery. Results All the 15 procedures were successfully completed. The average operation time was 170 min and the average post-operative hospital stay was 7 d. During the 3-15 months' follow-up, 2 patients had calculus remnants with the size of 0. 2-0.5cm in diameter. Conclusions Retroperitoneal laparoscopic pyelolithotomy provides a minimally inva-sive treatment option in patients with intrarenal pelvic staghorn calculus or multiple renal calculi. It has the advantages of good exposure, little bleeding, small incision and fast recovery.
