Retroperitoneal Laparoscopic Pyelolithotomy for Unilateral Large Sized Staghorn Renal Calculi

Online Journal of Health & Allied Sciences

Sajad Ahmad Salati¹  Ajaz Ahmad Rather² 

[1] Associate Professor of Surgery, Unaizah College of Medicine, Qassim University, KSA;Professor of Surgery, SKIMS Medical College, Bemina, Srinagar, Kashmir, India;

关键词: retroperitoneal laparoscopic pyelolithotomy;    renal calculi;    nephrolithiasis;    percutaneous nephrolithotripsy;    extra corporeal shock wave lithotripsy;   

DOI  :  

来源: DOAJ

【 摘 要 】

Background: The introduction of endourological procedures such as percutaneous nephrolithotomy and extracorporeal shock wave lithotripsy have led to a revolution in the management of nephrolithiasis. But in large sized staghorn calculi with branching, laparoscopic pyelolithotomy has a role and in recent years, retroperitoneal laparoscopic pyelolithotomy (RPPL) approach has been reported as a feasible alternative in various series. Aims and Objectives: To study the safety and efficacy of retroperitoneal laparoscopic pyelolithotomy (RPPL) in management of renal calculi bigger than 4 cm. Methods:This prospective study was conducted from January 2017 to June 2020 at the Department of Surgery, SKIMS Medical College, Bemina, Srinagar, Kashmir, India. The study included a total of 20 cases with the diagnosis of solitary renal pelvic calculi sized 4 cm and above. Results: There were 16 males and 4 females. The mean operative time was 107 min (range 86min-124 min) and the approximate mean blood loss was above 98.2 ml (range 74 ml – 144ml). Stone clearance was achieved in 18 cases and 2 cases were converted to the open procedure due to technical difficulties. Conclusion: Retroperitoneal laparoscopic pyelolithotomy (RPPL) is a safe, simple and feasible option that can be recommended for management of large sized staghorn renal calculi, if proper logistics and skilled personnel are available.

【 授权许可】

Unknown