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Retroperitoneal Pyelolithotomy for Management of Renal Calculi

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 cal...

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Autores principales: Chander, Jagdish, Suryavanshi, Manav, Lal, Pawan, Singh, Lakvinder, Ramteke, V. K.
Formato: Texto
Lenguaje:English
Publicado: Society of Laparoendoscopic Surgeons 2005
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015546/
https://www.ncbi.nlm.nih.gov/pubmed/15791981
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author Chander, Jagdish
Suryavanshi, Manav
Lal, Pawan
Singh, Lakvinder
Ramteke, V. K.
author_facet Chander, Jagdish
Suryavanshi, Manav
Lal, Pawan
Singh, Lakvinder
Ramteke, V. K.
author_sort Chander, Jagdish
collection PubMed
description 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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spelling pubmed-30155462011-02-17 Retroperitoneal Pyelolithotomy for Management of Renal Calculi Chander, Jagdish Suryavanshi, Manav Lal, Pawan Singh, Lakvinder Ramteke, V. K. JSLS Scientific Papers 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. Society of Laparoendoscopic Surgeons 2005 /pmc/articles/PMC3015546/ /pubmed/15791981 Text en © 2005 by JSLS, Journal of the Society of Laparoendoscopic Surgeons. This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/3.0/), which permits for noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited and is not altered in any way.
spellingShingle Scientific Papers
Chander, Jagdish
Suryavanshi, Manav
Lal, Pawan
Singh, Lakvinder
Ramteke, V. K.
Retroperitoneal Pyelolithotomy for Management of Renal Calculi
title Retroperitoneal Pyelolithotomy for Management of Renal Calculi
title_full Retroperitoneal Pyelolithotomy for Management of Renal Calculi
title_fullStr Retroperitoneal Pyelolithotomy for Management of Renal Calculi
title_full_unstemmed Retroperitoneal Pyelolithotomy for Management of Renal Calculi
title_short Retroperitoneal Pyelolithotomy for Management of Renal Calculi
title_sort retroperitoneal pyelolithotomy for management of renal calculi
topic Scientific Papers
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3015546/
https://www.ncbi.nlm.nih.gov/pubmed/15791981
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