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Laparoscopic Pyelolithotomy for the Management of Large Renal Stones with Intrarenal Pelvis Anatomy.
Simforoosh, Nasser; Radfar, Mohammad Hadi; Valipour, Reza; Dadpour, Mehdi; Kashi, Amir Hossein.
Afiliación
  • Simforoosh N; Urology and Nephrology Research Center (UNRC), Shahid Labbafinejad Medical Center, Shahid Beheshti, University of Medical Sciences (SBMU), Tehran, Iran. simforoosh@iurtc.org.
  • Radfar MH; Urology and Nephrology Research Center (UNRC), Shahid Labbafinejad Medical Center, Shahid Beheshti, University of Medical Sciences (SBMU), Tehran, Iran. mhadirad@yahoo.com.
  • Valipour R; Azad University of Medical Sciences, Tehran, Iran. drrezavalipour@yahoo.com.
  • Dadpour M; Urology and Nephrology Research Center (UNRC), Shahid Labbafinejad Medical Center, Shahid Beheshti, University of Medical Sciences (SBMU), Tehran, Iran.
  • Kashi AH; Urology and Nephrology Research Center (UNRC), Shahid Labbafinejad Medical Center, Shahid Beheshti, University of Medical Sciences (SBMU), Tehran, Iran. ahkashi@gmail.com.
Urol J ; 18(1): 40-44, 2020 Apr 13.
Article en En | MEDLINE | ID: mdl-32281090
PURPOSE: The role of laparoscopic pyelolithotomy (LPL) in the management of renal stones is evolving. One of the challenges in LPL for renal stones is patients with intrarenal pelvis. Here we present our experience with laparoscopic pyelolithotomy for the management of renal stones with intrarenal pelvis anatomy. MATERIALS AND METHODS: Patients candidate for laparoscopic pyelolithotomy from February 2014 to March 2015 were included. Intrarenal pelvis was defined as > 50% of the renal pelvis area contained inside renal parenchyma. Laparoscopic pyelolithotomy was done by transperitoneal approach. Residual stones were checked by computed tomography and/or intravenous pyelography and ultrasonography 6 weeks after the operation. RESULTS: 28 patients were included in this study. The mean±SD of patients' age was 45.8±12.5 years. 19 patients (68%) were male. Stone locations were pelvis, multiple, and staghorn in 22, 3, and 3 patients respectively. The mean±SD of operation duration was 160±48 minutes. Residual stones were observed in 3 patients with multiple (n=2) or staghorn (n=1) stones. Urinary leak was observed in 3 patients and was managed conservatively in 2 patients. In one patient ureteral stent was inserted by cystoscopy. No conversion to open surgery or re-operation occurred. CONCLUSION: Laparoscopic pyelolithotomy is a feasible operation for patients with renal stones and intrarenal pelvis in centers with adequate experience in laparoscopy. However, the success of LPL decreases in patients with multiple stones and intrarenal pelvis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cálculos Renales / Laparoscopía / Nefrotomía / Pelvis Renal Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Urol J Asunto de la revista: UROLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Irán
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Cálculos Renales / Laparoscopía / Nefrotomía / Pelvis Renal Límite: Adult / Female / Humans / Male / Middle aged Idioma: En Revista: Urol J Asunto de la revista: UROLOGIA Año: 2020 Tipo del documento: Article País de afiliación: Irán Pais de publicación: Irán