The application of retroperitoneoscopic pyelolithotomy combined with ureteroscope in the treatment for multiple renal calculi

doi:10.3877/cma.j.issn.1674-3253.2019.01.009

Abstract

Abstract:

Objective

To investigate the feasibility and safety of retroperitoneoscopic pyelolithotomy combined with ureteroscopy for the treatment of multiple renal calculi.

Methods

The clinical date of 10 cases underwent retroperitoneal laparoscopic pyelolithotomy combined with ureteroscopic lithotripsy in our hospital during March 2014 to March 2017 were analyzed retrospectively. The operation time, intraoperative blood loss, renal function, postoperative hospital stay and stone clearance rate were recorded.

Results

All operations were successful. The first phase stone-free rate was 100%, average operative time was (143±23) min, average blood loss was (98±39) ml, mean postoperative hospital stay was (6.5±1.0) d. The changes in creatinine were not different significantly between before and after surgery (P>0.05). One case occurred urinary fistula during the perioperation and had recovered through double J ureteral stent implantation. No anastomotic stricture or secondary kidney stones were found after (10±5) months follow-up.

Conclusions

In selected cases, retroperitoneal laparoscopic pyelolithotomy combined with ureteroscope lithotrips is feasible and effective for multiple renal stones.

Key words: Renal stones, Pyelolithotomy, Laparoscopy, Ureteroscopy

Haiyan Wu, Peng Zheng, Jingping Ge, Wen Cheng, Zhengyu Zhang. The application of retroperitoneoscopic pyelolithotomy combined with ureteroscope in the treatment for multiple renal calculi[J]. Chinese Journal of Endourology(Electronic Edition), 2019, 13(01): 36-39.

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https://zhqjmnmwkzz.cma-cmc.com.cn/EN/Y2019/V13/I01/36

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