Retroperitoneoscopic nephrectomy v classic lumbotomy for pyonephrosis.
OBJECTIVE
To describe our experience and operative technique for retroperitoneoscopic nephrectomy for pyonephrosis and to compare the results with those of open surgery.


METHODS
Since October 1998, 23 successful retroperitoneoscopic nephrectomies for pyonephrosis were performed in our institution (Group A). These patients were compared with 23 patients, matched by age, sex, and body weight, who underwent classic lumbotomy for pyonephrosis (Group B). The two groups were compared in terms of operative time, blood loss, hospital stay, wound complications, and time of return to previous occupation.


RESULTS
All the features studied except operative time were significantly different in favor of laparoscopy.


CONCLUSIONS
Although technically difficult, retroperitoneoscopic nephrectomy for pyonephrosis is feasible. The extraperitoneal approach allows direct access to the renal hilum and helps avoid spillage of pus into the peritoneum.
Lucan
Mihai
M
Clinical Institute of Urology and Renal Transplant, Cluj-Napoca, Romania. Mihai.Lucan@renaltransplant.ro
Iacob
Gheorghita
G
Lucan
Ciprian
C
Yohannes
Paulos
P
Rotariu
Paul
P
D000293:Adolescent; D000328:Adult; D002648:Child; D005240:Feasibility Studies; D005260:Female; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy / Q000379:methods*; D011704:Pyelonephritis / Q000601:surgery*; D012187:Retroperitoneal Space; D016896:Treatment Outcome