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 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.
Chander
Jagdish
J
Maulana Azad Medical College and Association, Lok Nayak Hospital, New Delhi, India. drjchander@hotmail.com
Suryavanshi
Manav
M
Lal
Pawan
P
Singh
Lakvinder
L
Ramteke
V K
VK
D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000601:surgery*; D007682:Kidney Pelvis / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012187:Retroperitoneal Space; D013520:Urologic Surgical Procedures / Q000379:methods