Study on Evaluation of Laparoscopic Retroperitoneal Approach for Management of Various Renal Calculi
Background: The use of laparoscopic surgery as an alternative to open surgery has increased in recent years, owing to the increased usage of laparoscopy in urology and the inherent limitations of Percutaneous nephrolithotomy (PCNL). To determine the efficacy of the technique based on the calculus and renal morphology, a Laparoscopic retroperitoneal method for the management of diverse renal calculi must be evaluated. The goal of this study was to see how well a laparoscopic retroperitoneal technique worked for treating diverse renal calculi. Methods: On 58 patients with various renal calculi patterns, such as solitary pelvic calculus, staghorn calculus with calyceal calculus, and isolated calyceal calculi, laparoscopic retroperitoneal pyelolithotomy/nephrolithotomy/nephrolithotomy/nephrolithotomy/nephrolithotomy/nephrolithotomy/nephrolithotomy/nephro As needed, extended pyelolithotomy and Gilvernet’s method were utilised. Solitary renal pelvic stones (n=23, 39.7%) were the most common, followed by staghorn (n=11, 19 percent, Mean size 4.401.17 cm) and isolated caliceal stones (n=9, 15.5 percent, Mean size 2.210.25 cm) in the 58 cases with renal calculi. There were 15 cases with mixed stones (25.9%). (11 cases solitary renal pelvic and isolated caliceal stones and 4 cases had staghorn and isolated caliceal stones). The stone removal ranged from 93.3 to 100%. Conclusions: The laparoscopic retroperitoneal technique is an effective method for removing various forms of renal calculi with few complications and a high success rate. However, for isolated caliceal stones, the procedure appears to have a limited role, as direct or C-arm guided nephrolithotomy can be performed for improved stone clearance.
Author(s) Details
. Rudramani
Department of Surgery, Uttar Pradesh University of Medical Sciences, Saifai Etawah, Uttar Pradesh, India.
Vikas Singh
Department of Surgery, Uttar Pradesh University of Medical Sciences, Saifai Etawah, Uttar Pradesh, India.
Shesh Kumar
Department of Surgery, Uttar Pradesh University of Medical Sciences, Saifai Etawah, Uttar Pradesh, India.
Anil Kumar
Department of Surgery, Uttar Pradesh University of Medical Sciences, Saifai Etawah, Uttar Pradesh, India.
Shailendra Kumar
Department of Surgery, Uttar Pradesh University of Medical Sciences, Saifai Etawah, Uttar Pradesh, India.
Manish Kr. Singh
Department of Surgery, Uttar Pradesh University of Medical Sciences, Saifai Etawah, Uttar Pradesh, India.
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