The initial evaluation of The retroperitoneoscopic pyelolithotomy For the partial staghorn renal stone

• Tác giả: Duc Minh Hoang, Van Binh Nguyen, Khanh Viet Phan, Quoc Tuan Tran, Vinh Quy Truong, Xuan Nhuan Truong
• Ngôn ngữ: eng
• Thông tin xuất bản: Journal of Clinical Medicine – Hue Central Hospital, 2020
• Mô tả vật lý: tr.25-32
• Bộ sưu tập: Metadata
• ID: 376217

Tóm tắt

 Objective: To evaluate initial outcomes of retroperitoneoscopic pyelolithotomy for treating partial staghorn renal stones. Materials and Methods: 9 patients with partial staghorn renal stones were treated by retroperitoneal laparoscopic pyelolithotomy from June 2015 to June 2019. The mean age was 51.2 years (range 31-65)
  5 males (55.6%) and 4 females (44.4%). The mean stone size was 5.1 cm (3.2-6.8 cm). Results: The retroperitoneoscopic pyelolithotomy for the management of staghorn renal stones were completely successful in 8/9 cases (88.9%), 1 case (11.1%) required conversion to open surgery dueto heavy bleeding. The estimated blood losts was 20-50ml. The mean duration of the procedure time is 95.3 mins (70-165 mins). Double-J ureteral stents were used for all cases (100%). The mean post-operative hospital stay was 5.2 days (4-7 days). About complications: 1 case (12.5%) of urinary infection
  3 cases (37.5%) of postoperative hematuria. Conclusions: Retroperitoneal laparoscopic pyelolithotomy could be realized to remove the partial staghorn renal stones up to a maximum size of 6.8 cm. Success depends on the experience of surgeons and judicious selection of cases