Comparison of the treatment in patients with infectious risk factors: Laparoscopic pyelolithotomy, percutaneous nephrolithotomy or retrograde intrarenal surgery

2019 ◽  
Vol 18 (1) ◽  
pp. e2041
Author(s):  
J. Lu ◽  
Y. Xun ◽  
C. Li ◽  
S. Wang
Keyword(s):  
Risk Factors ◽  
Percutaneous Nephrolithotomy ◽  
Retrograde Intrarenal Surgery ◽  
Infectious Risk ◽  
Laparoscopic Pyelolithotomy

scholarly journals Evaluation of laparoscopic retroperitoneal approach for management of various renal calculi

2018 ◽  
Vol 5 (7) ◽  
pp. 2449
Author(s):  
Rudramani . ◽  
Vikas Singh ◽  
Shesh Kumar ◽  
Anil Kumar ◽  
Shailendra Kumar ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Multimodality Treatment ◽  
Renal Calculi ◽  
Retroperitoneal Approach ◽  
Retrograde Intrarenal Surgery ◽  
Laparoscopic Pyelolithotomy ◽  
Different Types ◽  
Staghorn Calculus ◽  
Mean Size ◽  
Laparoscopic Experience

Background: Despite the availability of Multimodality treatment for management of renal calculi as ESWL (Extra Corporeal Shock Wave Lithotripsy), PCNL (Percutaneous nephrolithotomy), URS (Ureterorenoscopy), RIRS (Retrograde intrarenal surgery) and open surgery and Percutaneous nephrolithotomy (PCNL), the gold standard, laparoscopic pyelolithotomy is an alternative treatment modality as long as the operator has adequate laparoscopic experience. Evaluation of Laparoscopic retroperitoneal approach for management of various renal calculi must be done to get the efficacy of the procedure according to the calculus and renal morphology.Methods: Laparoscopic retroperitoneal pyelolithotomy/nephrolithotomy was performed on 58 patients with various renal calculi patterns viz. solitary pelvic calculus, staghorn calculus, staghorn calculus with calyceal and isolated calyceal calculi. Extended pyelolithotomy, Gilvernet’s technique were used as per the need.Results: Out of the 58 cases with renal calculi, solitary renal pelvic stones (n=23; 39.7%) were most common followed by staghorn (n=11; 19% Mean size 4.40±1.17 cm) and isolated caliceal stones (n=9; 15.5% with Mean size2.21±0.25 cm) respectively. There were 15 (25.9%) cases with mixed stones (11 cases solitary renal pelvic and isolated caliceal stones and 4 cases had staghorn and isolated caliceal stones). Stone clearance was 93.3 to 100%.Conclusions: laparoscopic retroperitoneal approach is a useful modality for clearance of renal calculi of different types with minimum complications and a high success rate. However, the technique seems to have a limited role for isolated caliceal stones where direct or C-arm guided nephrolithotomy can be performed for better clearance of stones.

Systemic inflammatory response syndrome after percutaneous nephrolithotomy: An assessment of risk factors

2008 ◽  
Vol 15 (12) ◽  
pp. 1025-1028 ◽  
Author(s):  
Liang Chen ◽  
Qing-Quan Xu ◽  
Jian-Xing Li ◽  
Liu-Lin Xiong ◽  
Xiao-Feng Wang ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systemic Inflammatory Response Syndrome ◽  
Inflammatory Response ◽  
Percutaneous Nephrolithotomy ◽  
Systemic Inflammatory Response

scholarly journals Efficacy and safety of laparoscopic pyelolithotomy versus percutaneous nephrolithotomy for treatment of large renal stones: a meta-analysis

2021 ◽  
Vol 49 (1) ◽  
pp. 030006052098313
Author(s):  
Tie Mao ◽  
Na Wei ◽  
Jing Yu ◽  
Yinghui Lu
Keyword(s):  
Blood Transfusion ◽  
Blood Loss ◽  
Percutaneous Nephrolithotomy ◽  
Meta Analysis ◽  
Renal Stones ◽  
Efficacy And Safety ◽  
Complementary Treatment ◽  
Laparoscopic Pyelolithotomy ◽  
Stone Free Rate ◽  
Free Rate

Background We aimed to compare the efficacy and safety of laparoscopic pyelolithotomy (LPL) versus percutaneous nephrolithotomy (PCNL) for treating renal stones larger than 2 cm. Methods We searched the PubMed, Embase, Web of Science, SinoMed, and Chinese National Knowledge Infrastructure databases for studies that compared the surgical outcomes of LPL and PCNL. We conducted a meta-analysis of the retrieved studies, expressed as weighted mean difference or risk ratios with 95% confidence intervals. Results We included 25 studies (1831 patients). LPL was associated with a significantly higher stone-free rate, lower rates of blood loss, complementary treatment, blood transfusion, and complications, and less reduction in hemoglobin level compared with PCNL. LPL and PCNL were similar in terms of duration of hospital stay, conversion rate, changes in glomerular filtration rate and creatinine level, and mean time of postoperative analgesia. However, LPL was associated with a longer operation time than PCNL. Conclusion LPL appears to be more effective and safer than PCNL in patients with large renal stones, by increasing the stone-free rate and reducing blood loss, complementary treatment, blood transfusion, and complications compared with PCNL. LPL may thus be a useful modality for treating patients with large renal stones.

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