Comparison of laparoscopic pyelolithotomy and retrograde intrarenal surgery in the management of large renal pelvic stones

2021 ◽  
Author(s):  
Mehmet Cagatay Cicek ◽  
Tariq Asi ◽  
Kadir Omur Gunseren ◽  
Hakan Kilicarslan
Keyword(s):  
Retrograde Intrarenal Surgery ◽  
Laparoscopic Pyelolithotomy

Comparison of laparoscopic pyelolithotomy and retrograde intrarenal surgery in the management of large renal pelvic stone

2020 ◽  
Author(s):  
Mehmet Cagatay Cicek ◽  
Tariq Asi ◽  
Kadir Omur Gunseren ◽  
Hakan Kilicarslan
Keyword(s):  
Operation Time ◽  
Retrograde Intrarenal Surgery ◽  
Median Hospital Stay ◽  
Efficient Procedure ◽  
Laparoscopic Pyelolithotomy ◽  
Stone Free Rate ◽  
Lower Complication ◽  
Lower Complication Rate ◽  
Median Hospital ◽  
Free Rate

Abstract Background To compare the clinical outcomes of laparoscopic pyelolithotomy (LP) and retrograde intrarenal surgery (RIRS) in the management of large renal pelvic stones. Methods This study included patients who presented with a single renal pelvic stone sized ≥20 mm and who were treated primarily by laparoscopic pyelolithotomy or retrograde intrarenal surgery. The patients were grouped based on the surgical procedure they underwent. We retrospectively examined and compared the age, the longest axis and the surface area of the stone, operation time, hospitalization time, complications and stone-free rates of the two groups. Results Of the 156 patients included in the study, 44 had laparoscopic pyelolithotomy, and 112 had retrograde intrarenal surgery. Patients who received laparoscopic pyelolithotomy (13 males, 31 females) had a median age of 54 (18-79) years, while those who underwent retrograde intrarenal surgery (46 males, 66 females) had a median age of 54.5 (18-79). Patients who received laparoscopic pyelolithotomy were found to have larger median stone size (30 mm vs 24 mm, p=0.003), longer operation time (100 minutes vs 70 minutes, p=0.007), lower complication rate (2% vs 8.9%, p=0.063), longer median hospital stay (3 days vs 1 day, p<0.001) and better stone-free rate at the third month (90.9% vs 67.9%, p<0.001). Conclusion LP is a safe and efficient procedure that could be used as an alternative to retrograde intrarenal surgery in managing large renal pelvic stones.

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.

V935: Laparoscopic Pyelolithotomy for Staghorn Stones

2006 ◽  
Vol 175 (4S) ◽  
pp. 302-303 ◽  
Author(s):  
Mirandolina B. Mariano ◽  
Rene J. Sotelo ◽  
Alberto C. Stein ◽  
Federico Gaviria ◽  
Alejandro J. Garcia ◽  
...  
Keyword(s):  
Laparoscopic Pyelolithotomy ◽  
Staghorn Stones

Safety and reliability of fluoroscopy-free technique in retrograde intrarenal surgery

2018 ◽  
Vol 70 (6) ◽  
Author(s):  
Cagdas Senel ◽  
Altug Tuncel ◽  
Melih Balci ◽  
Ahmet Asfuroglu ◽  
Can Aykanat ◽  
...  
Keyword(s):  
Retrograde Intrarenal Surgery ◽  
Safety And Reliability
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