Laparoscopic pyelolithotomy: its current place in the management of renal pelvis stones
DOI:
https://doi.org/10.18203/2349-2902.isj20203240Keywords:
LP, PCNL, Uretero pelvic junction obstructionAbstract
Background: Laparoscopic pyelolithotomy is assumed to preserve functional renal parenchyma, and there is a limited risk for immediate or late renal hemorrhage. Therefore, it might be an alternative for the patients in whom maximal preservation of renal parenchyma is necessary. In the present study, we aimed to compare the success rate and perioperative complications of laparoscopic pyelolithotomy. In the present study, we aimed to document and compare the success rate and perioperative complications of laparoscopic pyelolithotomy with published literature about percutaneous nephrolithotomy (PCNL).
Methods: We retrospectively reviewed the clinical charts of all patients subjected to laparoscopic pyelolithotomy (18 cases) in the Department of General Surgery at SMIMER Hospital (tertiary care centre), Surat between the period of January 2014 to December 2018. Record of all patients were assessed for demographic profile, co morbidities, routine blood investigations, including RFT, urine cytology and culture sensitivity, specialized investigation as X-ray KUB, USG KUB, IVP/CT-Urography, DTPA scan, all patients were called for follow up evaluation with radiological, clinical and RFT studies at regular intervals upto 3 months.
Results: LP is considered a successful alternative therapy for PCNL in selected cases with large renal stones like those in the extra renal pelvis in patients without a history of previous surgery. In addition, laparoscopic pyelolithotomy (LP) can be considered as a reasonable therapeutic option for large staghorn calculus which cannot be removed with a reasonable number of access and sessions of PCNL.
Conclusions: Our results show that laparoscopic pyelolithotomy is equally good or better as compared to PCNL in selected cases.
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References
Stuart Wolf J. Urinary Lithiasis: Percutaneous approaches to the upper urinary tract coll ecting system. In: Wein AJ, Kavoussi LR, eds. Campbell-Walsh Urology. 10th ed. Philadelphia, Elsevier; 2012:1348-54.
Zeng G, Zhu W, Li J, Zhao Z, Zeng T, Liu C, et al. The comparison of minimally invasive percutaneous nephrolithotomy and retrograde intrarenal surgery for stones larger than 2 cm in patients with a solitary kidney: a matched-pair analysis. World J Urol. 2015;33(8):1159-64.
Al-Hunayan A, Khalil M, Hassabo M, Hanafi A, Abdul-Halim H. Management of solitary renal pelvic stone: laparoscopic retroperitoneal pyelolithotomy versus percutaneous nephrolithotomy. J Endourol. 2011;25:975-8.
Hashim H, Christopher RJ. Ureteropelvic junction obstruction. Eur Urol Suppl. 2012;11:25-32.
Chatham JR, Dykes TE, Kennon WG, Schwartz BF. Effect of percutaneous nephro-lithotomy on differential renal function as measured by mercaptoacetyl triglycine nuclear renography. Urology. 2002;59:522-5.
Nadu A, Schatloff O, Morag R, Ramon J, Winkler H. Laparoscopic surgery for renal stones: is it indicated in the modern endourology era? Int Braz J Urol. 2009;35:9-17.
Majidpour HS. Risk of radiation exposure during PCNL. Urol J. 2010;7:87-9.
Mettler FA Jr, Koenig TR, Wagner LK, Kelsey CA. Radiation injuries after fluoroscopic procedures. Semin Ultrasound CT MR. 2002;23:428-42.
Bai, Yunjin, Tang, Yin, Deng, Lan, et al. Management of large renal stones: Laparoscopic pyelolithotomy versus percutaneous nephrolithotomy. BMC Urology. 2017;17.
Shah HN, Nayyar R, Rajamahanty S, Hemal AK. Prospective evaluation of unidirectional barbed suture for various indications in surgeon-controlled robotic reconstructive urologic surgery: Wake Forest University experience. Int Urol Nephrol. 2012;44(3):775-85.
Basiri A, Soltani MH, Kamranmanesh M. Neurologic complications in percutaneous nephrolithotomy. Korean J Urol. 2013;54:172-6.
Nambirajan T, Jeschke S, Albqami N, Abuk-ora F, Leeb K, Janetschek G. Role of laparoscopy in management of renal stones: single center experience and review of literature. J Endourol. 2005;19:353-9.
Lee JW, Cho SY, Yeon JS. Laparoscopic pyelolithotomy: comparison of surgical outcomes in relation to stone distribution within the kidney. J Endourol. 2013;27:592- 7.
Nouralizadeh A, Simforoosh N, Soltani MH, Sarhangnejad R, Ardestanizadeh A, Shabaninia S, et al. Laparoscopic transperitoneal pyelolithotomy for management of staghorn renal calculi. J Laparoendosc Adv Surg Tech. 2012;22(1):61-5.
Li S, Liu TZ, Wang XH, Zeng XT, Huang JY, Meria, et al. Randomized controlled trial comparing retroperitoneal laparoscopic Pyelolithotomy versus Percutaneous Nephrolithotomy for the treatment of large renal pelvic calculi: a pilot study. J Endourol. 2014;28(8):946-50.
Lim S, Ghosh S, Niklewski P, Roy S. Laparoscopic Suturing as a Barrier to Broader Adoption of Laparoscopic Surgery. JSLS. 2017;21(3):e2017.00021.
Ramakumar S, Lancini V, Chan DY, arsons JK, Kavoussi LR, Jarrett TW. Laparoscopic pyeloplasty with concomitant pyelolithotomy. J Urol. 2002;167:1378-80.
Tefekli A, Tepeler A, Akman T, Akçay M, Baykal M, Karadağ MA, et al. The comparison of laparoscopic pyelolithotomy and percutaneous nephrolithotomy in the treatment of solitary large renal pelvic stones. Urol Res. 2012;40:549-55.
Aminsharifi A, Hosseini MM, Khakbaz A. Laparoscopic pyelolithotomy versus percutaneous nephrolithotomy for a solitary renal pelvis stone larger than 3 cm: a prospective cohort study. Urolithiasis. 2013;41:493-7.
Wang X, Li S, Liu T, Guo Y, Yang Z. Laparoscopic pyelolithotomy compared to percutaneous nephrolithotomy as surgical management for large renal pelvic calculi: a meta-analysis. J Urol. 2013;190:888-93.
Seitz C, Desai M, Häcker A, Hakenberg OW, Liatsikos E, Nagele U, et al. Incidence, prevention, and management of complications following percutaneous nephrolitholapaxy. Eur Urol. 2012;61(1):146-58.
Soucy F, Ko R, Duvdevani M, Nott L, Denstedt JD, Razvi H. Percutaneous nephrolithotomy for staghorn calculi: a single center's experience over 15 years. J Endourol. 2009;23(10):1669-73.
Wang Y, Jiang F, Wang Y, Hou Y, Zhang H, Chen Q, et al. Post-percutaneous nephrolithotomy septic shock and severe hemorrhage: a study of risk factors. Urol Int. 2012;88(3):307-10.
Jou YC, Lu CL, Chen FH, Shen CH, Cheng MC, Lin SH, et al. Contributing factors for fever after tubeless percutaneous nephrolithotomy. Urology. 2015;85(3):527-30.
Milcent S, Desgrandchamps F, Mongiat-Artus P, Duclos JM, Teillac P. Management of pelvic stones larger than 20 mm: laparoscopic transperitoneal pyelolithotomy or percutaneous nephrolithotomy? Urol Int. 2005;75:322-6.
Liu C, Zhang X, Liu Y, Wang P. Prevention and treatment of septic shock following mini-percutaneous nephrolithotomy: a single-center retrospective study of 834 cases. World J Urol. 2013;31(6):1593-7.
