Retroperitoneal Laparoscopic Technique in Treatment of Complex Renal Stones

75 cases

Chao Qin; Shangqian Wang; Pu Li; Qiang Cao; Pengfei Shao; Pengchao Li; Zhijian Han; Jun Tao; Xiaoxin Meng; Xiaobing Ju; Rijin Song; Jie Li; Wei Zhang; Qiang Lu; Changjun Yin

Disclosures

BMC Urol. 2014;14(16) 

In This Article

Background

Shockwave lithotripsy or endourologic treatments such as percutaneous nephrostolithotomy are the primary options in most cases of renal stones. Open and laparoscopic procedures are also applied for some selected patients. In complex situations such as abnormal anatomy, accompanying complications, or larger stones, surgery is often the primary therapeutic option.

Retroperitoneal laparoscopy for renal surgery is a viable and versatile alternative to transperitoneal access; the location of the kidneys in the retroperitoneum makes it a perfect approach. Moreover, due to low postoperative complications, reduced hospitalization, less blood loss, and better cosmetic results, laparoscopy has prevailed in recent years. Nevertheless, only in centers with adequate experience in transperitoneal and retroperitoneal laparoscopic procedures should these cases be performed laparoscopically.[1]

Retroperitoneal laparoscopy is a minimally invasive approach, compared to endourologic treatment, for a variety of reconstructive indications for different pathologic conditions. After adequate training, surgeons should be able to use the approach proficiently. Despite the limited surgical space, direct posterior access to the kidney and renal hilum makes this attractive, as it allows early ligation of renal vessels. Emerging techniques such as single port or single incision could also be performed in a selected subset of patients. The general acceptance of this technique worldwide is confirmation of its potential value.

In the present study, we report the outcomes of 75 patients who underwent retroperitoneal laparoscopic pyelolithotomy for the treatment of complex renal stones between July 2006 and December 2012 in our hospital.

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