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

Conclusion

Based on our experience, retroperitoneal laparoscopic intrasinusal pyelolithotomy is an effective and less invasive alternative for intra-renal pelvic stones, but not for large staghorn stones. For treatment of multiple pelvic calyceal stones, we found that the laparoscope combined with the ureteroscope could grasp calyceal stones through the pelvic incision, which significantly reduced the rate of residual stones. Infectious renal and ureteral stones can be treated in a one-step operation. The advantages of this method include no harm to the nephron, less bleeding, simple manipulation, short hospital stay, and quick postoperative recovery.

For patients with UPJO, retrocaval ureter and nephroptosis, laparoscopic treatment has obvious merits over other minimally invasive methods. We removed obstructions of the urinary tract by performing pyeloplasty, nephropexy, ureteropelvic anastomosis, and amputation of crossing vessels, which effectively reduced the recurrence of stones.

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