Patients and Methods: Thirteen patients (10 males and 3 females) underwent transperitoneal laparoscopic pyelolithotomy for removal of staghorn stones. Mean stone size was 5.1 cm (range, 4-6.5 cm). All patients had large stones in the renal pelvis and several (more than two) calices with extrarenal pelvis.
Results: Mean operative time was 177 minutes (range, 110-240 minutes), and the mean hospital stay was 4 days (range, 3-7 days). Transfusion was not required in any patient, and open conversion did not happen. Overall success rate was 84.6% (11/13), and 2 patients had residual stones that were managed with extracorporeal shockwave lithotripsy. There were no major complications (bleeding, sepsis, bowel injury, or urinary leakage).
Conclusion: The role of laparoscopic kidney stone surgery has not been defined well, but laparoscopic transperitoneal pyelolithotomy may be performed with proper results and negligible complications in skillful hands. It could be a suitable alternative to PCNL for the treatment of staghorn stones in selected cases.
Written by:
Nouralizadeh A, Simforoosh N, Soltani MH, Sarhangnejad R, Ardestanizadeh A, Shabaninia S, Ziaee SA. Are you the author?
Urology and Nephrology Research Center, Shahid Labbafinejad Medical Center, Shahid Beheshti Medical University, Tehran, Iran.
Reference: J Laparoendosc Adv Surg Tech A. 2012 Jan;22(1):61-5.
doi: 10.1089/lap.2011.0302
PubMed Abstract
PMID: 22142027
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