RETROPERITONEAL LAPAROSCOPIC PYELOLITHOTOMY FOR RENAL PELVIC STONE: TREATMENT OUTCOMES AT CAN THO CENTRAL GENERAL HOSPITAL
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Abstract
Background: Urinary tract stones are a common disease of the urinary tract. Retroperitoneal laparoscopic pyelolithotomy surgery has shown many advantages, reducing the complications such as damage to organs in the peritoneum, blood vessels, incisional hernia... Currently, in Can Tho, there are not many studies that evaluating the results of treatment. That is the reason why we have proceeded this research. Objectives: Evaluate the treatment outcome of retroperitoneal laparoscopic pyelolithotomy for renal pelvic stone in 2018-2019. Materials and methods: This was a prospective, cross-sectional study, 37 patients with renal pelvic stone were treated by retroperitoneal laparoscopic pyelolithotomy method. Our study was conducted in Can Tho Central General Hospital, from 3/2018 to 7/2019. Results: 37 patients were included in the study, which had 18 males (48.6%) and 19 females (51.4%).The mean age of patients was 51.7 ± 10.5 years. Stone position: 54% right, the 46% left kidney. The mean stone size was 15,6 ± 4,4 mm. The mean operative time was 115.41 ± 30.65 minutes. Operative time in patients with stone size >20 mm was longer than patients with stone size ≤20 mm (p <0.05). The mean hospital stay was 7.81 ± 2.16 days. The stone free rate was 94.6%. Conclusion: Retroperitoneal laparoscopic surgery is the first choice for renal pelvic stone which cannot be treated with extracorporeal shock wave lithotripsy or failed to treat with other minimally invasive methods.
Keywords
Renal pelvic stone, retroperitoneal laparoscopic pyelolithotomy for renal pelvic stone
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