Đánh giá kết quả ban đầu phẫu thuật nội soi sau phúc mạc điều trị sỏi san hô bán phần

Abstract

Objective: To evaluate initial outcomes of retroperitoneoscopic pyelolithotomy for treating partial staghorn renal stones. Subject and method: 9 patients with partial staghorn renal stones were treated by retroperitoneal laparoscopic pyelolithotomy from June 2014 to June 2018. The mean age was 51.2 years (range 31 - 65); 5 males (55.6%) and 4 females (44.4%). The mean stone size was 5.1cm (3.2 - 6.8cm). Result: The retroperitoneoscopic pyelolithotomy procedures for treatment of staghorn renal stones were completely successful in 8/9 cases (88.9%), 1 case (11.1%) required conversion to open surgery by heavy bleed. The estimated blood lost was 20 - 50ml. The mean duration of the procedure was 95.3 mins (70 - 165 mins). All of cases (100%) was put the residual stent into the ureter. The mean post-operation hospital stay was 5.2 days (4 - 7 days). About complications: 1 cases (12.5%) of urinary infection; 3 cases (37.5%) of postoperative hematuria. Conclusion: Retroperitoneal laparoscopic pyelolithotomy could be realized to remove the partial staghorn renal stones up to 6.8cm in size. Success depends on the experience of surgeons and judicious selection of cases.