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Published on: July 8, 2025
Retroperitoneal pyelolithotomy for management of renal calculi
Jagdish Chander1, Manav Suryavanshi, Pawan Lal
1Maulana Azad Medical College and Association, Lok Nayak Hospital, New Delhi, India. drjchander@hotmail.com
Objective:
We evaluated the role of retroperitoneoscopic pyelolithotomy in the management of renal calculi.
Methods:
Fifty-six cases (male, 27; female, 29) of solitary or multiple renal calculi were evaluated in the study. There were 46 patients with a single calculus, 4 patients with a staghorn calculus, and 6 with a caliceal calculus. Retroperitoneoscopic pyelolithotomy was carried out after creating a retroperitoneal space with the balloon dissection method. Pneumoretroperitoneum was maintained by carbon dioxide insufflation.
Results:
Stone clearance was achieved in all cases barring 2 cases of caliceal calculi that were converted to the open procedure. The postoperative hospital stay averaged 4 days. Patients were ambulatory within 24 hours and back to work within 7 days on average. Complications encountered were peritoneal rent, subcutaneous emphysema, and superficial wound infection. The postoperative analgesic requirement averaged 100 mg of diclofenac (2 tablets).
Conclusions:
Retroperitoneoscopic pyelolithotomy is a safe, simple, and effective minimally invasive procedure and is a feasible option that can be recommended for management of renal calculi.
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