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Published on: September 13, 2022
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[Laparoscopic pyelolithotomy for staghorn kidney stones. multi-center study]
A D Kochkin1,2,3,4,5,6, E A Gallyamov1,2,3,4,5,6, V L Medvedev1,2,3,4,5,6
1Clinical Hospital at Nizhny Novgorod Railway Station of JSC RZD, Nizhny Novgorod, Russia.
Urologiia (Moscow, Russia : 1999)
|August 29, 2017
Summary
Laparoscopic pyelolithotomy (LP) is a safe and effective treatment for staghorn stones, offering a viable alternative to open and percutaneous surgery with minimal complications and good stone clearance rates.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Staghorn stones pose a significant treatment challenge.
- Laparoscopic pyelolithotomy (LP) is an alternative surgical approach.
Purpose of the Study:
- To evaluate the effectiveness and safety of laparoscopic pyelolithotomy (LP) for treating staghorn calculi.
- To compare LP outcomes against traditional surgical methods.
Main Methods:
- A multicentre retrospective analysis of 137 patients undergoing LP for staghorn stones (K3-K4) between 2004 and 2016.
- Data collected included complications, conversion rates, operative time, hospital stay, and stone clearance.
Main Results:
- No mortality or access conversion was observed.
- Intraoperative complications occurred in 1.46% of patients; postoperative complications were 5.11%.
- Stone clearance was achieved in 86.13% of cases, with a mean hospital stay of 7 days.
Conclusions:
- Laparoscopic pyelolithotomy is a safe and effective alternative for complex staghorn stones.
- LP offers comparable or superior outcomes to open and percutaneous procedures.
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