| Revista: | International braz j urol |
| Base de datos: | PERIÓDICA |
| Número de sistema: | 000296762 |
| ISSN: | 1677-5538 |
| Autores: | Soares, Rodrigo S1 Romanelli, Pedro Sandoval, Marcos A Salim, Marcelo M Tavora, Jose E Abelha Jr, David L |
| Instituciones: | 1Hospital da Previdencia dos Servidores do Estado de Minas Gerais, Seccao de Urologia, Belo Horizonte, Minas Gerais. Brasil |
| Año: | 2005 |
| Periodo: | Mar-Abr |
| Volumen: | 31 |
| Número: | 2 |
| Paginación: | 111-116 |
| País: | Brasil |
| Idioma: | Inglés |
| Tipo de documento: | Artículo |
| Enfoque: | Teórico, descriptivo |
| Resumen en inglés | OBJECTIVE: To assess the efficacy of retroperitoneoscopy for treating stones in the renal pelvis and proximal ureter. MATERIALS AND METHODS: In the period from August 2003 to August 2004, 35 retroperitoneoscopies for treatment of urinary stones were performed on 34 patients. Fifteen patients (42%) had stones in the renal pelvis, and in 2 cases, there were associated stones in the upper caliceal group. Twenty patients (58%) had ureteral stones, all of them located above the iliac vessel. Twenty-five patients (71%) had previously undergone at least one session of extracorporeal lithotripsy and 8 patients (26%) also underwent ureteroscopy to attempt to remove the stone. Eight patients underwent retroperitoneoscopy as a primary procedure. Stone size ranged from 0.5 to 6 cm with a mean of 2.1 cm. RESULTS: Retroperitoneoscopy was performed by lumbar approach with initial access conducted by open technique and creation of space by digital dissection. We used a 10-mm Hasson trocar for the optics, and 2 or 3 additional working ports placed under visualization. Following identification, the urinary tract was opened with a laparoscopic scalpel and the stone was removed intact. The urinary tract was closed with absorbable 4-0 suture and a Penrose drain was left in the retroperitoneum. In 17 patients (49%), a double-J stent was maintained postoperatively. Surgical time ranged from 60 to 260 minutes with a mean of 140 minutes. The mean hospital stay was 3 days (1-10 days) |
| Disciplinas: | Medicina |
| Palabras clave: | Cirugía, Nefrología, Litiasis renal, Técnicas quirúrgicas, Ureteros, Laparoscopia, Retroperitoneo |
| Keyword: | Medicine, Nephrology, Surgery, Renal lithiasis, Surgical techniques, Ureters, Laparoscopy, Retroperitoneum |
| Texto completo: | Texto completo (Ver HTML) |
