medigraphic.com
ISSN 2305-7939 (Electronic)

2012, Number 1

<< Back Next >>

RCU 2012; 1 (1)

Cirugía lumbo-laparoscópica de la litiasis del tracto urinario superior

González LT, Rodríguez VE, Machado AM, Faife FB, Pernía GL, Bautista OJ, Nodal J

Language: Spanish
References: 20
Page: 40-50
PDF size: 339.47 Kb.


ABSTRACT

Introduction: laparoscopic surgery has complemented the minimal invasive options available for patients with urinary lithiasis. From 1999, The Minimal Invasive Surgery Center started to apply for the first time in Cuba, lumbo-aparoscopic approach to the treatment of upper urinary tract lithiasis and it's complications. Objetives: 181 patients with this condition received at this Center from April 1999 to December 2007, had been studied. Methods: They were operated by lumbolaparoscopic surgery (182 procedures). Results: 42 of them were nephrectomies, 136 ureterolithotomy and 4 pielolitothomies. 14 patients (7.6 %) were laparoscopically performed and 160 patients (87.9 %) by lumboscopic approach. The main complications indexes were 5.4 %, one perioperative 0.5 % and nine postoperative 4.9%. Conclusions: lumbolaparoscopic surgery is a feasible and safe way to solve upper urinary tract lithiasis and their complications. Ureterolithotomy particularly showed a high percentage of resolution of lithiasis became into a good choice of treatment.


REFERENCES

  1. Miller NL, Lingeman JE. Management of kidney stones. BMJ 2007 March 3;334(7591):468-72.

  2. Türk C, Knoll T, Petrik A, Sarica K, Seitz C, Straub M, et al. Guía clínica sobre la urolitiasis. European Association of Urology [Internet]. 2010 [citado 2012 oct 8]; Available a partir de: http://217-116-20-133.redes.acens.net/UserFiles/07-GUIA_CLINICA_SOBRE_LA_UROLITIASIS.pdf

  3. Valle F. Indicación actual de la cirugía abierta en el tratamiento de la litiasis renal. Arch Esp Urol 2009;62(3):226-30.

  4. Dzeranov NK, Kazachenko AV, Beshliev DA, Moskalenko SA, Aliev MB, Ba-barin KA. Complications of open surgical procedures in urolithiasis and their prevention. Urol. 2002 Nov-Dec;(6):3-8.

  5. Yan SB, Wei Q. Open stone surgery: is it justified in the era of minimally invasive therapies? Zhonghua Wai Ke Za Zhi. 2009 Feb;47(4):244-7.

  6. Micali S, Moore RG, Averch TD, Adams JB, Kavoussi LR. The Role of Laparoscopy in the Treatment of Renal and Ureteral Calculi. J of Urol. 1997; Feb 157(2):463-66.

  7. Gaur DD, Trivedi S, Prabhudesai MR, Madhusudhana HR, Gopichand M. Laparoscopic ureterolithotomy: technical considerations and long-term follow-up. BJU international. 2002;89(4):339-43.

  8. Türk C, Knoll T, Köhrmann KU. New guidelines for urinary stone treatment. Controversy or development? Urologe A. 2008 May;47(5):591-3.

  9. Wolf JS Jr. Treatment selection and outcomes: ureteral calculi. Urol Clin North Am. 2007 Aug;34(3):421-30.

  10. Poletajew S, Antoniewicz, Borowk. Kidney Removal. The Past, Presence and Perspectives. Urol J. 2010 Fall;7(4):215-23.

  11. Wen X, Li X, Situ J, Fang Y, Chen X, Ruan X et al. Application of a temporary ureter clamp for retroperitoneal laparoscopic ureterolithotomy. World J Urol. 2010 Feb;28(1):99-102.

  12. El-Moula MG, Abdallah A, El-Anany F, Abdelsalam Y, Abolyosr A, Abdelhameed D et al. Laparoscopic ureterolithotomy: our experience with 74 cases. Int J Urol. 2008 Jul;15(7):593-7.

  13. Rowley MW, Wolf JS Jr. Risk factors for conversion to hand assisted laparoscopy or open surgery during laparoscopic renal surgery. J Urol. 2010. Mar;185(3):940-4.

  14. De Lorca AP, Fraile AG, Bramtot AA, Brabancho DC, Vázquez FL, Fernández JC. Complications in laparoscopy renal surgery in pediatric age: analysis of our experience and literature review. Actas Urol Esp. 2009 Jun;33(6):670-80.

  15. Santinelli F, Mias F, Manduley A. Lumboscopia: experiencia con la técnica en Berazategui, primeros 600 casos. Laparoscopia y robótica. Arch. Esp. Uro.l 2007;60(3):279-86.

  16. Castillo O, Cortés O. Complicaciones en cirugía laparoscópica urológica. Actas Urol Esp 2006;30(5):541-54.

  17. Larrea E, García C, Hernández D, Castillo M, Valdés AC, Báez D et al. Percutaneus nephrostomy associated whith extracorporeal shockwave lithotripsy in the treatment of renoureteral lithiasis. Arch Esp Urol. 1993 Jul-Aug;46(6):497-504.

  18. Khaladkar S, Modi J, Bhansali M, D Satyen, Patankar S. Which Is the Best Option to Treat Large (>1.5cm) Midureteric Calculi? J Laparoend Adv Surg Tech 2009;19(4):501-4.

  19. Skrepetis K, Doumas K, Siafakas I, Lykourinas M. Laparoscopic versus open ureterolithotomy. A comparative study. Eur Urol. 2001 Jul;40(1):32-6.

  20. Xi Q, Wang S, Ye Z, Liu J. Combined removal of stones with resection of concurrent pathologic ureter may be a preferred treatment for impacted ureteral stones with stricture lesions. J Endourol. 2009;23(2):243-7.




2020     |     www.medigraphic.com