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Volume 3, Issue 3 (Suppl) J Kidney, an open access journal
ISSN:2472-1220 Kidney & Nephrology 2017
August 28-30, 2017
August 28-30, 2017 Philadelphia, USA
15th Annual Congress on
Kidney: Nephrology & Therapeutics
Rajinder Yadav, J Kidney 2017, 3:3 (Suppl)
DOI: 10.4172/2472-1220-C1-002
Advanced retroperitoneoscopic surgery in renal stones
Rajinder Yadav
Fortis Superspeciality Hospital, India
Introduction & Purpose: Staghorn and multiple renal stone diseases have been a challenging problem, and require multiple
modalities for complete clearance.The purpose of this study is todiscuss about the innovative and advanced retroperitoneoscopic
surgery performed for this morbid condition.
Material & Method: Since 1992, 336 cases of urinary stones were operated by this technique out of which, 65 cases were of
staghorn and multiple stone diseases. Apart from laparoscopic instruments, rigid and flexible nephroscope, dormia basket,
grasping forceps and flushing cannula were used. Standard kidney position was used with 3 to 4 ports. 43 cases were male, 22
cases were female. The age of the patients ranged from 11 years to 65 years. Ureteric catheter or DJ stent was introduced before
operation.
Results: All the operations were performed successfully except two conversations in initial period. Blood transfusion was given
into two patients in the post-operative period (one unit in each patient). Post-operative urine leak stopped in 24 to 72 hrs.
Duration of surgery ranged from two hours 45 minutes to four hours 35 minutes. Post-operative x-rays showed residual stones
in kidney in three patients and in the retroperitoneum in four patients. Residual stones in kidney were treated by ESWL after
six weeks. Hospital stay was 4-6 days. No postoperative urinary tract infection occurred from the surgery. Two patients had
port infection. One patient had urinoma due to lockage of drain.
Conclusion: Retroperitoneoscopic surgery for staghorn and multiple stones is minimally invasive and less traumatic to kidney.
It is comparable with open surgery and accepted by patients. Post-operative discomfort in more as compared By PCNL.
Biography
Rajinder Yadav has completed his MCh in Urology from AIIMS in December 1980. After completion of MCh from AIIMS, he joined as Sr. Lecturer in Department of
Surgery & Urology at PGI Medical College, Rohtak. He is the Director of Urology, Kidney Transplant and Laparoscopic Oncosurgery at Fortis Healthcare, a premier
healthcare organization. He has published and presented more than 15 papers in journals and conferences.