OBJECTIVE:To assess the feasibility of laparoscopy in the treatment of pediatric urolithiasis, we report our experience with the transperitoneal laparoscopic removal of stones.
METHOD:Renal pelvic stones of size ≥1 cm on ultrasound were included for laparoscopic pyelolithotomy while smaller stones were managed with shock-wave lithotripsy monotherapy. Intrarenal stones, calyceal stones, complete staghorn stones, multiple stones and kidneys with intrarenal pelvis were excluded. Ureteric stones included for laparoscopic ureterolithotomy were of size ≥1 cm in the upper, mid or lower ureter, and smaller stones not responding to non-operative treatment.
RESULTS:A total of 22 procedures were performed: 12 pyelolithotomies, and 8 lower and 2 upper ureterolithotomies. Complete removal of calculi was accomplished in 21 (95.45%) procedures. Complications associated with laparoscopic lithotomy included urinoma (4.54%), failure (4.54%) and omental prolapse (4.54%).
CONCLUSION: Laparoscopic lithotomy is safe and feasible in pediatric urolithiasis with pyelic and ureteric stones, with minimal complications and failure rate.
Written by:
Agrawal V, Bajaj J, Acharya H, Chanchalani R, Raina VK, Sharma D. Are you the author?
Department of Surgery, NSCB Government Medical College, Jabalpur 482003, India.
Reference: J Pediatr Urol. 2012 Apr 10. Epub ahead of print.
doi: 10.1016/j.jpurol.2012.03.001
PubMed Abstract
PMID: 22498008
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