- Articles
- Submited: October 14, 2018
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Published: December 30, 2019
Abstract
ABSTRACTIntroduction: For several decades minimal access surgery has become the path of preference in the treatment of most surgical diseases of the urinary tract; replacing open surgery. It is a common treatment modality in the developed countries unlike the developing countries. In Ethiopia, retroperitoneoscopic renal cysts decortications was introduced for the first time, by our team.
Objective: To determine the outcome of minimal access urologic surgeries at SPHMMC
Methods: A prospective study was conducted on patients for whom laparoscopic urology surgeries were performed from January 1, 2017 to June 31, 2017 in St Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia.
Results: 33 laparascopic urology surgeries were performed in the study period. 20 were renal cysts excision, 11 Nephrectomies and the remaining 2 were Ureterolithotomies. For all procedures there was no significant blood loss (<70ml). After laparoscopic cystectomy the post-operative hospital stay was 24 hours and all patients started routine work on average of 15 days. After laparoscopic ureterolithotomy the total hospital stay was 48 hours. At the 15th post OP day both patients started their routine work. After laparoscopic nephrectomy all patients were discharged after 48-hours, and on average at the 21st day they started their routine work.
Conclusion: Minimally invasive surgery is a safe and effective option, for the treatment of renal cyst, ureterolithiasis and pathologies requiring nephrectomy. It provides a shorter hospital stay, earlier return to work than open surgery.
Keywords: Retroperitoneoscopy; Renal cyst decortications; Ureterolithotomy; Retroperitoneoscopic Nephrectomy, Hand-assisted transperitoneal laparoscopic nephrectomy
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References
- REFERENCES
- • Tefera A.; Suarez M.E.; et al (2017). Retroperitoneoscopic decortications of renal cyst: A case series in Ethiopia. Academic Web Journal of Medical Science. April; 2 (1): 006-010 ISSN: 2545-4986
- • Graumann O, Osther S.S, Karstoft J (2015). Bosniak classification system: a prospective comparison of CT, contrast-enhanced US, and MR for categorizing complex renal cystic masses. Acta Radiol. Pp. 5: 27.
- • Ozcan L, Can Polat E, Onen E (2015). Comparison between Retroperitoneal and Transperitoneal Approaches in the Laparoscopic Treatment of Bosniak Type I Renal Cysts: A Retrospective Study. Laparoscopic Urology. 12(4): 2218 – 2221.
- • Rosas-Navaa J. E, Almazan-Treviño L, Ramírez-Limóna D (2014). Comparative study on the lumboscopic and transperitoneal laparoscopic management of renal cysts. Rev. Mex. Urol. 74(2): 64-67.
- • Derouich A, Blah M, Ben Slama M.R (2007). Lumboscopic treatment of simple renal cysts. Tunis. Med. 85 (9): 777 - 80.
- • Alemu MH (2008). Pattern of urinary stone diseases in Makelele, Ethiopia. Ethiopia Medical Journal. 46 (3): 237-241.
- • Urolithiasis in Ethiopia Statistics on Overall Impact and Specific Effect on Demographic Groups.
- http://global-disease-burden.healthgrove.com/l/69391/Urolithiasis-in-Ethiopia
- • Navarro Genta, M.; Montes, J.; et al (2009). Extraperitoneal Laparoscopic Ureterolithotomy for Impacted Ureteral Stone: Surgical Technique and Results. Oct; 74 (4).
- • González león, T.; et al (2012). Use of lumboscopic surgery in patients cared for at the National Center for Minimal Access Surgery. Rev Cub Med Mil [online]. 41(2): 151-159. ISSN 0138-6557
- • Oitchayomi A, Doerfler A, Le Gal S.; et al (2016). Flexible and rigid ureteroscopy in outpatient surgery. BMC Urology; 16:6 DOI 10.1186/s12894-016-0124-z
- • Moufid K, Abbaka N, Touiti D.; et al (2013). Large impacted upper ureteral calculi: A comparative study between retrograde ureterolithotripsy and percutaneous antegrade ureterolithotripsy in the modified lateral position. Urology Annals. Jul; 5 (3): 140-146 DOI: 10.4103/0974-7796.115729 PMID: 24049373
- • Saifee Y, Nagarajan R, Qadri S.J.; et al (2016). Retroperitoneoscopic nephrectomy for benign nonfunctioning kidneys: Training and outcome. Indian J Urol. Oct-Dec; 32 (4): 301–305. Doi: 10.4103/0970-1591.189724
- PMCID: PMC 5054662 PMID: 27843214
- • Thompson R.H (2014). Partial versus radical nephrectomy: the debate regarding renal function ends while the survival controversy continues. Eur Urol; 65 (2): 378–9.
- • Laird A, Stewart G.D, Zhong J.; et al (2013). A generation of laparoscopic nephrectomy: stage-specific surgical and oncologic outcomes for laparoscopic nephrectomy in a single center. J Endourol. 2013; 27(8):1008–14.