Upper Urinary Tract Surgery Using Lumboscopic Approach.
DOI:
https://doi.org/10.54212/27068048.v7i2.55Keywords:
Laparoscopy, Nephrectomy, Ureterolithiasis.Abstract
Introduction: Despite the disadvantages attributed to the lumboscopic approach, it offers a familiar anatomy for urologists, with a lower risk of intraperitoneal organ injury, postoperative paralytic ileus, and peritoneal contamination. In order to describe the results of the use of lumboscopy in urinary tract surgery, the following research is presented.
Material and Method: A retrospective, descriptive, longitudinal study was carried out in 525 patients. For the lumboscopic approach, the classic lumbotomy position was used. A lumbotomy incision was made one cm below and in front of the end of the last rib, a balloon was placed and inflated with 0.9% saline to place a 10-mm trocar and 0-degree optics. Patients with pyonephrosis, general contraindications for laparoscopic surgery, presence of urinary tract infection or sepsis, and untreated acute renal failure were excluded. Absolute and relative frequencies were calculated.
Results: The approach was more used to perform simple nephrectomy (35.2%), 6.4% of the patients had previous surgery on the lumbar region, only 1.1% and 8.3% required conversion to open surgery. % presented complications of a low degree of complexity.
Conclusions: Lumboscopy is feasible, with a low frequency of complications for the upper urinary tract. Its standardization has contributed to simplify its complexity. It is the approach of choice in this working group for simple nephrectomy, laparoscopic surgery for upper urinary tract stones, and resection of renal cysts.
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