OUR FIRST EXPERIENCES WITH 200 ENDOVIDEOSURGICAL OPERATIONS ON UPPER URINARY TRACTS

Abstract

THE AIM of the investigation was to elucidate the perspectives and expedience of using endovideosurgical techniques in treatment of diseases of the upper urinary tracts. PATIENTS AND METHODS. Among 200 endovideosurgical operations performed by transperitoneal and retroperitoneal access there were 49 nephropexies, 105 operations for liquid formations in the retroperitoneal space, 17 nephrectomies, 23 operations aimed at the reestablishment of patency of the pyeloureteral anastomosis and 6 ureterolithotomies. A comparative analysis was made of the results of operative treatment of these patients with the results of open operations. RESULTS. The endovideosurgical method can be used in performing nephrectomy, nephropexy, ablation of the renal and ureteral calculi, in operations for impaired patency of the pyeloureteral segment and cystic lesions of the kidneys. A standard equipment and a set of instruments is enough for performing laparoscopic operations. The results of endovideosurgical operations are considerably superior in the parameters of invasion and terms of recovery of the patients to analogous operations made by the open access. CONCLUSION. The endovideosurgical techniques allow the typical urological operations to be performed with better results than when using traditional methods. They are thought to be an alternative to open surgery due to the evident advantages in the parameters of minimally invasive interventions and, hence, more favorable course of the postoperative period.