Laparoscopic Pyelolithotomy for Calculus Removal in a Pelvic Kidney

Harmon, William J.; Kleer, Eduardo; Segura, Joseph W.

doi:10.1016/s0022-5347(01)66078-6

Cited by 38 publications

(11 citation statements)

References 3 publications

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“…The effectiveness of laparoscopy on certain conditions of the kidney has yet to be described. Moreover, stone clearance in the presence of anatomical variations in location or shape of the kidney (pelvic, horseshoe, or malrotated), [21][22][23][24][25][26][27] ureteropelvic junction, [28][29][30][31][32] and diverticula of the renal pelvis 33-36 is effective and safe.…”

Section: Introductionmentioning

confidence: 99%

Laparoscopic Simultaneous Treatment of Peripelvic Renal Cysts and Stones: Case Series

Micali

Pini

Sighinolfi

et al. 2009

Journal of Endourology

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Section: Introductionmentioning

confidence: 99%

Laparoscopic Simultaneous Treatment of Peripelvic Renal Cysts and Stones: Case Series

Micali

Pini

Sighinolfi

et al. 2009

Journal of Endourology

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“…The procedure is cumbersome and time consuming but has also been reported by others [13,14,15]. The major limitation of RP lies in the requirement of greater expertise with a steeper learning curve.…”

Section: Discussionmentioning

confidence: 96%

“…A stone in the intrarenal pelvis is another hurdle for the selection of cases for RP. Laparoscopic pyelolithotomy has been reported in children [13,16], in horseshoe kidneys [17] and in ectopic kidneys [14,15,18]. Transperitoneal laparoscopic assisted PNL was performed in above cases in which the bowel is reflected and fluoroscopy-guided puncture and dilatation are performed [9,14,15,18].…”

Section: Discussionmentioning

confidence: 99%

Prospective Randomized Comparison of Retroperitoneoscopic Pyelolithotomy versus Percutaneous Nephrolithotomy for Solitary Large Pelvic Kidney Stones

Singh¹,

Sinha²,

Gupta³

et al. 2013

Urol Int

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Objectives: We performed a prospective randomized comparison of retroperitoneoscopic pyelolithotomy (RP) versus percutaneous nephrolithotomy (PNL) for solitary pelvic stones >3 cm and assessed the outcome results. Methods: From 2010 to 2012,44 patients with a solitary pelvic stone >3 cm without any anatomical abnormality were randomized to either RP or PNL on a 1:1 ratio. Stone-free rate, number of procedures per patient and complications were recorded. Results: The stone-free rate on the first postoperative day was 95.5% in the RP group versus 72.7% in the PNL group (p = 0.04). The stone-free rates at 3 months were similar between the two groups. Blood loss, visual pain analog score and analgesic requirement on the first postoperative day were significantly higher in the PNL group whereas the mean operative time and overall complications were similar between the two groups. Conclusion: In patients with solitary large pelvic stones,RP is associated with lesser blood loss, postoperative pain and analgesia as well as with a higher stone-free rate in the immediate postoperative period in comparison to PNL. However, the stone clearance rate remains the same at 3 months in both groups.

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“…Others have also described the retroperitoneal approach to kidney stones [5,6]. Successful laparoscopic transperitoneal pyelolithotomy has been reported in ectopic kidneys with stones as large as 4 cm [7][8][9]. Laparoscopic anatrophic nephrolithotomy has also been described in several small series, with low morbidity and preservation of kidney function [10][11][12].…”

Section: Discussionmentioning

confidence: 99%

Robotic extended pyelolithotomy for complete staghorn calculus

et al. 2010

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Staghorn stones represent a therapeutic challenge to urologists. We present our experience with laparoscopic extended pyelolithotomy for treatment of staghorn and complex renal calculi in highly selected cases. This approach provides the principles of open surgery with the advantages of minimally invasive surgery. We describe our experience with robot-assisted extended pyelolithotomy for complex coralliform calculi. Since January 2007, robotic extended pyelolithotomy has been performed by transperitoneal approach in two patients with complete coralliform lithiasis (calculi average size 8 cm). One patient had history of percutaneous nephrolithotomy. Demographic and operative data were collected. All procedures were technically successful without need for open conversion. Mean estimated blood loss was 175 ml (range 50-300 ml), and mean operative time was 150 min (range 120-150 min). A perinephric drain was employed in one patient with duration of 5 days. Postoperative imaging confirmed complete stone clearance. Robotic extended pyelolithotomy is a feasible and reproducible procedure for removal of complete and partial staghorn calculi in selected patients with complex nephrolithiasis. This approach might limit the role of open surgery for these calculi, but further publications with more cases are necessary to further define its utility.

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Laparoscopic Pyelolithotomy for Calculus Removal in a Pelvic Kidney

Cited by 38 publications

References 3 publications

Laparoscopic Simultaneous Treatment of Peripelvic Renal Cysts and Stones: Case Series

Laparoscopic Simultaneous Treatment of Peripelvic Renal Cysts and Stones: Case Series

Prospective Randomized Comparison of Retroperitoneoscopic Pyelolithotomy versus Percutaneous Nephrolithotomy for Solitary Large Pelvic Kidney Stones

Robotic extended pyelolithotomy for complete staghorn calculus

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