Outpatient Double Percutaneous Endolaparoscopic Extraction of Large Continent Urinary Reservoir Stones—A New Minimally Invasive Approach

Natalin, Ricardo A.; Xavier, Keith; Kacker, Ravi; Gupta, Mantu

doi:10.1089/end.2008.0392

Cited by 10 publications

(5 citation statements)

References 19 publications

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“…In 2009, Natalin et al [18] reported a percutaneous technique with a laparoscopic entrapment bag managing stones in 5 patients with continent reservoirs. Recently, Breda et al [19] described percutaneous cystolithotomy for calculi in reconstructed bladders by basketing and ultrasonic lithotripsy.…”

Section: Discussionmentioning

confidence: 99%

Minimally Invasive Surgery for Patients with Bulky Bladder Stones and Large Benign Prostatic Hyperplasia Simultaneously: A Novel Design

Zhao¹,

Shi²,

Gao³

et al. 2013

Urol Int

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Objective: To determine the efficacy and safety of a novel minimally invasive design for treating bulky vesical calculi and large benign prostatic hyperplasia (BPH) simultaneously. Methods: 76 patients with large bladder stones (>4 cm) and large BPH (≥50 cm³) were treated from August 2008 to January 2011. 38 patients (group 1) underwent transurethral cystolithotripsy followed by transurethral resection of the prostate (TURP), 38 patients (group 2) received percutaneous cystolithotripsy within a laparoscopic entrapment bag and TURP by two surgeons simultaneously. 72 patients were followed up for 1 year. Patient demographics, perioperative parameters and follow-up data were compared. Results: Patient baseline characteristics were comparable in the two groups. In group 1, 3 patients converted to open surgery and received blood transfusion, 4 patients had postoperative fever, 2 had residual stones and 1 developed urethral stricture postoperatively. In group 2, the mean total operative and the operative times for stone management were 71.6 and 30.1 min, respectively, the mean hemoglobin decrease was 0.80 g/dl, no patients received blood transfusion and no complications occurred, signiﬁcantly superior to group 1. Conclusions: Percutaneous cystolithotripsy using a laparoscopic entrapment bag associated with TURP by two surgeons simultaneously is a highly effective, safe and minimally invasive method for managing large vesical calculi and large BPH.

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Section: Discussionmentioning

confidence: 99%

Minimally Invasive Surgery for Patients with Bulky Bladder Stones and Large Benign Prostatic Hyperplasia Simultaneously: A Novel Design

Zhao¹,

Shi²,

Gao³

et al. 2013

Urol Int

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“…Advances in the area of bladder substitution have enabled patients to maintain an excellent health‐related quality of life following urinary diversion, but diversion‐associated urolithiasis remains a problem for these patients. Fortunately, advances in endourological equipment and techniques have greatly reduced the morbidity of this common problem (Table 1, [44–52]). Prevention of recurrent stones with correction of metabolic abnormalities, increased fluid intake, pouch irrigation protocols, and prophylaxis against recurrent infections are critical steps in avoiding recurrent stones.…”

Section: Discussionmentioning

confidence: 99%

Management of urolithiasis in patients after urinary diversions

et al. 2011

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What's known on the subject? and What does the study add? Patients undergoing urinary diversion are at increased risk of stone formation in the upper urinary tract and within the pouch. Several studies have reported wide ranging outcomes of the various surgical and non-surgical management options.In this article we reviewed risk factors, etiology, and outcomes of surgical and medical management of diversion-associated urolithiasis. A surgical management algorithm was developed based on the known literature to serve as a guide to treatment stones in these patients. The relative effectiveness of various preventive management strategies are reviewed and summarized.After urinary diversion patients are at increased risk of long-term complications, including stones of the upper urinary tract and reservoir or conduit. Advances in instrumentation and techniques have expanded treatment options, while minimizing morbidity. Minimally invasive treatment methods include shockwave lithotripsy, antegrade and retrograde ureteroscopic lithotripsy and percutaneous nephrolithotomy. Percutaneous and laparoscopic techniques are applicable to stones within urinary diversions. Medical management is crucial for avoiding recurrent stones in these patients.

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“…The use of entrapment bags have been described in Indiana pouches and augmented bladders by Lam et al [7] and in urinary reservoirs with a closed urethra by Natalin et al [8]. In this article, we describe the percutaneous access with an amplatz sheath and the use of an entrapment bag to capture a large volume of stones before cystolithotripsy in a normal bladder without a closed urethra.…”

Section: Introductionmentioning

confidence: 94%

Minimally Invasive Percutaneous Management of Large Bladder Stones with an Entrapment Bag Reduces Complications and Improves Operative Times

Tan¹,

Weinberg²,

Kotwal³

et al. 2013

Journal of Endourology

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Outpatient Double Percutaneous Endolaparoscopic Extraction of Large Continent Urinary Reservoir Stones—A New Minimally Invasive Approach

Abstract: Double percutaneous endolaparoscopic stone extraction is a safe, effective, and minimally invasive method of managing continent urinary reservoir stones.

Cited by 10 publications

References 19 publications

Minimally Invasive Surgery for Patients with Bulky Bladder Stones and Large Benign Prostatic Hyperplasia Simultaneously: A Novel Design

Minimally Invasive Surgery for Patients with Bulky Bladder Stones and Large Benign Prostatic Hyperplasia Simultaneously: A Novel Design

Management of urolithiasis in patients after urinary diversions

Minimally Invasive Percutaneous Management of Large Bladder Stones with an Entrapment Bag Reduces Complications and Improves Operative Times

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