Simultaneous treatment of ureteropelvic junction obstruction complicated by renal calculi with robotic laparoscopic surgery and flexible cystoscope

Yang, Cheng; Zhou, Jun; Lu, Zhaoxiang; Hao, Zongyao; Wang, Jianzhong; Zhang, Li; Liang, Chaozhao

doi:10.1007/s00345-018-2608-9

Cited by 14 publications

(14 citation statements)

References 25 publications

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“…23 Moreover, Yang et al presented their experience with 16 adult cases treated with RAP and stones removal with the aid of a flexible cystoscope. 25 Although not reported in our series, through the working channel is also may be possible to introduce a laser fiber in order to fragment the stone when the dislodgment is not possible due to the large dimension of the stone itself; moreover, according to the indication, this strategy is also useful for the dusting technique. Indeed in the pediatric population, only one case has been described of concomitant RAP and pyelolithotomy on an adolescent and the patient was rendered stone-free with a single procedure.…”

Section: Discussionmentioning

confidence: 82%

Treatment of ureteropelvic junction obstruction and urolithiasis in children with minimally invasive surgery

et al. 2021

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Background: Ureteropelvic Junction Obstruction (UPJO) is the most common congenital ureteral anomaly. Nowadays, according to the increasing incidence of urolithiasis, 20% of children with UPJO presents urolithiasis. Open pyeloplasty was the standard treatment before the introduction of minimally invasive surgery (MIS). Nevertheless, only scattered experiences on MIS were previously described and universal agreement on the treatment of UPJO plus urolithiasis is still missing. Objective: The study aim was to describe our experience with a series of pediatric patients affected by UPJO and urolithiasis treated with robot-assisted pyeloplasty (RAP) and endoscopic removal of stones using a flexible cystoscope and a stones basket in a singular tertiary referral center. Material and methods: We retrospectively reviewed our data from pediatric patients affected by UPJO and urolithiasis undergoing RAP between April 2013 and December 2019. The analysis was conducted on seven patients. All procedures were performed by one expert robotic surgeon and one endoscopic surgeon skilled in the management of urolithiasis. Results: The mean age was 7 years (IQR 4–16). The median stone area was 77.7 mm two (IQR 50.2–148.4). Most of them (71.4%) presented preoperative symptoms. The median operative time was 110 min (IQR 104–125) with a console time of 90 (IQR 90–105). The median length of stay was 5 days (IQR 4–5). Median follow-up was 16 months (IQR 10–25). Conclusion: RAP with concomitant flexible ureteroscope is a safe and effective option for the simultaneous management of UPJO with urolithiasis with excellent outcomes in children.

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Section: Discussionmentioning

confidence: 82%

Treatment of ureteropelvic junction obstruction and urolithiasis in children with minimally invasive surgery

et al. 2021

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“…23 Moreover, Yang et al presented their experience with 16 adult cases treated with RAP and removal with the aid of a flexible cystoscope. 25 Although not reported in our series, through the working channel is also may be possible to introduce a laser fiber in order to fragment the stone when the dislodgment is not possible due to the large dimension of the stone itself; moreover, according to the indication, this strategy is also useful for the dusting technique. Indeed in the pediatric population, only one case has been described of concomitant RAP and pyelolithotomy on an adolescent and the patient was rendered stone-free with a single procedure.…”

Section: Discussionmentioning

confidence: 82%

Treatment of ureteropelvic junction obstruction and urolithiasis in children with minimally invasive surgery

Sforza¹,

Manera²,

Lambertini³

et al. 2021

European Urology

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“…In the field of urology, da Vinci system offer advantages to tumor resection and urinary reconstruction [11, 12]. However, in the treatment of urinary calculi, da Vinci system is often used in performing nephrolithotomy [13, 14] or ureteroscopy lithotripsy during the robot-assisted pyeloplasty for ureteropelvic junction obstruction [15, 16]. No report of simultaneous treatment of calculi in the kidney, ureter, and bladder by using the da Vinci system has been found.…”

Section: Discussionmentioning

confidence: 99%

Robot-assisted laparoendoscopic single-site surgery for the simultaneous management of multiple urinary tract calculi: a case report and experience sharing

et al. 2019

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BackgroundUrolithiasis is a clinically common benign disease in urology. Surgical treatments that are widely used in urolithiasis are percutaneous nephrolithotomy, rigid/flexible ureteroscopy, laparoscopic surgery, and endoscopic combined intrarenal surgery. The da Vinci surgical system is rarely used in the treatment of urolithiasis. In the current study, we report a case of multiple urinary tract calculi treated by robot-assisted laparoendoscopic single-site (RA-LESS) surgery.Case presentationA 49-year-old male patient was admitted to our hospital and diagnosed with multiple urinary tract calculi. He previously underwent right ureterolithotomy, laparoscopic cholecystectomy, and extracorporeal shockwave lithotripsy. Computed tomography (CT) scan and three-dimensional reconstruction CT image showed that multiple calculi were located in the right kidney, right upper ureter, and bladder. The preoperative glomerular filtration rate (GFR) were 17.81 ml/min (right kidney) and 53.11 ml/min (left kidney). We utilized the da Vinci system docking with a single-site port to perform pyelolithotomy, ureterolithotomy, and cystolithotomy, simultaneously. The operative time was 135 min and estimated blood loss was 30 ml. The postoperative hospital stay was 5 days. Three months after surgery, the serum creatinine and urea nitrogen levels dropped to a normal range, and no residual fragments were found in the CT scan. The postoperative GFR were 26.33 ml/min (right kidney) and 55.25 ml/min (left kidney).ConclusionsRA-LESS surgery is a safe and effective surgical procedure in the treatment of multiple urinary tract calculi; however, further investigation is needed to validate its long-term therapeutic effect.

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Simultaneous treatment of ureteropelvic junction obstruction complicated by renal calculi with robotic laparoscopic surgery and flexible cystoscope

Cited by 14 publications

References 25 publications

Treatment of ureteropelvic junction obstruction and urolithiasis in children with minimally invasive surgery

Treatment of ureteropelvic junction obstruction and urolithiasis in children with minimally invasive surgery

Treatment of ureteropelvic junction obstruction and urolithiasis in children with minimally invasive surgery

Robot-assisted laparoendoscopic single-site surgery for the simultaneous management of multiple urinary tract calculi: a case report and experience sharing

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