VID-03.07: Laparoscopic assisted percutaneous nephrolithotomy in ectopic pelvic kidneys: what is best access point?

Urology ◽  
2007 ◽  
Vol 70 (3) ◽  
pp. 178
Author(s):  
S.H. Mousavi-Bahar ◽  
M.A. Amir-Zargar ◽  
H.R. Gholamrezaei ◽  
S. Amir-Hassani
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Access Point ◽  
Laparoscopic Assisted

scholarly journals Choosing a Surgical Access Point for Hysterectomy: A Paradigm Shift Over a 10-Year Span

2020 ◽  
Vol 7 ◽  
Author(s):  
Florian Ebner ◽  
Niko de Gregorio ◽  
Christiane Lato ◽  
Valerie Ohly ◽  
Wolfgang Janni ◽  
...  
Keyword(s):  
Endometrial Cancer ◽  
Laparoscopic Hysterectomy ◽  
Access Point ◽  
University Hospital ◽  
Annual Number ◽  
Ulipristal Acetate ◽  
Surgical Access ◽  
Clear Shift ◽  
Laparoscopic Assisted ◽  
Observation Period

Background: When choosing a surgical procedure for a hysterectomy, doctors and patients have various options in terms of the multiple surgical access points available. The aim of this study was to descriptively analyze developments concerning the surgical access point selected over the past 10 years at Ulm University Hospital, (south) Germany, assess the variables associated with the surgical method and explore any potential significant correlations that influence these surgical access routes. Explicitly, we wished to investigate whether the approval of ulipristal acetate and the warning issued by the Food and Drug Administration (FDA) in connection with its use changed existing trends.Material and Methods: This monocentric study retrospectively assessed data from all patients who underwent a hysterectomy due to a benign disease or endometrial cancer from January 2007 until December 2016.Results: Of the benign indications considered, myomas and descensus genitalis occurred most frequently (49.5 and 30.6%, respectively). The percentage of abdominal procedures declined from 61.4 to 13.4% between 2007 and 2016 for all hysterectomies, whilst it increased from 4.1 to 69.7% for laparoscopic hysterectomies. The rate of vaginal hysterectomies increased to 45.5% until 2013 and declined in the years afterwards. Laparoscopic assisted vaginal hysterectomies were comparatively rare.The trends in terms of surgical routes were similar for endometrial cancer. During the observation period, the share of abdominal hysterectomies fell from 100 to 11.3%, whilst the share of laparoscopic hysterectomies increased from 0 to 86.6%. The other two procedures were less frequently used.Use of the laparoscopic hysterectomy procedure also increased significantly after the FDA's 2014 warning. Ulipristal acetate may have tended to influence the process.Conclusion: Contrary to the national decrease in hysterectomy numbers, the annual number of hysterectomies at Ulm University Hospital remained stable during the observation period. Nevertheless, there was a clear shift in the preferred surgical routes for hysterectomy.

Laparoscopic-assisted percutaneous nephrolithotomy in malrotated and ectopic pelvic kidneys: calyceal or direct pelvic access?

Renal Failure ◽  
2015 ◽  
Vol 37 (4) ◽  
pp. 742-743
Author(s):  
Berkan Resorlu ◽  
Tolga Karakan ◽  
Muhammet Fatih Kilinc ◽  
Mucahit Kabar ◽  
Omer Gokhan Doluoglu
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Laparoscopic Assisted

Laparoscopic-Assisted Percutaneous Nephrolithotomy for Large Stone in the Pelvic Kidney

Videourology ◽  
2017 ◽  
Vol 31 (4) ◽  
Author(s):  
Abhishek Reekhaye ◽  
Faqar Anjum ◽  
Naeem Sheikh ◽  
Prashanth Nippuleti ◽  
Joseph Nariculam ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Pelvic Kidney ◽  
Large Stone ◽  
Laparoscopic Assisted

Laparoscopic-Assisted Transperitoneal Percutaneous Nephrolithotomy for Renal Caliceal Diverticular Calculi

Videourology ◽  
2010 ◽  
Vol 24 (2) ◽  
Author(s):  
Carson Wong ◽  
R. Zimmerman
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Laparoscopic Assisted

Single-port laparoscopic-assisted appendectomy using the nephroscope for percutaneous nephrolithotomy at low cost

2017 ◽  
Vol 36 (3) ◽  
pp. 265 ◽  
Author(s):  
HeshamM Abdelkader ◽  
AhmedS.M. Omar ◽  
MohabG Elbarbary
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Single Port ◽  
Low Cost ◽  
Laparoscopic Assisted

scholarly journals Laparoscopic-assisted mini percutaneous nephrolithotomy for treatment of large calculi in pelvic ectopic kidney

2017 ◽  
Vol 9 (2) ◽  
pp. 174
Author(s):  
KetanP Vartak ◽  
PrashantH Salvi
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Ectopic Kidney ◽  
Laparoscopic Assisted

A hypothetical method for calculation of the access point, direction angle and access angle for percutaneous nephrolithotomy

2019 ◽  
Vol 124 ◽  
pp. 101-104 ◽  
Author(s):  
Murat Akand ◽  
Ahmet Buyukaslan ◽  
Sema Servi ◽  
Levent Civcik
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Access Point ◽  
Direction Angle

Laparoscopic Assisted Percutaneous Nephrolithotomy (PCNL) in Ectopic Kidneys: Two Different Techniques

2006 ◽  
Vol 38 (1) ◽  
pp. 75-78 ◽  
Author(s):  
Rajiv Goel ◽  
Rajiv Yadav ◽  
Narmada P. Gupta ◽  
Monish Aron
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Laparoscopic Assisted

Laparoscopic assisted percutaneous nephrolithotomy in ectopic pelvic kidneys

2008 ◽  
Vol 15 (3) ◽  
pp. 276-278 ◽  
Author(s):  
Seyed Habibollah Mousavi-Bahar ◽  
Mohammad Ali Amir-Zargar ◽  
Hamid Reza Gholamrezaie
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Laparoscopic Assisted

scholarly journals Fellowship training in endourology: Impact on percutaneous nephrolithotomy access patterns

2021 ◽  
Vol 16 (2) ◽  
Author(s):  
Jennifer Saluk ◽  
Joshua Ebel ◽  
Justin Rose ◽  
Tasha Posid ◽  
Michael Sourial ◽  
...  
Keyword(s):  
Percutaneous Nephrolithotomy ◽  
Access Point ◽  
Fellowship Training ◽  
Comfort Level ◽  
Annual Number ◽  
Motivating Factors ◽  
Training Experience ◽  
Case Volume ◽  
Decision Methods ◽  
Access Patterns

Introduction: Percutaneous nephrolithotomy (PCNL) remains the treatment of choice for kidney stones larger than 2 cm. Few studies have examined the reasons why some urologists obtain their own PCNL access while others prefer to have interventional radiology (IR) obtain access. The objective of this study was to investigate what factors influence this decision. Methods: A survey was posted to the American Urological Association’s (AUA) Young Urologist Community. Descriptive statistics and exploratory analyses were used to summarize practice trends and motivating factors. Results: All 99 respondents began practicing within the past 11 years. Ninety-two currently perform PCNLs and 47% of them obtain their own access. Endourology fellowship-trained physicians were more likely to currently obtain their own access (75%) compared to urologists who completed non-endourology fellowships (75% vs. 23%, p=0.58) and non-fellowship-trained urologists (75% vs. 45%, p=0.01). Logging >50 cases during training also predicted physicians obtaining their own access and having a larger annual number of PCNL cases. The most common motivator for obtaining one’s own access was preference to control their own access point (95%). Conclusions: Urologist-obtained PCNL access was associated with greater training experience (endourology fellowship) and current annual PCNL case volume. Urologist-reported factors that influenced the decision to obtain one’s own access include control of access, comfort level, and both physician and patient convenience. By identifying the factors that influence practice patterns, we may better address barriers, improve education to make urologist-obtained PCNL access feasible even without fellowship training, and ultimately improve outcomes and quality of care.

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