Laparoscopic pyelolithotomy in a malrotated kidney

Background We aimed to compare the efficacy and safety of laparoscopic pyelolithotomy (LPL) versus percutaneous nephrolithotomy (PCNL) for treating renal stones larger than 2 cm. Methods We searched the PubMed, Embase, Web of Science, SinoMed, and Chinese National Knowledge Infrastructure databases for studies that compared the surgical outcomes of LPL and PCNL. We conducted a meta-analysis of the retrieved studies, expressed as weighted mean difference or risk ratios with 95% confidence intervals. Results We included 25 studies (1831 patients). LPL was associated with a significantly higher stone-free rate, lower rates of blood loss, complementary treatment, blood transfusion, and complications, and less reduction in hemoglobin level compared with PCNL. LPL and PCNL were similar in terms of duration of hospital stay, conversion rate, changes in glomerular filtration rate and creatinine level, and mean time of postoperative analgesia. However, LPL was associated with a longer operation time than PCNL. Conclusion LPL appears to be more effective and safer than PCNL in patients with large renal stones, by increasing the stone-free rate and reducing blood loss, complementary treatment, blood transfusion, and complications compared with PCNL. LPL may thus be a useful modality for treating patients with large renal stones.

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Laparoscopic pyelolithotomy: An emerging tool for complex staghorn nephrolithiasis in high-risk patients

Arab Journal of Urology ◽

10.1016/j.aju.2014.10.004 ◽

2015 ◽

Vol 13 (2) ◽

pp. 139-145 ◽

Cited By ~ 7

Author(s):

Himesh Ramesh Gandhi ◽

Appu Thomas ◽

Balagopal Nair ◽

Ginilkumar Pooleri

Keyword(s):

High Risk ◽

High Risk Patients ◽

Laparoscopic Pyelolithotomy ◽

Risk Patients

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Carbon Dioxide Based Nephroscopy: A Trick for Laparoscopic Pyelolithotomy

Journal of Endourology ◽

10.1089/end.2008.0325 ◽

2008 ◽

Vol 22 (12) ◽

pp. 2661-2664 ◽

Cited By ~ 5

Author(s):

Barry Michael Mason ◽

David Hoenig

Keyword(s):

Carbon Dioxide ◽

Laparoscopic Pyelolithotomy

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Complex cystine kidney stones treated with combined robot-assisted laparoscopic pyelolithotomy and intraoperative renoscopy

Urologia Journal ◽

10.5301/uro.5000215 ◽

2017 ◽

Vol 85 (2) ◽

pp. 76-78 ◽

Cited By ~ 2

Author(s):

Luca Meggiato ◽

Francesco Cattaneo ◽

Fabio Zattoni ◽

Fabrizio Dal Moro ◽

Paolo Beltrami ◽

...

Keyword(s):

Kidney Stones ◽

Renal Stones ◽

Renal Calculi ◽

Robot Assisted ◽

Intraoperative Bleeding ◽

Laparoscopic Pyelolithotomy ◽

Urinary Infections ◽

Hospital Referral ◽

Combined Technique ◽

Rare Autosomal Recessive Disease

Introduction: Cystinuria, a rare autosomal recessive disease characterized by a defect in cystine renal reabsorption, can often determine complex cystine renal calculi, leading to important complications such as urinary obstruction, urinary infections, and impaired kidney function. Complex kidney stones can have a difficult management and can be very arduous to treat. Case description: We present the case of a 20-year-old Jeowah’s witness woman with complex cystine renal stones treated with combined robot-assisted laparoscopic pyelolithotomy and intraoperative renoscopy. Conclusions: The combination of robot-assisted laparoscopic pyelolithotomy and intraoperative renoscopy can be useful to achieve an immediate high stone clearance rate also in complex renal stones. This combined technique could be indicated to minimize intraoperative bleeding. Moreover, it can also be used in pediatric cases or when there is no ureteral compliance. However, this strategy can be performed only in hospital referral centers by expert surgeons.

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Comparison between different techniques for management of renal stones in horseshoe kidneys

QJM ◽

10.1093/qjmed/hcab110.001 ◽

2021 ◽

Vol 114 (Supplement_1) ◽

Author(s):

Abdel Fattah Mohammed Aggour ◽

Mohamed Kotb Ahmed Tolba ◽

Abdelrahman nazmy abbas hatata

Keyword(s):

Horseshoe Kidney ◽

Renal Stones ◽

Operative Management ◽

Flexible Ureteroscopy ◽

Stone Clearance ◽

Stone Burden ◽

Laparoscopic Pyelolithotomy ◽

Almost All ◽

Laparoscopic Assisted ◽

Operating Surgeon

Abstract Objective To report the operative management , intra and post operative complications and subsequent stone-free rates of patients with urolithiasis in a horseshoe kidneys. Materials and Methods We retrospectively reviewed all patients presenting to our centre with a horseshoe kidney and urolithiasis over a 20-year period. The stone burden, surgical management, complications and stone clearance rates were recorded. Results In all, 80 patients with urolithiasis in horseshoe kidney were treated. Percutaneous nephrolithotomy (PCNL) was used in 28 patients. 12 patients had laparoscopic assisted PCNL , 8 had flexible ureteroscopy and 18 had laparoscopic pyelolithotomy . PCNL was used for large stones = (mean digitized surface area= 614.32 mm 2 ) and required one to four stages to achieve an overall stone clearance rate of 88%. Stones were cleared at one sitting in 77% of PCNL procedures. only 33% of patients treated with flexible ureteroscopy was cleared from stones in one session and surprisingly, 89% of patients treated with laparoscopic pyelolithotomy was stone free after one session Complications were minimal, with 15% minor and 3% major complications in the PCNL group only.. Conclusions Appropriate management of urolithiasis within the horseshoe kidney depends not only on stone burden, but also on stone location, calyceal configuration and malrotation. Stones can be cleared successfully in almost all patients providing that all techniques are available to the operating surgeon.

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Laparoscopic Pyelolithotomy

Operative Atlas of Laparoscopic Reconstructive Urology ◽

10.1007/978-1-84800-151-0_10 ◽

2008 ◽

pp. 189-198

Author(s):

K. Senthil ◽

M. Ramalingam

Keyword(s):

Laparoscopic Pyelolithotomy

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Laparoscopic pyelolithotomy: its current place in the management of renal pelvis stones

International Surgery Journal ◽

10.18203/2349-2902.isj20203240 ◽

2020 ◽

Vol 7 (8) ◽

pp. 2598

Author(s):

Dinesh Prasad ◽

Shivamshekhar Singh

Keyword(s):

Success Rate ◽

Renal Pelvis ◽

Therapeutic Option ◽

Perioperative Complications ◽

Tertiary Care ◽

Alternative Therapy ◽

Renal Parenchyma ◽

Ct Urography ◽

Tertiary Care Centre ◽

Laparoscopic Pyelolithotomy

Background: Laparoscopic pyelolithotomy is assumed to preserve functional renal parenchyma, and there is a limited risk for immediate or late renal hemorrhage. Therefore, it might be an alternative for the patients in whom maximal preservation of renal parenchyma is necessary. In the present study, we aimed to compare the success rate and perioperative complications of laparoscopic pyelolithotomy. In the present study, we aimed to document and compare the success rate and perioperative complications of laparoscopic pyelolithotomy with published literature about percutaneous nephrolithotomy (PCNL).Methods: We retrospectively reviewed the clinical charts of all patients subjected to laparoscopic pyelolithotomy (18 cases) in the Department of General Surgery at SMIMER Hospital (tertiary care centre), Surat between the period of January 2014 to December 2018. Record of all patients were assessed for demographic profile, co morbidities, routine blood investigations, including RFT, urine cytology and culture sensitivity, specialized investigation as X-ray KUB, USG KUB, IVP/CT-Urography, DTPA scan, all patients were called for follow up evaluation with radiological, clinical and RFT studies at regular intervals upto 3 months.Results: LP is considered a successful alternative therapy for PCNL in selected cases with large renal stones like those in the extra renal pelvis in patients without a history of previous surgery. In addition, laparoscopic pyelolithotomy (LP) can be considered as a reasonable therapeutic option for large staghorn calculus which cannot be removed with a reasonable number of access and sessions of PCNL.Conclusions: Our results show that laparoscopic pyelolithotomy is equally good or better as compared to PCNL in selected cases.

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Retroperitoneal Laparoscopic Pyelolithotomy

The Journal of Urology ◽

10.1016/s0022-5347(17)35124-8 ◽

1994 ◽

Vol 151 (4) ◽

pp. 927-929 ◽

Cited By ~ 83

Author(s):

D.D. Gaur ◽

D.K. Agarwal ◽

K.C. Purohit ◽

A.S. Darshane

Keyword(s):

Laparoscopic Pyelolithotomy

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Comparison of laparoscopic pyelolithotomy and retrograde intrarenal surgery in the management of large renal pelvic stone

10.21203/rs.3.rs-69253/v1 ◽

2020 ◽

Author(s):

Mehmet Cagatay Cicek ◽

Tariq Asi ◽

Kadir Omur Gunseren ◽

Hakan Kilicarslan

Keyword(s):

Operation Time ◽

Retrograde Intrarenal Surgery ◽

Median Hospital Stay ◽

Efficient Procedure ◽

Laparoscopic Pyelolithotomy ◽

Stone Free Rate ◽

Lower Complication ◽

Lower Complication Rate ◽

Median Hospital ◽

Free Rate

Abstract Background To compare the clinical outcomes of laparoscopic pyelolithotomy (LP) and retrograde intrarenal surgery (RIRS) in the management of large renal pelvic stones. Methods This study included patients who presented with a single renal pelvic stone sized ≥20 mm and who were treated primarily by laparoscopic pyelolithotomy or retrograde intrarenal surgery. The patients were grouped based on the surgical procedure they underwent. We retrospectively examined and compared the age, the longest axis and the surface area of the stone, operation time, hospitalization time, complications and stone-free rates of the two groups. Results Of the 156 patients included in the study, 44 had laparoscopic pyelolithotomy, and 112 had retrograde intrarenal surgery. Patients who received laparoscopic pyelolithotomy (13 males, 31 females) had a median age of 54 (18-79) years, while those who underwent retrograde intrarenal surgery (46 males, 66 females) had a median age of 54.5 (18-79). Patients who received laparoscopic pyelolithotomy were found to have larger median stone size (30 mm vs 24 mm, p=0.003), longer operation time (100 minutes vs 70 minutes, p=0.007), lower complication rate (2% vs 8.9%, p=0.063), longer median hospital stay (3 days vs 1 day, p<0.001) and better stone-free rate at the third month (90.9% vs 67.9%, p<0.001). Conclusion LP is a safe and efficient procedure that could be used as an alternative to retrograde intrarenal surgery in managing large renal pelvic stones.

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