Robot-assisted laparoscopic pyelolithotomy for treatment of a staghorn renal stone

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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Robot-Assisted Surgical Management of Retrocaval Ureter and Renal Stone

Videourology ◽

10.1089/vid.2012.0056 ◽

2013 ◽

Vol 27 (3) ◽

Author(s):

Kirsten Foell ◽

Jason Y. Lee

Keyword(s):

Surgical Management ◽

Renal Stone ◽

Robot Assisted ◽

Retrocaval Ureter

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Laparoscopic management of a large staghorn stone

Canadian Urological Association Journal ◽

10.5489/cuaj.392 ◽

2013 ◽

Vol 6 (3) ◽

pp. E121-E124

Author(s):

Patrick Richard ◽

Mathieu Bettez ◽

Arold Martel ◽

Yves Ponsot ◽

Robert Sabbagh

Keyword(s):

Economic Impact ◽

Surgical Management ◽

Renal Stone ◽

Ureteropelvic Junction Obstruction ◽

Urinary Calculi ◽

Renal Stones ◽

Significant Morbidity ◽

Viable Option ◽

Laparoscopic Pyelolithotomy ◽

Staghorn Stone

Urinary calculi are prevalent and result in significant morbidity,with a marked economic impact. Various therapeutic optionsexist, from medical to surgical management according to stonesize. Laparoscopic pyelolithotomy is a viable option for significantstaghorn renal stones. We report the case of a laparoscopicpyelolithotomy performed on a 48-year-old man with a left recurrent staghorn renal stone secondary to an ureteropelvic junction obstruction following a grade IV renal trauma several years ago.

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Laparoscopic pyelolithotomy in patients with previous ipsilateral renal stone surgery

Urologia Journal ◽

10.1177/0391560319890993 ◽

2019 ◽

pp. 039156031989099

Author(s):

Mohammad Hadi Radfar ◽

Mehdi Dadpour ◽

Nasser Simforoosh ◽

Abbas Basiri ◽

Akbar Nouralizadeh ◽

...

Keyword(s):

Renal Stone ◽

Operating Time ◽

Study Groups ◽

Transfusion Rate ◽

Renal Surgery ◽

Laparoscopic Pyelolithotomy ◽

Stone Free Rate ◽

Significant Difference ◽

History Of ◽

Free Rate

Objectives: To evaluate the safety and efficacy of transperitoneal laparoscopic pyelolithotomy in renal stone cases with previous renal surgeries. Patients and methods: In this prospective study, 190 consecutive patients with renal stones, who were candidates for transperitoneal laparoscopic pyelolithotomy, were enrolled. The patients were divided into two groups. In group A, 163 patients without a history of renal surgery underwent standard laparoscopic pyelolithotomy, whereas in group B laparoscopic pyelolithotomy was performed in 27 patients with a history of kidney stone surgery including percutaneous nephrolithotomy or open stone surgery. All intraoperative data including the operating time and complications such as bleeding requiring transfusion were recorded. Postoperative data such as length of hospitalization, hemoglobin level alteration, and other complications were also recorded. Results: There was no significant difference in the preoperative data such as stone size, stone site, age, sex, and stone side between the two groups. There was no significant difference in the stone-free rate between the two groups (p = 0.4). There was no significant difference between the two study groups regarding the operating time, hospital stay, stone-free rate, complications, and transfusion rate. Conclusion: Laparoscopic pyelolithotomy can be used as a safe and feasible treatment modality in the setting of previous renal surgery. The complications and stone-free rate of laparoscopic pyelolithotomy in patients with history of renal surgery are acceptable.

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The initial evaluation of the retroperitoneoscopic pyelolithotomy for the partial staghorn renal stone

Journal of Medicine and Pharmacy ◽

10.34071/jmp.2019.6_7.3 ◽

2019 ◽

pp. 21-27

Author(s):

Duc Minh Hoang ◽

Van Binh Nguyen ◽

Vinh Quy Truong

Keyword(s):

Open Surgery ◽

Renal Stone ◽

Urinary Infection ◽

Renal Stones ◽

Stone Size ◽

Conversion To Open Surgery ◽

Laparoscopic Pyelolithotomy ◽

Post Operation ◽

The Mean ◽

Selection Of

Purpose: To evaluate initial outcomes of retroperitoneoscopic pyelolithotomy for treating partial staghorn renal stones. Materials and Methods: 9 patients with partial staghorn renal stones were treated by retroperitoneal laparoscopic pyelolithotomy from June 2014 to June 2018. The mean age was 51.2 years (range 31-65); 5 males (55.6%) and 4 females (44.4%). The mean stone size was 5.1 cm (3.2 - 6.8 cm). Results: The retroperitoneoscopic pyelolithotomy procedures for treatment of staghorn renal stones were completely successful in 8/9 cases (88.9%), 1 case (11.1%) required conversion to open surgery by heavy bleed. The estimated blood lost was 20-50ml. The mean duration of the procedure is 95.3 mins (70-165 mins). All of cases (100%) was put the residual stent into the ureter. The mean post-operation hospital stay was 5.2 days (4 - 7 days). About complications: 1 cases (12.5%) of urinary infection; 3 cases (37.5%) of postoperative hematuria. Conclusions: Retroperitoneal laparoscopic pyelolithotomy could be indicated to remove the partial staghorn renal stones up to 6.8 cm in size. Success depends on the experience of surgeons and judicious selection of cases. Key words: Retroperitoneoscopic pyelolithotomy, Staghorn renal stones, Treatment

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Robot-assisted laparoscopic pyelolithotomy and concomitant partial nephrectomy for large staghorn stone and kidney neoplasm

European Urology Supplements ◽

10.1016/s1569-9056(18)33225-1 ◽

2018 ◽

Vol 17 (8) ◽

pp. 264

Author(s):

S. Secco ◽

M. Barbieri ◽

D. Di Trapani ◽

G. Petralia ◽

G. Napoli ◽

...

Keyword(s):

Partial Nephrectomy ◽

Kidney Neoplasm ◽

Robot Assisted ◽

Laparoscopic Pyelolithotomy ◽

Staghorn Stone

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Robot-assisted partial nephrectomy and nephrolithotomy for multiple lower pole calculi in an atrophic kidney

MOJ Clinical & Medical Case Reports ◽

10.15406/mojcr.2021.11.00376 ◽

2021 ◽

Vol 11 (2) ◽

pp. 31-34

Author(s):

Jia Ying Isaac Tay

Keyword(s):

Partial Nephrectomy ◽

Renal Stone ◽

Ureteropelvic Junction Obstruction ◽

Lower Pole ◽

Robot Assisted ◽

Retrograde Intrarenal Surgery ◽

Renal Tuberculosis ◽

Renal Stone Surgery ◽

Single Use ◽

Robotic Assisted Partial Nephrectomy

Open renal stone surgery has been largely replaced by retrograde intrarenal surgery (RIRS), percutaneous nephrolithotomy (PCNL) and extracorporeal shockwave lithotripsy (ESWL). However, when these methods fail to remove a stone or there are certain contraindications, such as pregnancy and obesity, laparoscopic, robotic or open surgery may still be indicated. In fact, robotic surgery has been increasingly used by urologists for different benign indications including chronic pyelonephritis, neglected ureteropelvic junction obstruction and renal tuberculosis. This article describes a case of robotic-assisted partial nephrectomy and nephrolithotomy for a large amount of small lithiasis in a non-functioning lower pole after failed stone clearance with a single use Boston ureteroscope owing to non-accessibility.

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