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LAPAROSCOPIC PYELOPLASTY WITH CONCOMITANT PYELOLITHOTOMY

2002; Lippincott Williams & Wilkins; Volume: 167; Issue: 3 Linguagem: Inglês

10.1016/s0022-5347(05)65305-0

1527-3792

Sanjay Ramakumar, VANESSA LANCINI, David Yuen Chung Chan, J. Kellogg Parsons, Louis R. Kavoussi, Thomas W. Jarrett,

Urological Disorders and Treatments

No AccessJournal of UrologyCLINICAL UROLOGY: Urologists at Work1 Mar 2002LAPAROSCOPIC PYELOPLASTY WITH CONCOMITANT PYELOLITHOTOMY SANJAY RAMAKUMAR, VANESSA LANCINI, DAVID Y. CHAN, J. KELLOGG PARSONS, LOUIS R. KAVOUSSI, and THOMAS W. JARRETT SANJAY RAMAKUMARSANJAY RAMAKUMAR More articles by this author , VANESSA LANCINIVANESSA LANCINI More articles by this author , DAVID Y. CHANDAVID Y. CHAN More articles by this author , J. KELLOGG PARSONSJ. KELLOGG PARSONS More articles by this author , LOUIS R. KAVOUSSILOUIS R. KAVOUSSI More articles by this author , and THOMAS W. JARRETTTHOMAS W. JARRETT More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(05)65305-0AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: We present our experience with laparoscopic pyeloplasty plus pyelolithotomy in patients in whom stones were not the cause of ureteropelvic junction obstruction. Materials and Methods: A transperitoneal approach was used for laparoscopic pyeloplasty and pyelolithotomy in 19 patients (20 renal units). Before ureteropelvic junction repair stones were extracted through a small pyelotomy that was eventually incorporated into the final pyeloplasty incision. Stones in the renal pelvis were removed with rigid graspers under direct laparoscopic vision. A flexible cystoscope introduced through a port was used to extract stones in the calices. The renal pelvis was reconstructed based on the anatomy of the ureteropelvic junction. Results: A median of 1 stone (range 1 to 28) was recovered. In 11, 8 and 1 patients the Anderson-Hynes dismembered pyeloplasty, Y-V plasty and the Heinecke Mickulicz procedure were performed, respectively. At 3 months 2 patients had residual calculi for a procedural stone-free rate of 90%. There was no evidence of obstruction in 18 of the 20 cases (90%), as confirmed by negative diuretic scan or radiological improvement of hydronephrosis. At a mean followup of 12 months (range 3 to 57) 2 additional patients had recurrent stones for an overall long-term stone-free rate of 80% (16 of 20). Conclusions: Laparoscopic pyelolithotomy is feasible when combined with pyeloplasty. Our results are comparable to those of stone removal during open pyeloplasty or percutaneous endopyelotomy. The advantages of open surgery appear to be maintained in this minimally invasive approach. References 1 : Obstruction at the ureteropelvic junction. In: The Ureter. Edited by . 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Link, Google Scholar From the Section of Urology, Department of Surgery, University of Arizona, Tucson, Arizona, and James Buchanan Brady Urological Institute, The Johns Hopkins Medical Institutions, Baltimore, Maryland© 2002 by American Urological Association, Inc.FiguresReferencesRelatedDetailsCited byWang X, Li S, Liu T, Guo Y and Yang Z (2013) Laparoscopic Pyelolithotomy Compared to Percutaneous Nephrolithotomy as Surgical Management for Large Renal Pelvic Calculi: A Meta-AnalysisJournal of Urology, VOL. 190, NO. 3, (888-893), Online publication date: 1-Sep-2013.Shoma A, El Nahas A and Bazeed M (2007) Laparoscopic Pyeloplasty: A Prospective Randomized Comparison Between the Transperitoneal Approach and RetroperitoneoscopyJournal of Urology, VOL. 178, NO. 5, (2020-2024), Online publication date: 1-Nov-2007.CASALE P, GRADY R, JOYNER B, ZELTSER I, KUO R and MITCHELL M (2018) TRANSPERITONEAL LAPAROSCOPIC PYELOLITHOTOMY AFTER FAILED PERCUTANEOUS ACCESS IN THE PEDIATRIC PATIENTJournal of Urology, VOL. 172, NO. 2, (680-683), Online publication date: 1-Aug-2004.MANDHANI A, GOEL S and BHANDARI M (2018) IS ANTEGRADE STENTING SUPERIOR TO RETROGRADE STENTING IN LAPAROSCOPIC PYELOPLASTY?Journal of Urology, VOL. 171, NO. 4, (1440-1442), Online publication date: 1-Apr-2004.KAOUK J and GILL I (2018) Laparoscopic Reconstructive UrologyJournal of Urology, VOL. 170, NO. 4 Part 1, (1070-1078), Online publication date: 1-Oct-2003.PARDALIDIS N, PAPATSORIS A and KOSMAOGLOU E (2018) Endoscopic and Laparoscopic Treatment of Ureteropelvic Junction ObstructionJournal of Urology, VOL. 168, NO. 5, (1937-1940), Online publication date: 1-Nov-2002. Volume 167Issue 3March 2002Page: 1378-1380 Advertisement Copyright & Permissions© 2002 by American Urological Association, Inc.KeywordscalculikidneylaparoscopyMetricsAuthor Information SANJAY RAMAKUMAR More articles by this author VANESSA LANCINI More articles by this author DAVID Y. CHAN More articles by this author J. KELLOGG PARSONS More articles by this author LOUIS R. KAVOUSSI More articles by this author THOMAS W. JARRETT More articles by this author Expand All Advertisement PDF downloadLoading ...