Pure robotic extended pyelolithotomy: cosmetic replica of open surgery
نویسندگان
چکیده
Percutaneous nephrolithotomy (PCNL) has replaced open pyelolithotomy as the procedure of choice for treating large-burden renal stone disease, especially staghorn calculi. Although it is a minimally invasive procedure, it involves transgressing the renal parenchyma and is thus associated with its unique set of complications. The evolution of laparoscopic pyelolithotomy and robotic assistance has provided an opportunity to the surgeon to revisit pyelolithotomy in a minimally invasive manner following the age-old principles of the era of open renal surgery. We report the feasibility and our experience with this technique in three cases of partial staghorn calculus with intra-renal pelvis.
منابع مشابه
Robot-Assisted Laparoscopic Pyeloplasty with Stone Removal in an Ectopic Pelvic Kidney
Ectopic pelvic kidneys with ureteropelvic junction obstruction and stones present a treatment challenge for the minimally invasive surgeon. A pure laparoscopic approach is less invasive than an open approach but is technically difficult with longer operative time. The use of the da Vinci robotic interface has the potential to refine the laparoscopic technique and improve outcomes. Here, we pres...
متن کاملEditorial Coment: Retroperitoneoscopic Pyelolithotomy: a Good Alternative Treatment for Renal Pelvic Calculi in Children
This video Cezarino et al. (1) was very well about a retroperitoneal laparoscopic pyelolithotomy. While executed flawlessly, the applicability of this video to the average urologic practice is limited because of the other treatments readily available that are usually exhausted prior to laparoscopic stone surgery. Generally, open and robotic/laparoscopic approaches are used in combination with p...
متن کامل[Robotic surgery in pediatric urology].
OBJECTIVES To review the use of robotic surgery in pediatric urology and provide a platform from which discussions regarding this technology can arise. METHODS The available literature and the experience at the author's institution were reviewed to examine the applications of robotic surgery in pediatric urology. MEDLINE was queried using the following key words: robot, robotic, laparoscopy, ...
متن کاملPacking of Renal Fossa: Useful Technique for Intractable Bleeding after Open Pyelolithotomy Surgery
There is no documented study to indicate the role of prolonged packing of renal fossa (24 to 48 hours) to control bleeding in life threating haemorrhage following open pyelolithotomy without compromise in the renal functions. On the contrary emergency nephrectomy was performed for intractable bleeding during renal stone surgery in peripheral hospitals. Several studies have shown the usefulness ...
متن کاملRobotic nephrolithotomy and pyelolithotomy with utilization of the robotic ultrasound probe.
INTRODUCTION The treatment of large renal stones in children can be challenging often requiring combination therapy and multiple procedures. The purpose of this video is to describe our technique of robotic nephrolithotomy and pyelolithotomy for complex renal stone disease in children, and to demonstrate the utility of the robotic ultrasound probe to aid with stone localization. MATERIALS AND...
متن کامل