Laparoscopic Pyelolithotomy for Management of Complete Staghorn Stone of An Ectopic Pelvic Kidney

Mohammad Hossein Soltani, Sepehr Hamedanchi, Behnam Shakiba, Hassan Hoshyar

Abstract


148

A 40-year-old man was referred to our urology clinic due to vague abdominal pain and hematuria. Computed tomography (CT) without contrast material visualized an ectopic kidney in the left iliac fossa with a complete staghorn stone. Under general anesthesia, operation was done in supine position with a gentle lateral elevation on the right side. The surgeon stands on the right side of the patient. First, a 12 mm port was inserted at the umbilicus using the Hasson technique. After creation of pneumoperitoneum, operation was done by three 5 mm trocars were arranges as paraumbilical, the point between umbilicus and inguinal canal at left and right side.
A vertical pyelotomy incision was made over the anterior pelvic wall and then extended to a cross figure. The stone extracted intact with a laparoscopic stone grasper and placed in endobag. A short double J stent was placed via the pyelotomy incision and renal pelvis was closed using continuous 4.0 vicryl sutures. He was discharged from hospital after 3 days without any complication.

Full Text:

PDF

8

References


Zafar FS, Lingeman JS. Value of laparoscopy in the management of calculi complicating renal malformations. J Endourol 1996;10:379–83.

Tunc L, Tokgoz H, Tan MO, Kupeli B, Karaglan U, Bozkirli I. Stones in anomalous kidneys: resuts of treatment by shock

wave lithotripsy in 150 patients. Int J Urol. 2004;11:831– 6.

Ergin G, Kirac M, Unsal A, Kopru B, Yordam M, Biri H. Surgical management of urinary stones with abnormal kidney anatomy.

Kaohsiung J Med Sci. 2017 Apr;33:207-11.

Cinman NM, Okeke Z, Smith AD. Pelvic kidney: associated diseases and treatment. J Endourol. 2007 Aug;21:836-42

Theiss M, Wirth MP, Frohmuller HG. Extracorporeal shock wave lithotripsy in patients with renal malformations. Br J Urol

;72:534–38.

Ahangar S, Durrani AM, Qadri SJ, Patloo AM, Ganaie RG, Khan M. Laparoscopic pyelolithotomy in pelvic kidney-Soltani et al. Trans-Peritoneal Pyelolithotomy in a Pelvic Kidney. Saudi J Kidney Dis Transpl. 2012 Nov;23:1254-7.

Ölçücüoğlu E, Çamtosun A, Biçer S, Bayraktar AM. Laparoscopic pyelolithotomy in a horseshoe kidney. Turk J Urol. 2014 Dec;40:240-4.

Eshghi AM, Roth JS, Smith AD. Percutaneous transperitoneal approach to a pelvic kidney for endourological removal of staghorn calculus. J Urol 1985;134:525–27.

Haggag YM, Morsy G, Badr MM, Al Emam AB, Farid M, Etafy M. Comparative study of laparoscopic pyelolithotomy versus percutaneous nephrolithotomy in the management of large renal pelvic stones. Can Urol Assoc J. 2013 Mar-Apr;7:E171-5.

Sahin S, Resorlu B, Atar FA, Eksi M, Sener NC, Tugcu V. Laparoscopic Ureterolithotomy with Concomitant Pyelolithotomy Using Flexible Cystoscope.Urol J. 2016 10;13:2833-6.

Jurkiewicz B, Zabkowski T, Jobs K, Samotyjek J, Jung A. Combined Use of Pyelolithotomy and Endoscopy: An Alternative Surgical Treatment for Staghorn Urolithiasis in Children. Urol J. 2016 ;13:2599-604

Soltani MH, Simforoosh N, Nouralizadeh A, Sotoudeh M, Mollakoochakian MJ, Shemshaki HR. Laparoscopic Pyelolithotomy

in Children Less Than Two Years Old with Large Renal Stones: Initial Series. Urol J. 2016 ;13:2837-40.




DOI: http://dx.doi.org/10.22037/uj.v0i0.4121


Creative Commons License 
This work is licensed under a Creative Commons Attribution 3.0 License