Laparoscopic surgery for renal stones: Is it indicated in the modern endourology era?

Andrei Nadu, Oscar Schatloff*, Roy Morag, Jacob Ramon, Harry Winkler

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

Purpose: To report the outcomes of laparoscopic surgery combined with endourological assistance for the treatment of renal stones in patients with associated anomalies of the urinary tract. To discuss the role of laparoscopy in kidney stone disease. Materials and Methods: Thirteen patients with renal stones and concomitant urinary anomalies underwent laparoscopic stone surgery combined with ancillary endourological assistance as needed. Their data were analyzed retrospectively including stone burden, associated malformations, perioperative complications and outcomes. Results: Encountered anomalies included ureteropelvic junction obstruction, horseshoe kidney, ectopic pelvic kidney, fussed-crossed ectopic kidney, and double collecting system. Treatment included laparoscopic pyeloplasty, pyelolithotomy, and nephrolithotomy combined with flexible nephroscopy and stone retrieval. Intraoperative complications were lost stones in the abdomen diagnosed in two patients during follow up. Mean number of stones removed was 12 (range 3 to 214). Stone free status was 77% (10/13) and 100% after one ancillary treatment in the remaining patients. One patient had a postoperative urinary leak managed conservatively. Laparoscopic pyeloplasty was successful in all patients according to clinical and dynamic renal scan parameters. Conclusions: In carefully selected patients, laparoscopic and endourological techniques can be successfully combined in a one procedure solution that deals with complex stone disease and repairs underlying urinary anomalies.

Original languageEnglish
Pages (from-to)9-17
Number of pages9
JournalInternational braz j urol : official journal of the Brazilian Society of Urology
Volume35
Issue number1
DOIs
StatePublished - Jan 2009

Keywords

  • Genitourinary abnormalities
  • Kidney
  • Laparoscopy
  • Nephrolithiasis

Fingerprint

Dive into the research topics of 'Laparoscopic surgery for renal stones: Is it indicated in the modern endourology era?'. Together they form a unique fingerprint.

Cite this