Laparoscopic pyelolithotomy in a malrotated kidney
Introduction: Whilst advances in endourology have led to the popularization of percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS), laparoscopic pyelolithotomy (LPL) is a viable surgical option that is often underutilized despite its wide range of applications [1–5]. We repo...
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doaj-06c0375f94634864be7e58dbb710c4652021-02-21T04:36:24ZengElsevierUrology Video Journal2590-08972021-03-019100080Laparoscopic pyelolithotomy in a malrotated kidneyClarissa M. Gurbani0Siying Yeow1Cheuk Fan Shum2Corresponding author.; Department of Urology, Khoo Teck Puat Hospital, 90 Yishun Central, 768828, SingaporeDepartment of Urology, Khoo Teck Puat Hospital, 90 Yishun Central, 768828, SingaporeDepartment of Urology, Khoo Teck Puat Hospital, 90 Yishun Central, 768828, SingaporeIntroduction: Whilst advances in endourology have led to the popularization of percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS), laparoscopic pyelolithotomy (LPL) is a viable surgical option that is often underutilized despite its wide range of applications [1–5]. We report our preliminary experience with laparoscopic pyelolithotomy for the treatment of multiple stones within a malrotated kidney. Methods: The patient is a 60 year-old Chinese male with a 2.4 centimetre obstructing left renal pelvis calculus, as well as two left lower pole calyceal calculi up to 6 millimetres. A retrograde pyelogram and ureteric catheter insertion was first performed in lithotomy. The patient was then repositioned to flank position with the left side up at 30 degrees. Port placement comprised the camera port at the umbilicus and two further working ports at the left hypochondrium and left flank at the mid-clavicular line. Laparoscopic pyelolithotomy was performed and all 3 stones were retrieved intact. Results: Total operative time was 209 minutes. Recovery was uneventful and the patient was confirmed as stone-free on post-operative imaging. Removal of the drain and indwelling catheter was performed on day 1 and day 7 respectively. The patient was medically fit for discharge on post-operative day 2. Outpatient retrieval of the ureteric stent was performed at 6 weeks. Conclusion: Laparoscopic pyelolithotomy is a good option with high stone-free rates and minimal morbidity for malrotated kidneys wherein percutaneous methods are associated with difficult or risky access.http://www.sciencedirect.com/science/article/pii/S2590089721000037Laparoscopic pyelolithotomyUrolithiasis |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Clarissa M. Gurbani Siying Yeow Cheuk Fan Shum |
spellingShingle |
Clarissa M. Gurbani Siying Yeow Cheuk Fan Shum Laparoscopic pyelolithotomy in a malrotated kidney Urology Video Journal Laparoscopic pyelolithotomy Urolithiasis |
author_facet |
Clarissa M. Gurbani Siying Yeow Cheuk Fan Shum |
author_sort |
Clarissa M. Gurbani |
title |
Laparoscopic pyelolithotomy in a malrotated kidney |
title_short |
Laparoscopic pyelolithotomy in a malrotated kidney |
title_full |
Laparoscopic pyelolithotomy in a malrotated kidney |
title_fullStr |
Laparoscopic pyelolithotomy in a malrotated kidney |
title_full_unstemmed |
Laparoscopic pyelolithotomy in a malrotated kidney |
title_sort |
laparoscopic pyelolithotomy in a malrotated kidney |
publisher |
Elsevier |
series |
Urology Video Journal |
issn |
2590-0897 |
publishDate |
2021-03-01 |
description |
Introduction: Whilst advances in endourology have led to the popularization of percutaneous nephrolithotomy (PCNL) and retrograde intrarenal surgery (RIRS), laparoscopic pyelolithotomy (LPL) is a viable surgical option that is often underutilized despite its wide range of applications [1–5]. We report our preliminary experience with laparoscopic pyelolithotomy for the treatment of multiple stones within a malrotated kidney. Methods: The patient is a 60 year-old Chinese male with a 2.4 centimetre obstructing left renal pelvis calculus, as well as two left lower pole calyceal calculi up to 6 millimetres. A retrograde pyelogram and ureteric catheter insertion was first performed in lithotomy. The patient was then repositioned to flank position with the left side up at 30 degrees. Port placement comprised the camera port at the umbilicus and two further working ports at the left hypochondrium and left flank at the mid-clavicular line. Laparoscopic pyelolithotomy was performed and all 3 stones were retrieved intact. Results: Total operative time was 209 minutes. Recovery was uneventful and the patient was confirmed as stone-free on post-operative imaging. Removal of the drain and indwelling catheter was performed on day 1 and day 7 respectively. The patient was medically fit for discharge on post-operative day 2. Outpatient retrieval of the ureteric stent was performed at 6 weeks. Conclusion: Laparoscopic pyelolithotomy is a good option with high stone-free rates and minimal morbidity for malrotated kidneys wherein percutaneous methods are associated with difficult or risky access. |
topic |
Laparoscopic pyelolithotomy Urolithiasis |
url |
http://www.sciencedirect.com/science/article/pii/S2590089721000037 |
work_keys_str_mv |
AT clarissamgurbani laparoscopicpyelolithotomyinamalrotatedkidney AT siyingyeow laparoscopicpyelolithotomyinamalrotatedkidney AT cheukfanshum laparoscopicpyelolithotomyinamalrotatedkidney |
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