Limits...
Robot-assisted laparoscopic pyeloplasty with stone removal in an ectopic pelvic kidney.

Nayyar R, Singh P, Gupta NP - JSLS (2010 Jan-Mar)

Bottom Line: 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 present successful management using the robotic technique of one such case of concomitant pyeloplasty and pyelolithotomy.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, All India Institute of Medical Sciences, New Delhi, India.

ABSTRACT
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 present successful management using the robotic technique of one such case of concomitant pyeloplasty and pyelolithotomy.

Show MeSH

Related in: MedlinePlus

Noncontrast computed tomographic scans showing ectopic (pelvic) left kidney with ureteropelvic junction obstruction and a smooth rounded secondary calculus (arrow) in the renal pelvis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3021313&req=5

Figure 1: Noncontrast computed tomographic scans showing ectopic (pelvic) left kidney with ureteropelvic junction obstruction and a smooth rounded secondary calculus (arrow) in the renal pelvis.

Mentions: A 55-year-old man with diabetes mellitus, hypertension, and hypothyroidism presented with vague pain in the flanks and suprapubic region along with raised serum creatinine (2.3mg%) and blood urea (82mg%) levels. An abdominal ultrasound showed an ectopic pelvic left kidney lying near the urinary bladder with severe hydronephrosis and a mobile calculus of 13mm in the renal pelvis. The right kidney also had small calculi in the upper and lower calyces. Noncontrast abdominal CT confirmed the same findings (Figure 1). A renal scan revealed a split renal function of 19% on the left side with delayed clearance. The overall glomerular filtration rate (GFR) was 35mL/min. The extended metabolic workup for stones was normal.


Robot-assisted laparoscopic pyeloplasty with stone removal in an ectopic pelvic kidney.

Nayyar R, Singh P, Gupta NP - JSLS (2010 Jan-Mar)

Noncontrast computed tomographic scans showing ectopic (pelvic) left kidney with ureteropelvic junction obstruction and a smooth rounded secondary calculus (arrow) in the renal pelvis.
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3021313&req=5

Figure 1: Noncontrast computed tomographic scans showing ectopic (pelvic) left kidney with ureteropelvic junction obstruction and a smooth rounded secondary calculus (arrow) in the renal pelvis.
Mentions: A 55-year-old man with diabetes mellitus, hypertension, and hypothyroidism presented with vague pain in the flanks and suprapubic region along with raised serum creatinine (2.3mg%) and blood urea (82mg%) levels. An abdominal ultrasound showed an ectopic pelvic left kidney lying near the urinary bladder with severe hydronephrosis and a mobile calculus of 13mm in the renal pelvis. The right kidney also had small calculi in the upper and lower calyces. Noncontrast abdominal CT confirmed the same findings (Figure 1). A renal scan revealed a split renal function of 19% on the left side with delayed clearance. The overall glomerular filtration rate (GFR) was 35mL/min. The extended metabolic workup for stones was normal.

Bottom Line: 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 present successful management using the robotic technique of one such case of concomitant pyeloplasty and pyelolithotomy.

View Article: PubMed Central - PubMed

Affiliation: Department of Urology, All India Institute of Medical Sciences, New Delhi, India.

ABSTRACT
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 present successful management using the robotic technique of one such case of concomitant pyeloplasty and pyelolithotomy.

Show MeSH
Related in: MedlinePlus