Concomitant Percutaneous Nephrolithotomy and Transperitoneal Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction Complicated by Stones

Agarwal, Anshuman; Varshney, A. K.; Bansal, Bhumika

doi:10.1089/end.2008.9726

Cited by 25 publications

(13 citation statements)

References 15 publications

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“…Antegrade stenting was simpler and quicker than retrograde technique. Mean operative time of 'Group II' cases in which retrograde (12) and antegrade (38) stenting was done was 160 and 133 min (P = 0.02), respectively.…”

Section: Resultsmentioning

confidence: 99%

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Laparoscopic pyeloplasty: an analysis of first 100 cases and important lessons learned

2010

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Section: Resultsmentioning

confidence: 99%

“…Residual stones that are not removed laparoscopically may be cleared subsequently by either lithotripsy or PCNL. Concomitant percutaneous nephrolithotomy and transperitoneal laparoscopic pyeloplasty for UPJO complicated by stones has been found to be feasible and safe [12]. .…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic pyeloplasty: an analysis of first 100 cases and important lessons learned

2010

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“…Besides, several studies have demonstrated that renal calculi removal at the time of LP is both safe and feasible [5][6][7][8][9]. Agarwal et al [4] described that concomitant PNL and LP are accessible for patients with UPJO complicated by renal calculi. Ramakumar et al [8] reported that the success rate for concomitant LP and pyelolithotomy was 90% and the stonefree rate was 80%.…”

Section: Discussionmentioning

confidence: 99%

“…In any case, the main goal of treatment is to relieve urinary tract obstruction and prevent recurrent calculi. The repertoire of surgical managements of UPJO complicated by stone disease includes open surgery, percutaneous nephrolithotomy (PNL) with endopyelotomy [4], laparoscopic pyeloplasty (LP) with flexible or rigid scopes [5][6][7][8], and robot-assisted pyeloplasty (RAP) [9][10][11] with flexible or rigid scopes. In the past, PNL with endopyelotomy was the preferred treatment [12].…”

Section: Introductionmentioning

confidence: 99%

A Simple Modification for the Usage of Flexible Cystoscope in Modified Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction with Renal Calculi: A Flexible Guiding Tube

Hong

Zhu

et al. 2019

Urol Int

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Objective: To present our technique of laparoscopic pyeloplasty (LP) with concomitant pyelolithotomy in ureteropelvic junction obstruction (UPJO) complicated by renal calculi and compare outcome with a group of UPJO patients undergoing modified LP without coexistent calculi. Materials and Methods: We retrospectively reviewed the charts of 51 UPJO patients undergoing modified LP from January 2013 to November 2016 at our institution. Sixteen patients were diagnosed as UPJO with coexistent ipsilateral renal calculi and underwent pyelolithotomy using our modified technique at the time of modified LP. The outcome data of this group were compared with those of 16 matched patients undergoing modified LP without calculi. Results: No conversion to open surgery occurred. The mean operative time for modified LP and pyelolithotomy was 151.6 min, while the mean operative time for modified LP was 137.6 min (p = 0.21). Additionally, no differences in estimated blood loss (p = 0.96) or postoperative complications (p = 1.00) were observed between the 2 groups. The stone-free rate was 100%. During a mean follow-up of 27.1 months, there were no recurrent calculi or secondary UPJO. Conclusions: The combination of our novel flexible guiding tube and modified suture technique provides a practical and economic approach with satisfying outcome in the treating of UPJO with concomitant renal calculi.

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“…The use of percutaneous nephrolithotomy prior to or intracorporeal lithotripsy during laparoscopic surgery for UPJO has been reported [6]. The disadvantage of this however, is that this often requires more than one procedure or a lengthier procedure.…”

Section: Discussionmentioning

confidence: 99%

“Vaginal Delivery”: A Novel Extraction Route for Large Renal Calculi Encountered During Laparoscopic Pyeloplasty

Adam

Reddy

2019

Current Urology

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Background: To describe a simple, novel stone extraction technique using the transvaginal route for large renal calculi encountered during laparoscopic/robotic pyelolithotomy. Methods: After a standard approach laparoscopic pyelolithotomy in a patient with a large (42 × 36 mm) pelvic calculus, Anderson-Hynes pyeloplasty was performed. A transverse posterior colpotomy was performed laparoscopically with the assistance of the Colpassist Vaginal Positioning Device (Boston Scientific) and the calculus was extracted, intact, through the vagina with the aid of an endoscopic retrieval bag. The vaginal incision was then closed intra-corporeally. A systematic review on the topic was also performed. Results: The stone was removed in its entirety through an occult vaginal incision. There were no complications reported and the patient was stone free at follow-ups. Conclusions: This simple, novel technique is an easily reproducible method, for the removal of large urinary calculi during either traditional laparoscopic or robotic-assisted laparoscopic stone surgery in the appropriate female patient. It avoids the need for additional abdominal incisions or complex techniques involving lithotripsy which may be more complicated and time consuming. All previously published stone extraction techniques for large calculi (greater than 20 mm) within this systematic review are also critically appraised.

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Concomitant Percutaneous Nephrolithotomy and Transperitoneal Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction Complicated by Stones

Abstract: Concomitant PNL and laparoscopic pyeloplasty are feasible and safe for patients with UPJ obstruction complicated by multiple calculi. We did not encounter any intraoperative difficulty during pyeloplasty following PNL.

Cited by 25 publications

References 15 publications

Laparoscopic pyeloplasty: an analysis of first 100 cases and important lessons learned

Laparoscopic pyeloplasty: an analysis of first 100 cases and important lessons learned

A Simple Modification for the Usage of Flexible Cystoscope in Modified Laparoscopic Pyeloplasty for Ureteropelvic Junction Obstruction with Renal Calculi: A Flexible Guiding Tube

“Vaginal Delivery”: A Novel Extraction Route for Large Renal Calculi Encountered During Laparoscopic Pyeloplasty

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