Simultaneous Bilateral Nephrostolithotomies: Immediate Results in Three Cases

Colón-Pérez, Benedicto; Canto, Roberto J.; Ramos, Marjorie

doi:10.1089/end.1987.1.209

Cited by 17 publications

(6 citation statements)

References 3 publications

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“…In all the 6 cases reported previously [1,2], the total operating time has been more than 3 h. Though the split time on each side has not been provided, we believe that a lot must have been wasted as the changeover time. Valu able time under general anesthesia can be saved by initial draping of both the sides simultaneously, and training of the operating room staff in changing the patient's side by rotating the table rather than changing the sides of the After an initial proficiency with endourology, we would advocate preparedness for PBNL in bilateral stone disease patients suitable for percutaneous treatment bilat erally.…”

Section: Discussionmentioning

confidence: 93%

“…The study has highlighted that BPNL was not an anec dotal success in a few hands [1,2]; it is feasible and safe in consecutive patients. BPNL can thus be offered to pa tients ideally suited for percutaneous treatment bilater ally.…”

Section: Discussionmentioning

confidence: 94%

“…Colon-Perez et al [1] like to operate on the more affected side first, while Regan et al [2] have tackled bilat eral complicated disease (staghorns) without mentioning any preference for the first side. We have almost always tackled the easier side first.…”

Section: Methodsmentioning

confidence: 99%

“…Bilateral simultaneous open surgi cal treatment with lumbotomy has been an accepted modality to treat bilateral disease in the past. Despite suc cessful case reports [ 1,2] of simultaneous bilateral percu taneous treatment, such treatment is still considered by many to be of uncertain fesibility, as well as adventurous…”

Section: Introductionmentioning

confidence: 99%

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Bilateral Simultaneous Percutaneous Nephrolithotomy

Ahlawat

Banerjee²,

Dalela³

1995

Eur Urol

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Section: Discussionmentioning

confidence: 93%

Section: Discussionmentioning

confidence: 94%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Bilateral Simultaneous Percutaneous Nephrolithotomy

Ahlawat

Banerjee²,

Dalela³

1995

Eur Urol

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“…This technological advance was slowly applied in children, primarily because of the technical limitations associated with smaller patients and secondly because of the rarity of paediatric urolithiasis. Simultaneous bilateral PCNL (SBPCNL) was reported in adults [1][2][3][4][5][6][7][8]. SBPCNL in children is a challenge for the endourologist; to our knowledge, we report the first series in children.…”

Section: Introductionmentioning

confidence: 99%

Simultaneous bilateral percutaneous nephrolithotomy in children

et al. 2004

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In the paediatric section, two papers relating to the upper urinary tract are presented. The first, from Hungary, describes simultaneous bilateral percutaneous nephrolithotomy in 13 patients, where it was deemed feasible; this is the first such report. Authors from London report on unilateral nephrectomy in patients with nephrogenic hypertension, and found that it was successful in normalising blood pressure in patients with renal hypertension with a normal contralateral kidney. OBJECTIVE To evaluate the efficacy of removing bilateral kidney stones simultaneously from children, in one session. PATIENTS AND METHODS Thirteen patients (three girls and 10 boys, 26 kidneys; mean age 8 years, range 3–14) underwent simultaneous bilateral percutaneous nephrolithotomy (PCNL) in the same session, under general anaesthesia, starting with ureteric catheter insertion into both kidneys and using a 26 F adult nephroscope. The mean (range) stone diameter was 2 (1–3.5) cm. Three patients had staghorn stones in one of their kidneys. Ultrasonic disintegration was used; two patients had bilateral and two others unilateral endopylotomy, and one patient had percutaneous suprapubic cystolithotomy in the same session. The mean (range) operative duration was 65 (55–90) min. RESULTS All patients were rendered stone‐free; there was no severe bleeding or any other complication. On one side in one of the patients, a second session was needed because of residual stone. The nephrostomy tubes were removed 3 and 4 days after PCNL and the hospital stay was 6 (1–11) days. CONCLUSION The advantages of simultaneous bilateral PCNL are reduced psychological stress, one cystoscopy and anaesthesia, less medication and a shorter hospital stay and convalescence, with considerable savings in cost. In experienced hands this method can be used not only in adults but also in children. To our knowledge this is the only report of this technique in children.

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Simultaneous Bilateral Mini PCNL

Naganathan²,

Hameed

2022

Minimally Invasive Percutaneous Nephrolithotomy

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Simultaneous Bilateral Nephrostolithotomies: Immediate Results in Three Cases

Cited by 17 publications

References 3 publications

Bilateral Simultaneous Percutaneous Nephrolithotomy

Bilateral Simultaneous Percutaneous Nephrolithotomy

Simultaneous bilateral percutaneous nephrolithotomy in children

Simultaneous Bilateral Mini PCNL

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