Symptomatic Caliceal Diverticula Treated With Extraperitoneal Laparoscopic Marsupialization Fulguration and Gelatin Resorcinol Formaldehyde Glue Obliteration

Hoznek, Andràs; Herard, A; Ogiez, Nicolas; Amsellem, Delphine; Chopin, Dominique; Abbou, Clément‐Claude

doi:10.1016/s0022-5347(01)62893-3

Cited by 44 publications

(4 citation statements)

References 20 publications

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“…To limit the risks of urinary leakage and bleeding, sealant hemostatic materials such as fibrin glue and gelatin matrix have been shown to efficiently and safely control the bleeding [19,20]. Hoznek et al [21] proposed kidney closure with resorcinol glue after nephrotomy. Endoscopic electrofulguration [22] was also shown to adequately stop bleeding points along the tract.…”

Section: Discussionmentioning

confidence: 99%

Treatment of Ipsilateral Renal Ureteral Calculi by Combining Retroperitoneal Laparoscopic Surgery with Tubeless Mini-Percutaneous Nephrolithotomy

Sun¹,

Peng

2012

Urol Int

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Objectives: To report and discuss the role of the treatment of ipsilateral renal and upper middle ureteral stones in patients by combing retroperitoneal laparoscopic surgery with tubeless mini-percutaneous nephrolithotomy. Patients and Methods: Eleven patients associated with ipsilateral renal and upper middle ureteral stones underwent combing retroperitoneal laparoscopic surgery with tubeless mini-percutaneous nephrolithotomy after failure of shockwave or ureteroscopy lithotripsy. Their data were analyzed retrospectively including stone burden, perioperative complications and outcomes. Results: All the patients underwent retroperitoneal laparoscopic ureterolithotomy and tubeless mini-percutaneous nephrolithotomy successfully. Surgical time ranged from 80 to 160 min with a mean of 118 min. The mean hospital stay was 4 days (3-7 days). The mean length of retroperitoneal urinary drainage was 3 days (2-6 days). There were minor complications in 3 (27.2%) patients. The stone-free rate was 82% (9 patients). Two patients had a residual calyceal fragment that was treated with shockwave lithotripsy. All of them were followed up for 3-24 months. Renal function was improved in different degree. Conclusion: In carefully selected patients, combining retroperitoneal laparoscopic surgery with tubeless mini-percutaneous nephrolithotomy can treat ipsilateral renal and upper middle ureteral calculi by a single procedure with advantages of high stone-free rate, safety, reliability, rapid recovery and less complications.

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Section: Discussionmentioning

confidence: 99%

Treatment of Ipsilateral Renal Ureteral Calculi by Combining Retroperitoneal Laparoscopic Surgery with Tubeless Mini-Percutaneous Nephrolithotomy

Sun¹,

Peng

2012

Urol Int

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“…Laparoscopic retroperitoneal and transperitoneal approaches were proposed and consisted of nephrotomy with treatment of stones and fulguration of the diverticula [2,10,11]. Nevertheless, a thick layer of kidney parenchyma overlying the diverticulum increases the difficulty of laparoscopic nephrotomy, because of bleeding.…”

Section: Comparison With Other Methodsmentioning

confidence: 99%

“…To limit the risks of urinary leakage and bleeding, Hoznek et al. [11] proposed kidney closure with resorcinol glue after nephrotomy. Nevertheless, laparoscopic techniques were successful and associated with low morbidity [2,10,11]…”

Section: Comparison With Other Methodsmentioning

confidence: 99%

Laparoscopically‐assisted percutaneous nephrolithotomy for the treatment of anterior calyceal diverticula

2000

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“…A total of 13 cases of laparoscopic unroofing of caliceal diverticula have been reported in the literature, including a transperitoneal approach in 1 case and a retroperitoneal approach in 12 cases (29)(30)(31)(32)(33). Operative times ranged from 60 to 215 minutes, and the overall complication rate was 7.7%, with the only reported complication consisting of bleeding requiring transfusion.…”

Section: Laparoscopic Approachmentioning

confidence: 99%

Treatment of Caliceal Diverticula

Matsumoto

Pearle

Current Clinical Urology

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Caliceal diverticula represent a therapeutic challenge for the endourologist. Treatment options for symptomatic, stone-bearing, caliceal diverticula include shockwave lithotripsy (SWL), ureteroscopy, percutaneous nephrostolithotomy/ablation, and laparoscopic unroofing. A surprising number of patients achieve symptomatic relief despite poor stonefree rates with SWL, although this approach is best reserved for patients with a small stone burden in a diverticulum with a widely patent neck. Ureteroscopic management (consisting of laser endoinfundibulotomy or balloon dilation of the infundibular neck and fragmentation/removal of the stones) is a good option for relatively small, upper or middle caliceal diverticula with stones less than 15 mm in size. The percutaneous approach is associated with the highest stone-, symptom-, and diverticulum-free rates and is the optimal treatment for all but anteriorly located diverticula. Lastly, laparoscopy is reserved for large, anteriorly positioned diverticula or diverticula that fail endourological management.

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Symptomatic Caliceal Diverticula Treated With Extraperitoneal Laparoscopic Marsupialization Fulguration and Gelatin Resorcinol Formaldehyde Glue Obliteration

Cited by 44 publications

References 20 publications

Treatment of Ipsilateral Renal Ureteral Calculi by Combining Retroperitoneal Laparoscopic Surgery with Tubeless Mini-Percutaneous Nephrolithotomy

Treatment of Ipsilateral Renal Ureteral Calculi by Combining Retroperitoneal Laparoscopic Surgery with Tubeless Mini-Percutaneous Nephrolithotomy

Laparoscopically‐assisted percutaneous nephrolithotomy for the treatment of anterior calyceal diverticula

Treatment of Caliceal Diverticula

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