What Is the Future of Kidney Stone Management?

Matlaga, Brian R.

doi:10.1016/j.eururo.2014.07.031

Cited by 2 publications

(1 citation statement)

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“…However, two or more operations may be needed for patients with a heavy stone burden to achieve an ideal stone-free rate (SFR). In recent years, the surgical management of urinary tract calculi becomes increasingly efficient and minimally invasive due to new technologies and developments in equipment [8]. The da Vinci surgical system has garnered extensive interest from urologists and is widely used in tumor resection and urinary reconstruction due to its improved 3D visualization with magnification of operating field and endo-wrist technology with seven degrees of freedom that improves surgical precision [9].…”

Section: Introductionmentioning

confidence: 99%

Robot-assisted laparoendoscopic single-site surgery for the simultaneous management of multiple urinary tract calculi: a case report and experience sharing

et al. 2019

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BackgroundUrolithiasis is a clinically common benign disease in urology. Surgical treatments that are widely used in urolithiasis are percutaneous nephrolithotomy, rigid/flexible ureteroscopy, laparoscopic surgery, and endoscopic combined intrarenal surgery. The da Vinci surgical system is rarely used in the treatment of urolithiasis. In the current study, we report a case of multiple urinary tract calculi treated by robot-assisted laparoendoscopic single-site (RA-LESS) surgery.Case presentationA 49-year-old male patient was admitted to our hospital and diagnosed with multiple urinary tract calculi. He previously underwent right ureterolithotomy, laparoscopic cholecystectomy, and extracorporeal shockwave lithotripsy. Computed tomography (CT) scan and three-dimensional reconstruction CT image showed that multiple calculi were located in the right kidney, right upper ureter, and bladder. The preoperative glomerular filtration rate (GFR) were 17.81 ml/min (right kidney) and 53.11 ml/min (left kidney). We utilized the da Vinci system docking with a single-site port to perform pyelolithotomy, ureterolithotomy, and cystolithotomy, simultaneously. The operative time was 135 min and estimated blood loss was 30 ml. The postoperative hospital stay was 5 days. Three months after surgery, the serum creatinine and urea nitrogen levels dropped to a normal range, and no residual fragments were found in the CT scan. The postoperative GFR were 26.33 ml/min (right kidney) and 55.25 ml/min (left kidney).ConclusionsRA-LESS surgery is a safe and effective surgical procedure in the treatment of multiple urinary tract calculi; however, further investigation is needed to validate its long-term therapeutic effect.

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Section: Introductionmentioning

confidence: 99%