Combination of laparoscopy and nephroscopy for treatment of stones in pelvic ectopic kidneys.

Abstract:

PURPOSE:To present the combination of laparoscopy and nephroscopy for the treatment of stones in pelvic ectopic kidneys. PATIENTS AND METHODS:The series included seven male and four female patients (mean age 43 +/- 9 years). Laparoscopy-assisted percutaneous nephrolithotomy (PCNL) was performed for caliceal stones in five patients after failure of shockwave lithotripsy, while laparoscopic pyelolithotomy was performed for large or branched renal pelvic stones in six patients. RESULTS:The mean operative time was 164 +/- 30 minutes. There were neither complications nor conversions to open surgery. The stone-free rate was 91% (10 patients). One patient had a residual caliceal fragment that was treated with shockwave lithotripsy. The mean hospital stay was 3.5 +/- 0.7 days. CONCLUSION:The combination of laparoscopy and nephroscopy is feasible, safe, and effective for the treatment of stones in pelvic kidneys.

journal_name

J Endourol

journal_title

Journal of endourology

authors

El-Kappany HA,El-Nahas AR,Shoma AM,El-Tabey NA,Eraky I,El-Kenawy MR

doi

10.1089/end.2007.9930

subject

Has Abstract

pub_date

2007-10-01 00:00:00

pages

1131-6

issue

10

eissn

0892-7790

issn

1557-900X

journal_volume

21

pub_type

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