Nephrolithotomy Performed Concurrently With Laparoendoscopic Single-site Pyeloplasty

详细信息    查看全文

• 作者：Yasuyuki Naitoh ; Akihiro Kawauchi ; Kazumi Kamoi ; Jintetsu Soh ; Fumiya Hongo ; Koji Okihara ; Tsuneharu Miki
• 刊名：Urology
• 出版年：January, 2014
• 年：2014
• 卷：83
• 期：1
• 页码：243-246
• 全文大小：633 K

文摘

| Figures/TablesFigures/Tables | ReferencesReferencesersion="1.0" encoding="UTF-8"?>

Introduction

The objective of the present study was to evaluate the results of laparoendoscopic single-site (LESS) pyeloplasty and pyelolithotomy, which were performed concurrently in patients with pelviureteric junction obstruction (PUJO) and renal stones.

Technical Considerations

Four patients with PUJO and renal stones underwent pyelolithotomy performed concurrently with LESS pyeloplasty. In 3 patients, a 2.5-cm incision was made in the umbilical region. In the fourth patient, the 2.5-cm vertical incision was made at a site 7聽cm below the umbilical region because of a stone in the right lower calyx. After dissection of the pelviureteric junction, an incision of approximately 1聽cm was made along the presumed transection line of the renal pelvis. The pyelolithotomy was performed using a 24F rigid nephroscope through a SILS port. Dismembered pyeloplasty was performed after extraction of the renal stones was completed. The mean operation time was 277聽minutes (range, 225-373), and the mean lithotomy time was 31聽minutes (range, 20-50). No intraoperative or postoperative complications were observed. For all 4 patients, discharge from the hospital was possible after a mean of 3.4 postoperative days (range, 3-4). All patients became stone free. Postoperative ultrasound revealed that hydronephrosis improved in all patients. In all patients, resolution of the symptoms was confirmed.

Conclusion

LESS nephrolithotomy with pyeloplasty is a safe and effective procedure with a good cosmetic result for patients with PUJO and renal stones.