Editorial Comment: A 16-yr Follow-up of the European Randomized study of Screening for Prostate Cancer
AUTOR(ES)
Hugosson, J; Roobol, MJ; Månsson, M; Tammela, TLJ; Zappa, M; Nelen, V; Lott, Felipe
FONTE
Int. braz j urol.
DATA DE PUBLICAÇÃO
2020-06
RESUMO
ABSTRACT Introduction: Minimally invasive treatments such as extracorporeal shock wave lithotripsy and percutaneous nephrolithotripsy are standard procedures for the management of renal stones (1). However, renal position and rotation defects may significantly interfere in the results of these treatments (2). Open surgery has always been an option for these cases, but with the advancement of laparoscopy in the last decades, laparoscopic pielolitotomy has become a good alternative for approaching kidney stones in abnormal renal rotation and position (3). Materials and methods: A 42-year-old male patient with a 2.2cm stone in the left pelvic kidney was submitted to laparoscopic pielolitotomy after extracorporeal schok wave lithotripsy failure and difficulty in access for percutaneous nephrolithotripsy. We did not have access to flexible ureteroscopy for this case. Results: The surgical time was 150 minutes. An antegrade JJ stent was inserted and renal pelvic suture was performed with vicryl 4-0. There was no need for opioids and patient was discharged on the first postoperative day. The JJ stent was removed after 1 month, with complete resolution of the clinical symptoms. Conclusions: Laparoscopic pielolitotomy is an excellent treatment alternative for patients with large stones in pelvic kidney.
Documentos Relacionados
- Editorial Comment: Efficiency and satisfaction with telephone consultation of follow-up patients in neuro-urology: Experience of the COVID-19 pandemic
- Trabeculectomy. A follow-up study.
- Follow-up after breast cancer
- Editorial Comment: Renal Stone Features Are More Important Than Renal Anatomy to Predict Shock Wave Lithotripsy Outcomes: Results from a Prospective Study with CT Follow-Up
- Follow-up care for cancer survivors: the views of clinicians