Editorial Comment: Comparison of automated irrigation systems using an in vitro ureteroscopy model
AUTOR(ES)
Marroig, Bruno
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
- Comparison of automated irrigation systems using an in vitro ureteroscopy model
- Editorial Comment: Continuous monitoring of intrapelvic pressure during flexible ureteroscopy using a sensor wire: a pilot study
- Editorial comment: High pressure endoscopic irrigation: impact on renal histology
- EDITORIAL COMMENT: TWO-PART SILICONE MOLD. A NEW TOOL FOR FLEXIBLE URETEROSCOPY SURGICAL TRAINING
- Editorial Comment: Portable model for vasectomy reversal training