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Robotic pyelolithotomy in a congenital pelvic kidney: side docking and robotic prostatectomy port - site approach
INTRODUCTION AND OBJECTIVES: Ectopic pelvic kidneys with renal stones are challenging to treat. We report our experience in managing a case of ectopic pelvic kidney with a pelvic stone by robotic pyelolithotomy after failure of flexible ureteroscopy. MATERIALS AND METHODS: A 46-year old male with 2...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade Brasileira de Urologia
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5433380/ https://www.ncbi.nlm.nih.gov/pubmed/27778490 http://dx.doi.org/10.1590/S1677-5538.IBJU.2016.0059 |
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author | Al-Yousef, Rawan Almarzouq, Ahmad Aldousari, Saad |
author_facet | Al-Yousef, Rawan Almarzouq, Ahmad Aldousari, Saad |
author_sort | Al-Yousef, Rawan |
collection | PubMed |
description | INTRODUCTION AND OBJECTIVES: Ectopic pelvic kidneys with renal stones are challenging to treat. We report our experience in managing a case of ectopic pelvic kidney with a pelvic stone by robotic pyelolithotomy after failure of flexible ureteroscopy. MATERIALS AND METHODS: A 46-year old male with 2 months history of vague lower abdominal pain was found to have on Computed Tomography scan a left ectopic pelvic kidney with a 12mm stone in an anomalous renal pelvis. Flexible ureteroscopy failed to reach the stone twice and a 4.7 French ureteric stent was placed. RESULTS: Side docking was utilized with the patient in supine Trendelenburg position. Port placements were similar to robotic assisted laparoscopic prostatectomy. Docking time was 35 minutes and console time was 150 minutes. Multiple attempts failed to follow the course of the ureter to the renal pelvis. Subsequently the renal pelvis was directly opened through the mesocolon and a flexible cystoscope was used to basket the stone out. Estimated Blood Loss was <100ml. The patient was discharged 2 days postoperatively. CONCLUSION: Robotic pyelolithotomy is safe and feasible for management of ectopic pelvic kidneys with pelvic stones. The use of flexible cystoscopy helped in localizing and extracting the stone in our case. Detailed understanding of patient’s anatomy helps in the success of this procedure. |
format | Online Article Text |
id | pubmed-5433380 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Sociedade Brasileira de Urologia |
record_format | MEDLINE/PubMed |
spelling | pubmed-54333802017-05-30 Robotic pyelolithotomy in a congenital pelvic kidney: side docking and robotic prostatectomy port - site approach Al-Yousef, Rawan Almarzouq, Ahmad Aldousari, Saad Int Braz J Urol Video Section INTRODUCTION AND OBJECTIVES: Ectopic pelvic kidneys with renal stones are challenging to treat. We report our experience in managing a case of ectopic pelvic kidney with a pelvic stone by robotic pyelolithotomy after failure of flexible ureteroscopy. MATERIALS AND METHODS: A 46-year old male with 2 months history of vague lower abdominal pain was found to have on Computed Tomography scan a left ectopic pelvic kidney with a 12mm stone in an anomalous renal pelvis. Flexible ureteroscopy failed to reach the stone twice and a 4.7 French ureteric stent was placed. RESULTS: Side docking was utilized with the patient in supine Trendelenburg position. Port placements were similar to robotic assisted laparoscopic prostatectomy. Docking time was 35 minutes and console time was 150 minutes. Multiple attempts failed to follow the course of the ureter to the renal pelvis. Subsequently the renal pelvis was directly opened through the mesocolon and a flexible cystoscope was used to basket the stone out. Estimated Blood Loss was <100ml. The patient was discharged 2 days postoperatively. CONCLUSION: Robotic pyelolithotomy is safe and feasible for management of ectopic pelvic kidneys with pelvic stones. The use of flexible cystoscopy helped in localizing and extracting the stone in our case. Detailed understanding of patient’s anatomy helps in the success of this procedure. Sociedade Brasileira de Urologia 2017 /pmc/articles/PMC5433380/ /pubmed/27778490 http://dx.doi.org/10.1590/S1677-5538.IBJU.2016.0059 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Video Section Al-Yousef, Rawan Almarzouq, Ahmad Aldousari, Saad Robotic pyelolithotomy in a congenital pelvic kidney: side docking and robotic prostatectomy port - site approach |
title | Robotic pyelolithotomy in a congenital pelvic kidney: side docking and robotic prostatectomy port - site approach |
title_full | Robotic pyelolithotomy in a congenital pelvic kidney: side docking and robotic prostatectomy port - site approach |
title_fullStr | Robotic pyelolithotomy in a congenital pelvic kidney: side docking and robotic prostatectomy port - site approach |
title_full_unstemmed | Robotic pyelolithotomy in a congenital pelvic kidney: side docking and robotic prostatectomy port - site approach |
title_short | Robotic pyelolithotomy in a congenital pelvic kidney: side docking and robotic prostatectomy port - site approach |
title_sort | robotic pyelolithotomy in a congenital pelvic kidney: side docking and robotic prostatectomy port - site approach |
topic | Video Section |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5433380/ https://www.ncbi.nlm.nih.gov/pubmed/27778490 http://dx.doi.org/10.1590/S1677-5538.IBJU.2016.0059 |
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