| Journal: | International braz j urol |
| Database: | PERIÓDICA |
| System number: | 000434608 |
| ISSN: | 1677-5538 |
| Authors: | Paludo, Artur de Oliveira1 Gorgen, Antonio Rebello Horta1 Araldi, Marcio1 Tavares, Patric Machado1 Batezini, Nelson Sivonei1 Rosito, Tiago Elias1 |
| Institutions: | 1Hospital de Clinicas de Porto Alegre, Porto Alegre, Rio Grande do Sul. Brasil 2Universidade Federal do Rio Grande do Sul, Porto Alegre, Rio Grande do Sul. Brasil |
| Year: | 2020 |
| Season: | May-Jun |
| Volumen: | 46 |
| Number: | 3 |
| Country: | Brasil |
| Language: | Inglés |
| Document type: | Nota breve o noticia |
| Approach: | Aplicado, descriptivo |
| English 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 |
| Disciplines: | Medicina |
| Keyword: | Cirugía, Nefrología, Cálculos renales, Pielolitotomía laparoscópica, Técnicas quirúrgicas |
| Keyword: | Surgery, Nephrology, Kidney stones, Laparoscopic pyelolithotomy, Surgical techniques |
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