Laparoscopy assisted percutaneous stone surgery can be performed in multiple ways for pelvic ectopic kidneys

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dc.contributor.authorSoylemez, Haluk
dc.contributor.authorPenbegül, Necmettin
dc.contributor.authorUtangac, Mehmet Mazhar
dc.contributor.authorDede, Onur
dc.contributor.authorCakmakci, Suleyman
dc.contributor.authorHatipoglu, Namik Kemal
dc.date.accessioned2024-04-24T15:59:54Z
dc.date.available2024-04-24T15:59:54Z
dc.date.issued2016
dc.departmentDicle Üniversitesien_US
dc.description.abstractPelvic kidney stones remain a unique challenge to the endourologists. Treatment options include open surgery, extracorporeal shockwave lithotripsy, percutaneous nephrolithotomy (PNL), retrograde intrarenal surgery, and laparoscopy assisted PNL (LA-PNL). As a minimal invasive option, LA-PNL can decrease the risk for bowel and major vessel injury. Here, we describe our experience using the LA-PNL procedures with different combinations, to treat kidney stones in multiple patients with a pelvic ectopic kidney (PEK). Eight patients, with PEK, kidney stones, and no other treatment choice, but open surgery, were included in the study. Two different laparoscopic techniques such as mesocolon dissection and transmesocolic, and four different percutaneous procedures such as standard-PNL, mini-PNL, micro-PNL, and a PNL through the renal pelvis were used for stone extraction in these patients. The mean age of patients was 25.6 +/- 12.9 years and mean stone size was 524.1 +/- 430.3 mm(2). Mean operation time was 150.5 +/- 40.0 (77-210) min which was composed of retrograde catheterization (14.8 +/- 2.9 min), laparoscopic procedure (48.7 +/- 20.6 min) and PNL procedure (86.8 +/- 31.1 min). Residual stones were seen in two patients (no additional treatment was need), while a 'stone-free' procedure was achieved in six patients (75.0 %). On the post-operative first month visit, a stone was observed on radiological examinations in only one patient (87.5 % stone-free). Mean hospitalization time was 2.8 +/- 0.9 days. No perioperative or post-operative complication was observed in all patients. LA-PNL surgery is a safe and effective option for treatment of PEK stones, and has several alternative approaches.en_US
dc.identifier.doi10.1007/s00240-015-0829-6
dc.identifier.endpage352en_US
dc.identifier.issn2194-7228
dc.identifier.issn2194-7236
dc.identifier.issue4en_US
dc.identifier.pmid26494553
dc.identifier.scopus2-s2.0-84944930898
dc.identifier.scopusqualityQ2
dc.identifier.startpage345en_US
dc.identifier.urihttps://doi.org/10.1007/s00240-015-0829-6
dc.identifier.urihttps://hdl.handle.net/11468/14304
dc.identifier.volume44en_US
dc.identifier.wosWOS:000380132800008
dc.identifier.wosqualityQ3
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherSpringeren_US
dc.relation.ispartofUrolithiasis
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectLaparoscopyen_US
dc.subjectPercutaneous Nephrolithotomyen_US
dc.subjectPelvic Ectopic Kidneyen_US
dc.subjectUrolithiasisen_US
dc.titleLaparoscopy assisted percutaneous stone surgery can be performed in multiple ways for pelvic ectopic kidneysen_US
dc.titleLaparoscopy assisted percutaneous stone surgery can be performed in multiple ways for pelvic ectopic kidneys
dc.typeArticleen_US

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