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EDITORIAL COMENT: RETROPERITONEOSCOPIC PYELOLITHOTOMY: A GOOD ALTERNATIVE TREATMENT FOR RENAL PELVIC CALCULI IN CHILDREN

This video Cezarino et al. (11. Cezarino PN, Park R, Moscardi PR, Lopes RI, Denes FT, Srougi M. Retroperitoneoscopic pyelolithotomy: a good alternative treatment for renal pelvic calculi in children. Int Braz J Urol. 2016 Nov-Dec;42(6): 1248–8.) was very well about a retroperitoneal laparoscopic pyelolithotomy. While executed flawlessly, the applicability of this video to the average urologic practice is limited because of the other treatments readily available that are usually exhausted prior to laparoscopic stone surgery. Generally, open and robotic/laparoscopic approaches are used in combination with procedures for coexisting anatomic abnormalities. PCNL, ESWL, and ureteroscopy are safe, available at most institutions and should be utilized in the pediatric population as first-line therapy (22. Assimos D, Krambeck A, Miller NL, Monga M, Murad MH, Nelson CP, et al. Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I. J Urol. 2016;196:1153–60.). Despite this, the video does add to the literature and will be needed as a guide for those rare cases when laparoscopic stone surgery is needed.

References

  • 1
    Cezarino PN, Park R, Moscardi PR, Lopes RI, Denes FT, Srougi M. Retroperitoneoscopic pyelolithotomy: a good alternative treatment for renal pelvic calculi in children. Int Braz J Urol. 2016 Nov-Dec;42(6): 1248–8.
  • 2
    Assimos D, Krambeck A, Miller NL, Monga M, Murad MH, Nelson CP, et al. Surgical Management of Stones: American Urological Association/Endourological Society Guideline, PART I. J Urol. 2016;196:1153–60.

Publication Dates

  • Publication in this collection
    Nov-Dec 2016
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