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International braz j urol

Print version ISSN 1677-5538On-line version ISSN 1677-6119

Int. braz j urol. vol.44 no.5 Rio de Janeiro Sept./Oct. 2018

http://dx.doi.org/10.1590/s1677-5538.ibju.2017.0401 

Video Section

Laparoscopic dismembered pyeloplasty combined with port entrance flexible renoscopic lithotripsy

Kaan Gokcen1 

Gokhan Gokce1 

Gokce Dundar2 

Resul Cicek1 

Halil Gulbahar1 

Emin Yener Gultekin1 

1Department of Urology, Cumhuriyet University Faculty of Medine, Sivas, Turkey

2Department of Urology, Cizre State Hospital, Cizre, Turkey

ABSTRACT

Introduction:

Ureteropelvic junction obstruction and concomitant calculus disease may coexist. We demonstrate our use of flexible renoscopy during laparoscopic pyeloplasty for caliceal stone removal.

Patient and methods:

A 28-year-old female patient presented with recurrent attacks of flank pain of two years duration. When noncontrast-CT and DTPA were performed, the patient was diagnosed with ureteropelvic junction stenosis and 3 stones with a total burden of 14mm in the lower pole of right kidney. After pneumoperitoneum was established in right flank position, three 10mm trocars were placed including one camera port. 5mm trocar was placed for convenience to retraction and dissection. The surgery was uneventful, with no operative complications or evidence of intra-abdominal bleeding.

Results:

The duration of the surgery was 110 minutes. The amount of bleeding was 30ml. On the postoperative 2nd day, the urethral catheter was removed and the patient was discharged on the fourth day postoperatively. Stent removal was done on the 3rd postoperative week and retrograde pyelogram showed normal ureter. Post-operative follow-up with ultrasound showed that hydronephrosis had regressed.

Conclusions:

Laparoscopic pyeloplasty and concomitant flexible renoscopy through lowermost trocar with basket extraction is a simple, attractive alternative for the simultaneous treatment of ureteropelvic junction obstruction presenting with coexisting nephrolithiasis. This method is useful and feasible, with minimal invasiveness and an early post-operative recovery.

ARTICLE INFO

Available at: http://www.intbrazjurol.com.br/video-section/20170401_Gokcen_et_al

Int Braz J Urol. 2018; 44 (Video #15): 1049-1049

Published as Ahead of Print: December 05, 2017

Received: July 03, 2017; Accepted: November 03, 2017

Correspondence address: Gokce Dundar, MD, Department of Urology, Cizre State Hospital, Cizre, Turkey, Sur Mah. Banecirf Mevki, 73200 Cizre, Şirnak, Turkey, Telephone: + 90 486 617-0410 E-mail: dr@gokcedundar.com

CONFLICT OF INTEREST

None declared.

Creative Commons License 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.