Rahul A Desai1, Dean G Assimos. 1. Department of Urology, Wake Forest University School of Medicine, Winston-Salem, North Carolina, USA. rdesai@wfubmc.edu
Abstract
OBJECTIVES: To define the role of laparoscopic stone surgery in current urologic practice. METHODS: All cases of laparoscopic surgery for renal calculus disease performed at a single institution during a 2-year period were reviewed. A total of 449 stone-removing procedures were performed by one of us (D.G.A.) during this interval, of which 5 were laparoscopic (1.1%). Of the five laparoscopic procedures, three were pyelolithotomy/pyeloplasty, one was laparoscopic-assisted percutaneous nephrostolithotomy, and one was caliceal diverticular stone removal. RESULTS: All 5 patients were rendered stone free, and no patient had perioperative complications. CONCLUSIONS: A laparoscopic approach is rarely needed in patients requiring stone removal. However, it can be a safe and effective approach in the management of select patients with complex stone disease.
OBJECTIVES: To define the role of laparoscopic stone surgery in current urologic practice. METHODS: All cases of laparoscopic surgery for renal calculus disease performed at a single institution during a 2-year period were reviewed. A total of 449 stone-removing procedures were performed by one of us (D.G.A.) during this interval, of which 5 were laparoscopic (1.1%). Of the five laparoscopic procedures, three were pyelolithotomy/pyeloplasty, one was laparoscopic-assisted percutaneous nephrostolithotomy, and one was caliceal diverticular stone removal. RESULTS: All 5 patients were rendered stone free, and no patient had perioperative complications. CONCLUSIONS: A laparoscopic approach is rarely needed in patients requiring stone removal. However, it can be a safe and effective approach in the management of select patients with complex stone disease.
Authors: Juan Gómez Rivas; Sergio Alonso Y Gregorio; Leslie Cuello Sánchez; Cristina de Castro Guerin; Angel Tabernero Gómez; Luis Hidalgo Togores; Jesús Javier de la Peña Barthel Journal: Cent European J Urol Date: 2014-01-27