Laparoscopic dismembered pyeloplasty combined with port entrance flexible renoscopic lithotripsy

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dc.contributor.authorGokcen, Kaan
dc.contributor.authorGokce, Gokhan
dc.contributor.authorDundar, Gokce
dc.contributor.authorCicek, Resul
dc.contributor.authorGulbahar, Halil
dc.contributor.authorGultekin, Emin Yener
dc.date.accessioned2019-07-27T12:10:23Z
dc.date.accessioned2019-07-28T09:37:47Z
dc.date.available2019-07-27T12:10:23Z
dc.date.available2019-07-28T09:37:47Z
dc.date.issued2018
dc.department[Gokcen, Kaan -- Gokce, Gokhan -- Cicek, Resul -- Gulbahar, Halil -- Gultekin, Emin Yener] Cumhuriyet Univ, Dept Urol, Fac Med, Sivas, Turkey -- [Dundar, Gokce] Cizre State Hosp, Dept Urol, TR-73200 Cizre, Sirnak, Turkeyen_US
dc.description.abstractIntroduction: 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.en_US
dc.identifier.doi10.1590/S1677-5538.IBJU.2017.0401en_US
dc.identifier.endpage1047en_US
dc.identifier.issn1677-5538
dc.identifier.issn1677-6119
dc.identifier.issue5en_US
dc.identifier.pmid29244271en_US
dc.identifier.scopus2-s2.0-85055006555en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage1047en_US
dc.identifier.urihttps://dx.doi.org/10.1590/S1677-5538.IBJU.2017.0401
dc.identifier.urihttps://hdl.handle.net/20.500.12418/6177
dc.identifier.volume44en_US
dc.identifier.wosWOS:000446097700030en_US
dc.identifier.wosqualityQ4
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.indekslendigikaynakPubMeden_US
dc.language.isoenen_US
dc.publisherBRAZILIAN SOC UROLen_US
dc.relation.ispartofINTERNATIONAL BRAZ J UROLen_US
dc.relation.publicationcategoryDiğeren_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.titleLaparoscopic dismembered pyeloplasty combined with port entrance flexible renoscopic lithotripsyen_US
dc.typeOtheren_US

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