Laparoscopic Assisted Percutaneous Nephrolithotomy: A Promising Surgical Technique for Complex Stone Cases

Murat Zor*, Engin Kaya and Selahattin Bedir

Department of Urology, Gulhane Research Hospital, Turkey

^*Correspondance to: Murat Zor 

 PDF  Full Text Surgical Technique | Open Access

Abstract:

The surgical management of urinary stone disease varies from open surgery to various minimal
invasive treatment options. Although PCNL is an accepted treatment modality in anatomically
normal kidneys, ectopic pelvic kidneys require a different and more complicated approach
for PNL. The pelvic kidney is in the retroperitoneum and anterior to the sacrum interposing
bowel loops between anterior abdominal wall and pelvic kidney. Thus, a blind percutaneous
transperitoneal approach to a pelvic kidney should be avoided, because the high risk of injuring the
bowel. Laparoscopic assisted PCNL is being widely used especially for pelvic kidneys. As a result,
laparoscopic assisted PCNL is an effective and feasible minimal invasive treatment modality for
pelvic kidney stone removal. It has no significant intraoperative and postoperative complications
that have been published.

Keywords:

Laparoscopy assisted; Ectopic kidney; Stone disease; Percutaneous nephrolithotomy; Horseshoe kidney

Cite the Article:

Zor M, Kaya E, Bedir S. Laparoscopic Assisted Percutaneous Nephrolithotomy: A Promising Surgical Technique for Complex Stone Cases. World J Surg Surgical Res. 2020; 3: 1201..