Percutaneous nephrolithotomy (PNL) is an effective procedure for the treatment of patients with large or complex stones.
PNL is challenging in anomalous kidneys, certain patients, such as those with renal ectopia. It is unable to undergo PNL in conventional technique safely in these cases. We presented a case report of laparoscopic-assisted PNL via direct pelvic puncture in a pelvic kidney stone and discussed previous published literature. A 49-year-old man presented with right lower quadrant pain and hematuria. Intravenous pyelography and three-dimensional computerized tomography revealed an opaque 2.7 × 1.7 cm pelvis renalis stone in a right side ectopic pelvic kidney with grade III hydronephrosis. Laparoscopic-assisted tubeless PNL was performed to remove the calculus. Laparoscopic-assisted PNL as a minimally invasive therapy in ectopic kidney has many advantages. Our case showed that, in pelvic ectopic kidney with pelvic stones greater than 1.5 cm in size, laparoscopic-assisted PNL via direct pelvis puncture is a safe and effective technique.
Written by:
Mehmet RM, Rustu YF, Hanefi B, Mursel D, Fusun A, Mehmet I. Are you the author?
Department of Urology, Faculty of Medicine, Mustafa Kemal University, Serinyol, Antakya, Turkey.
Reference: Ren Fail. 2013 Nov;35(10):1440-4.
doi: 10.3109/0886022X.2013.828357
PubMed Abstract
PMID: 23991847
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