Laparoscopic Surgery For Calculous Disease Technique And Results

Ashok K. Hemal

Department of Urology, All India Institute of Medical Sciences, New Delhi, India and Vattikuti Urology Institute, Henry Ford Health System, Detroit, Michigan,U.S.A.

■ INTRODUCTION/BACKGROUND

■ PATIENT SELECTION: INDICATIONS AND CONTRAINDICATIONS

■ PREOPERATIVE PREPARATION AND PATIENT POSITION

■ TECHNIQUE Transperitoneal Access Retroperitoneal Access

■ PYELOLITHOTOMY Approach

Identification of the Upper Ureter Dissection of the Renal Pelvis Pyelotomy

Retrieval of the Stone from the Renal Pelvis

To Stent, Not to Stent, and How to Stent

Closure of Pyelotomy

Removal of the Stone from the Body

Exit and Port Closure

Postoperative Management

■ PYELOLITHOTOMY WITH CONCOMITANT PYELOPLASTY

■ ROBOT-ASSISTED PYELOLITHOTOMY AND PYELOPLASTY

■ ANATROPHIC NEPHROLITHOTOMY

■ REMOVAL OF URACHOVESICAL CALCULUS

■ URETEROLITHOTOMY Indications and Contraindications Technique

Laparoscopic Ureterolithotomy: Why?

RETROPERITONEAL VS. TRANSPERITONEAL NEPHRECTOMY FOR NONFUNCTIONING KIDNEYS DUE TO CALCULOUS DISEASE RETROPERITONEOSCOPIC NEPHRECTOMY FOR HYDRONEPHROTIC KIDNEY DUE TO URETEROPELVIC JUNCTION OBSTRUCTION WITH STONES LAPAROSCOPIC NEPHRECTOMY FOR XANTHOGRANULOMATOUS KIDNEYS LAPAROSCOPIC NEPHRECTOMY FOR PATIENTS WITH HISTORY OF PREVIOUS STONE SURGERY OR PERCUTANEOUS NEPHROSTOMY RETROPERITONEOSCOPIC NEPHROURETERECTOMY FOR NONFUNCTIONING

KIDNEYS DUE TO CALCULOUS DISEASE

PARTIAL NEPHRECTOMY

BLADDER DIVERTICULECTOMY WITH STONE

REMOVAL

RESULTS

Results of Laparoscopic Surgery for Urolithiasis Results of Laparoscopic Ureterolithotomy Results of Laparoscopic Pyelolithotomy COMPLICATIONS SUMMARY REFERENCES

COMMENTARY: D. Assimos

The natural corollary of technical development has been the steady decline of open surgery in the management of stone disease. However, despite ever-expanding indications, the new technologies have not been able to completely replace open surgery.

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