V11-14 NEPHROLITHOTOMY PERFORMED WITH LAPAROENDOSCOPIC SINGLE-SITE PYELOPLASTY (2014)

You have accessJournal of UrologySingle Port Surgery/LESS/NOTES/Robotics1 Apr 2014V11-14 NEPHROLITHOTOMY PERFORMED WITH LAPAROENDOSCOPIC SINGLE-SITE PYELOPLASTY Yasuyuki Naitoh, Akihiro Kawauchi, Yasuhiro Yamada, Atsuko Fujihara, Fumiya Hongo, Kazumi Kamoi, Koji Okihara, and Tsuneharu Miki Yasuyuki NaitohYasuyuki Naitoh More articles by this author , Akihiro KawauchiAkihiro Kawauchi More articles by this author , Yasuhiro YamadaYasuhiro Yamada More articles by this author , Atsuko FujiharaAtsuko Fujihara More articles by this author , Fumiya HongoFumiya Hongo More articles by this author , Kazumi KamoiKazumi Kamoi More articles by this author , Koji OkiharaKoji Okihara More articles by this author , and Tsuneharu MikiTsuneharu Miki More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2014.02.2018AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Laparoendoscopic single site surgery (LESS) for pyeloplasty was introduced to our department from 2008, and we reported the results of LESS pyeloplasty in AUA 2012. We report 5 cases of lithotomy performed Concurrently through the LESS port in patients with renal stones in the distended renal pelvis. METHODS 5 patients with PUJO and renal stones underwent pyelolithotomy performed concurrently with LESS pyeloplasty. LESS port was inserted through a 2.5cm incision. A 2-mm port was added for the left hand and a 5-mm flexible scope was used. After dissection of the PUJ, an incision of about 1cm was made along the presumed transection line of the renal pelvis. The pyelolithotomy was performed using a 24 Fr rigid nephroscope through a LESS port (Figure 1). Dismembered pyeloplasty was performed after extraction of the renal stones was completed. In order to evaluate the pain after operation, we used the "pain face scale". RESULTS The mean operation time was 277 minutes (range: 225 to 373) and the mean lithotomy time was 31 minutes (range: 20 to 55). No intraoperative or postoperative complications were observed. For all 5 patients, discharge from the hospital was possible after a mean of 3.4 postoperative days (range: 3 to 4). 4 of the patients became stone-free. In the remaining 1 patient with an ectopic kidney in the pelvis and 15 stones, 2 small stones remained. Postoperative ultrasound revealed that hydronephrosis improved in all patients. In all patients, resolution of the symptoms was confirmed. Their renal function was no problem after operation. Pain face scale demonstrated a minimum level of pain for all cases in 3 days after surgery. All patients made comments about their satisfaction for cosmetic appearance. CONCLUSIONS LESS nephrolithotomy with pyeloplasty is a safe and effective procedure with good cosmetic result for patients with PUJO and renal stones. © 2014FiguresReferencesRelatedDetails Volume 191Issue 4SApril 2014Page: e954-e955 Advertisement Copyright & Permissions© 2014MetricsAuthor Information Yasuyuki Naitoh More articles by this author Akihiro Kawauchi More articles by this author Yasuhiro Yamada More articles by this author Atsuko Fujihara More articles by this author Fumiya Hongo More articles by this author Kazumi Kamoi More articles by this author Koji Okihara More articles by this author Tsuneharu Miki More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...