Clinical experience of retroperitoneal laparoscopic pyeloplasty for UPJO with concomitant ipsilateral renal stone removal
Chen Ming
Gao Yi
Cui Xingang
Liu Yushan
Yao Yacheng
Ren Jizhong
Xu Danfeng
Abstract：Objective:Ureteropelvicjunction (UPJ)obstructionandconcomitant renal calculus disease maycoex-ist.Wepresentourexperiencewithsimultaneouslaparoscopicpyeloplastyandpyelolithotomyinsuchpatients.Meth-ods:Eighteen patients underwent retroperitoneal laparoscopic pyeloplasty and concomitant pyelolithotomy at our in-stitution.Aninitial dismemberingofthe UPJ wasfollowedbyremoval ofthecalculi.Stones wereremoved withthe aidoflaparoscopicgrasper,fluidirragationorflexibleureteroscope.Thepyeloplastywassubsequentlyperformedon allcases.Results:Completestoneclearancewaspossiblein13/18patients (72 %).Onepatientunderwentsubsequent extracorporeal shock-wave lithotripsy .Diuretic renography at follow-up revealed i mproved drainage in 16/18 (89 %) patients ;2patientshadanequivocaldrainagepatternbuttheirsymptomsdisappeared.Conclusions:Laparoscopicpy-eloplastywithconcomitantpyeloplastyisfeasibleandeffective.Laparoscopicgrasperandfluidirragationcanachieve satisfactory stone clearance .
Keywords：laparoscopypyeloplastypyelolithoto my
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 24-26 )