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Endoscopic Management Of The Symptomatic Caliceal Diverticular Calculus.

Michael A Grasso, G. Lang, P Loisides, Demetrius H. Bagley, Frank C. Taylor
Published 1995 · Medicine
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Caliceal diverticular calculi are most often asymptomatic and of little clinical significance. In certain cases they may be associated with flank pain, pyuria and chronic urinary tract infections. Treatment has evolved from open surgical techniques to a purely endoscopic approach. Percutaneous techniques are frequently used to address the diverticular stone burden and to dilate the diverticular neck, improving drainage. Small volume caliceal diverticular calculi and those in the anterior portion of the collecting system represent a greater technical challenge to the endoscopist. We describe a purely retrograde endoscopic technique for treating small stone burdens trapped in caliceal diverticula. Flexible ureteroscopy combined with 3F dilating balloons passed through the endoscopic working channel facilitated treatment. This retrograde technique was combined with a simultaneous primary percutaneous puncture into the diverticulum to treat larger stone burdens and calculi within long-necked diverticula. This combination facilitated prompt, through and through access of a percutaneously placed guide wire, increasing the overall efficiency of treatment. In conclusion, a retrograde endoscopic technique using the actively deflectable, flexible ureteroscope can successfully treat certain caliceal diverticular calculi. By combining this technique with a simultaneous percutaneous puncture, caliceal diverticular calculi throughout the collecting system may be cleared expeditiously.

This paper is referenced by
FlexGuardTM: a new laser insertion sheath: functional aspects in ureterorenoscopy (URS)
Thomas R W Herrmann (2007)
Percutaneous Nephrolithotomy of Calyceal Diverticula, Infundibular Stenosis, and Simple Cysts
Nadya E. York (2018)
Surgical Management of Upper Urinary Tract Calculi
Brian R. Matlaga (2012)
Calyceal diverticula: a comprehensive review.
Nikhil Waingankar (2014)
Treatment of Urolithiasis
Masao Akimoto (2001)
Retrospective Analysis of Ultrasound-guided Flexible Ureteroscopy in the Management of Calyceal Diverticular Calculi
Ji-qing Zhang (2016)
Pediatric calyceal diverticulum treatment: An experience with endoscopic and laparoscopic approaches.
Caela Long (2015)
Percutaneous Endoscopic Treatment for Calyceal Diverticular Calculi
Akiou Okumura (2004)
Retrograde Ureteroscopy in the Treatment of Caliceal Diverticula
Petrișor Aurelian Geavlete (2016)
[Endoscopic treatment of renal diverticular stone (Single Centre Study of 45 cases)].
Dorian Legraverend (2013)
Invited review: the tale of ECIRS (Endoscopic Combined IntraRenal Surgery) in the Galdakao-modified supine Valdivia position
Cesare Marco Scoffone (2017)
Ureterorenoskopie bei Urolithiasis
Thorsten Bach (2016)
Percutaneous Stone Removal
Markus Ritter (2011)
Other Potential Segmental Pathologies
Salvatore Rocca Rossetti (2018)
Managing Segmental Renal Diseases
Prof. Dr. Salvatore Rocca Rossetti (2018)
Less-invasive ways to remove stones from the kidneys and ureters
M. K. Samplaski (2009)
Management of calyceal diverticular calculi: a comparison of percutaneous nephrolithotomy and flexible ureterorenoscopy
Okan Baş (2014)
Percutaneous Management of Urinary Calculi
Sanjay Ramakumar (2004)
Calyceal diverticula in children: laparoscopic marsupialization is the optimal intervention.
L. Mcgarry (2020)
The role of ureteroscopy for treatment of staghorn calculi: A systematic review
Etienne Xavier Keller (2020)
Ureteroscopy for symptomatic hydrocalices: a case series.
Kathleen Kieran (2006)
Intrarenal Stenosis and Stones: Calyceal Diverticulum and Infundibular Stenosis
Steven G. Koopman (2013)
Percutaneous Endoscopic Marsupialization of a Pyelocaliceal Diverticulum with Milk ofCalcium Stones
Eiji Kikuchi (1998)
Traitement endoscopique des calculs caliciels intradiverticulaires : à propos d’une série monocentrique de 45 patients
Dorian Legraverend (2013)
Stones in patients with renal anomalies: Techniques and outcomes
Alana Desai (2009)
manejo ureteroscópico de cálculos en divertículo calicial: un reto endourológico
Carlos Alberto Villegas Uribe (2013)
Editorial comment for Gonzalez et al.
Christopher S. Ng (2011)
Stone Management Percutaneous Management of Caliceal Diverticuli
Amy E. Krambeck (2009)
Percutaneous Treatment of Calyceal Diverticula, Infundibular Stenosis, and Simple Renal Cysts
Amy E. Krambeck (2012)
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