Online citations, reference lists, and bibliographies.

Robot-assisted Laparoendoscopic Single-site Surgery For The Simultaneous Management Of Multiple Urinary Tract Calculi: A Case Report And Experience Sharing

Fan Zhang, Lisong Shan, Jiahui Yin, Luyang Liu, Peng-chao Wang, Sheng-kun Sun, Xu Zhang, Hong-zhao Li, Xin Ma, Gang Guo, Qiming Liu
Published 2019 · Medicine
Cite This
Download PDF
Analyze on Scholarcy
BackgroundUrolithiasis is a clinically common benign disease in urology. Surgical treatments that are widely used in urolithiasis are percutaneous nephrolithotomy, rigid/flexible ureteroscopy, laparoscopic surgery, and endoscopic combined intrarenal surgery. The da Vinci surgical system is rarely used in the treatment of urolithiasis. In the current study, we report a case of multiple urinary tract calculi treated by robot-assisted laparoendoscopic single-site (RA-LESS) surgery.Case presentationA 49-year-old male patient was admitted to our hospital and diagnosed with multiple urinary tract calculi. He previously underwent right ureterolithotomy, laparoscopic cholecystectomy, and extracorporeal shockwave lithotripsy. Computed tomography (CT) scan and three-dimensional reconstruction CT image showed that multiple calculi were located in the right kidney, right upper ureter, and bladder. The preoperative glomerular filtration rate (GFR) were 17.81 ml/min (right kidney) and 53.11 ml/min (left kidney). We utilized the da Vinci system docking with a single-site port to perform pyelolithotomy, ureterolithotomy, and cystolithotomy, simultaneously. The operative time was 135 min and estimated blood loss was 30 ml. The postoperative hospital stay was 5 days. Three months after surgery, the serum creatinine and urea nitrogen levels dropped to a normal range, and no residual fragments were found in the CT scan. The postoperative GFR were 26.33 ml/min (right kidney) and 55.25 ml/min (left kidney).ConclusionsRA-LESS surgery is a safe and effective surgical procedure in the treatment of multiple urinary tract calculi; however, further investigation is needed to validate its long-term therapeutic effect.
This paper references
Invited review: the tale of ECIRS (Endoscopic Combined IntraRenal Surgery) in the Galdakao-modified supine Valdivia position
Cesare Marco Scoffone (2017)
30 Years of Robotic Surgery
Tiago L. Ghezzi (2016)
Evaluation of Guidelines for Surgical Management of Urolithiasis
Benjamin Pradere* (2018)
Correction to: Robot-assisted laparoscopic reconstructed management of multiple aneurysms in renal artery primary bifurcations: a case report and literature review
Hai-bin Wei (2017)
Robot-assisted anatrophic nephrolithotomy with renal hypothermia for managing staghorn calculi.
K. Ghani (2013)
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations
The Changing Incidence and Presentation of Urinary Stones Over 3 Decades
Wonngarm Kittanamongkolchai (2018)
Robotic radical nephrectomy for renal cell carcinoma: a systematic review
Anastasios D Asimakopoulos (2014)
Simultaneous treatment of ureteropelvic junction obstruction complicated by renal calculi with robotic laparoscopic surgery and flexible cystoscope
Cheng Yang (2019)
Robot-assisted laparoscopic reconstructed management of multiple aneurysms in renal artery primary bifurcations: a case report and literature review
Hai-bin Wei (2017)
Campos Corleta O. 30 years of robotic surgery
T Leal Ghezzi (2016)
Concomitant treatment of ureteropelvic junction obstruction and renal calculi with robotic laparoscopic surgery and rigid nephroscopy.
J. Zheng (2014)
Endoscopic combined intrarenal surgery in Galdakao-modified supine Valdivia position: a new standard for percutaneous nephrolithotomy?
Cesare Marco Scoffone (2008)
EAU Guidelines on Diagnosis and Conservative Management of Urolithiasis.
Christian Tuerk (2016)
Urolithiasis through the ages: data on more than 200,000 urinary stone analyses.
Thomas Knoll (2011)
Publisher's Note
H. V. D. Togt (2003)
What is the future of kidney stone management?
Brian R. Matlaga (2014)
Medical Expulsive Therapy for Urinary Stones: Future Trends and Knowledge Gaps.
Vincent de Coninck (2019)
description of technique and early results
SA King (2019)
EAU guidelines on robotic and single-site surgery in urology.
A. Merseburger (2013)
Robot-assisted anatrophic nephrolithotomy: description of technique and early results.
Sherita A King (2014)

Semantic Scholar Logo Some data provided by SemanticScholar