Intraperitoneal laparoscopic technique in trendelenburg position: an effective surgical method for pyelolithotomy, pyeloplasty, and heminephrectomy in patients with horseshoe kidneys

Intraperitoneal laparoscopic technique in trendelenburg position: an effective surgical method for pyelolithotomy, pyeloplasty, and heminephrectomy in patients with horseshoe kidneys

To evaluate the safety and feasibility of intraperitoneal laparoscopic surgery in Trendelenburg position (ILSTP) for pyelolithotomy, pyeloplasty, and heminephrectomy in patients with horseshoe kidneys (HSKs). Between March 2021 and March 2024, three patients with HSKs underwent ILSSP. Of these three...

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Published in:BMC urology Vol. 24; no. 1; pp. 236 - 5
Main Authors: Xiong, Ming, Chen, Zhaohui, Wang, Xiaoming, Jiang, Huiling, Luo, Zhicheng, Liang, Guancai, Hou, Teng
Format: Journal Article
Language:English
Published: England BioMed Central Ltd 28-10-2024
BioMed Central
BMC
Subjects:
Adult
Analysis
Cameras
Care and treatment
Colon
Complications
Feasibility Studies
Female
Fused Kidney - complications
Fused Kidney - surgery
Head-Down Tilt
Humans
Hydronephrosis
Kidney Calculi - surgery
Kidney Pelvis - abnormalities
Kidney Pelvis - surgery
Kidney stones
Kidneys
Laparoscopic surgery
Laparoscopy
Laparoscopy - methods
Male
Methods
Middle Aged
Nephrectomy - methods
Nephrolithiasis
Patient Positioning - methods
Patients
Postoperative
Surgery
Ureter
Ureteral Obstruction - surgery
Urologic Surgical Procedures - methods
Urology
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Summary:To evaluate the safety and feasibility of intraperitoneal laparoscopic surgery in Trendelenburg position (ILSTP) for pyelolithotomy, pyeloplasty, and heminephrectomy in patients with horseshoe kidneys (HSKs). Between March 2021 and March 2024, three patients with HSKs underwent ILSSP. Of these three patients, two with pelvi-ureteric junction obstruction with recurrent kidney stones underwent pyelolithotomy and pyeloplasty, one with symptomatic nonfunctioning left moiety of a HSK was managed with heminephrectomy. Mean operating time was 114 ± 64.8 (44-172) min, and estimated blood loss was 63.3 ± 51.3 (20-120) ml. The mean hospital stay was 3.3 ± 1.5 (2-5) days. There were no major intra- or post-operative complications. ILSTP is a feasible and effective technique for performing pyelolithotomy, pyeloplasty, and heminephrectomy in patients with HSKs.
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ISSN:1471-2490
1471-2490
DOI:10.1186/s12894-024-01631-4