V05-11 ROBOTIC LEFT PYELOLITHOTOMY AND YV PYELOPLASTY

Abstract

You have accessJournal of UrologyUrolithiasis & Endourology (V05)1 Sep 2021V05-11 ROBOTIC LEFT PYELOLITHOTOMY AND YV PYELOPLASTY Igor Voznesensky, Melissa Wong, and Raju Thomas Igor VoznesenskyIgor Voznesensky More articles by this author , Melissa WongMelissa Wong More articles by this author , and Raju ThomasRaju Thomas More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002012.11AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: A comprehensive kidney stone center should be able to offer all treatment options to patients presenting with complex renal calculi. This video presents the management strategy used in a complex left renal staghorn calculus, with extension into multiple infundibula without extension into the calyces. Additionally, this patient presented with an associated ureteropelvic junction obstruction. METHODS: Because of the presentation and the proximity of bowel next to the left kidney and the configuration of the stone, PCNL was not an option and therefore, a robotic left pyelolithotomy was performed. The video describes the step by step approach used for the pyelolithotomy and YV pyeloplasty. RESULTS: The procedure was successfully completed. The operative time was 202 minutes. Blood loss was minimal. The patient had postoperative hyponatremia, of unknown etiology, and therefore the internal medicine service kept the patient in the hospital until the fifth postoperative day. The ureteral stent was removed four weeks post operatively. The patient did well subsequently and is awaiting PCNL management of the contralateral right renal calculus. Post-operative scanning demonstrated no residual left sided stone fragments. CONCLUSIONS: The DaVinci robot can be used elegantly in select cases where the stone burden is large and PCNL cannot be utilized because of factors such as bowel located around the involved kidney. Source of Funding: n/a © 2021 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 206Issue Supplement 3September 2021Page: e389-e389 Advertisement Copyright & Permissions© 2021 by American Urological Association Education and Research, Inc.MetricsAuthor Information Igor Voznesensky More articles by this author Melissa Wong More articles by this author Raju Thomas More articles by this author Expand All Advertisement Loading ...