V10-14 ROBOTIC NEPHROLITHOTOMY: VARIOUS TECHNIQUES FOR EXTRACTION

Abstract

You have accessJournal of UrologyRobotics – Benign Disease1 Apr 2015V10-14 ROBOTIC NEPHROLITHOTOMY: VARIOUS TECHNIQUES FOR EXTRACTION Matthew Sterling and Phillip Mucksavage Matthew SterlingMatthew Sterling More articles by this author and Phillip MucksavagePhillip Mucksavage More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2015.02.2461AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Percutaneous nephrolithotomy (PCNL) is the current gold standard for staghorn and large renal pelvis (>2cm) calculi. Robotic nephrolithotomy is an alternative option in patients with additional pathology precluding PCNL and in those where primary PCNL fails. We utilized Firefly® technology to assist in removal of large renal calculi in patients who had failed PCNL or had additional pathology. METHODS Robotic assisted nephrolithotomy was performed on 3 patients using various minimally invasive stone extraction techniques. This includes use of Firefly® technology in combination with antegrade ureteroscopy. RESULTS A total of 3 patients underwent robotic-assisted nephrolithomy with stone free rates of 100%. In all 3 procedures Firefly® technology was utilized via ureteroscopy to guide to the exact location of the stone. Two patients had failed PCNL. In another patient, a large cyst decortication followed by stone removal was performed. All patients were discharged on post-operative day 1 with an indwelling JJ stent. No patient was readmitted within 30 days and there were no perioperative complications. CONCLUSIONS Robotic-assisted nephrolithotomy is an attractive option for large renal stones in patients that either fail primary PCNL or if additional pathology exists that precludes PCNL. Stone free rates are high with low morbidity and quick recovery. © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 4SApril 2015Page: e849 Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.MetricsAuthor Information Matthew Sterling More articles by this author Phillip Mucksavage More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...