Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2014 Aug 21:2014:bcr2014205437.
doi: 10.1136/bcr-2014-205437.

Robotic-assisted laparoscopic management of a caliceal diverticular calculus

Fabio Cesar Miranda Torricelli  1 , Lucas T Batista  2 , Jose Roberto Colombo Jr  3 , Rafael Ferreira Coelho  1
Affiliations
Case Reports

Robotic-assisted laparoscopic management of a caliceal diverticular calculus

Fabio Cesar Miranda Torricelli et al. BMJ Case Rep. .

Abstract

Purpose: To report the first case of robotic-assisted laparoscopic management of a symptomatic caliceal diverticular calculus and review the literature on laparoscopic treatment for this condition.

Case report: A 33-year-old obese woman with a 2×1 cm calculus within an anterior caliceal diverticulum located in the middle pole of the left kidney was referred to our service. She had already undergone two flexible ureterorenoscopies without success. We considered that a percutaneous approach would be very challenging due to stone location, thus we elected to perform a robotic-assisted laparoscopic procedure for stone removal and diverticulum fulguration. The procedure was uneventfully performed with no intraoperative or postoperative complications. The patient was discharged from the hospital on the second postoperative day and after 1.5 years of follow-up she is asymptomatic with no recurrence.

Conclusions: The robotic-assisted laparoscopic approach to caliceal diverticular calculi is feasible and safe, providing one more option for treatment of stones in challenging locations.

PubMed Disclaimer

Figures

Figure 1
Figure 1
CT scan showing the caliceal diverticular calculus with a thin renal parenchyma overlying the stone: (A) coronal view and (B) axial view.
Figure 2
Figure 2
(A) Initial aspect of the caliceal diverticulum. (B) Renal stone in the caliceal diverticulum. (C) Fulgurated diverticulum. (D) Final aspect.
See this image and copyright information in PMC

References

    1. Middleton AW, Pfister RC. Stone-containing pyelocaliceal diverticulum: embryogenic, anatomic, radiologic and clinical characteristics. J Urol 1974;111:2–6 - PubMed
    1. Gross AJ, Herrmann TR. Management of stones in calyceal diverticulum. Curr Opin Urol 2007;17:136–40 - PubMed
    1. Ruckle HC, Segura JW. Laparoscopic treatment of a stone-filled, caliceal diverticulum: a definitive, minimally invasive therapeutic option. J Urol 1994;151:122–4 - PubMed
    1. Harewood LM, Agarwal D, Lindsay S, et al. Extraperitoneal laparoscopic caliceal diverticulectomy. J Endourol 1996;10:425–30 - PubMed
    1. Hoznek A, Herard A, Ogiez N, et al. Symptomatic caliceal diverticula treated with extraperitoneal laparoscopic marsupialization fulguration and gelatin resorcinol formaldehyde glue obliteration. J Urol 1998;160:352–5 - PubMed

Publication types