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Case Reports
. 2017 May 13:13:133-136.
doi: 10.1016/j.eucr.2017.04.004. eCollection 2017 Jul.

Robot-Assisted Laparoscopic Management of Caliceal Diverticular Calculi

Anneleen Verbrugghe  1 , Loïc Gaillandre  2 , Damien Mouton  1 , Franck Deschildre  2 , Philippe Koenig  1 , Charles Ballereau  1 , Pierre Colin  1
Affiliations
Case Reports

Robot-Assisted Laparoscopic Management of Caliceal Diverticular Calculi

Anneleen Verbrugghe et al. Urol Case Rep. .

Abstract

Standard treatment modalities of caliceal diverticular calculi range from extracorporal shockwave lithotripsy (SWL) over retrograde intrarenal surgery (RIRS), percutaneous nephrolithotomy (PNL) and laparoscopic stone removal. A 55-year-old woman presented with a history of pyelonephritis based on a caliceal diverticular calculus. Due to the narrow infundibulum and anterior location, a robot-assisted laparoscopic calicotomy with extraction of the calculi and fulguration of the diverticulum was performed, with no specific perioperative problems and good stone-free results. This article shows technical feasibility with minimal morbidity of robot-assisted laparoscopic stone removal and obliteration of a caliceal diverticulum.

Keywords: Caliceal diverticular calculus; Calicotomy; Laparoscopy; Robot-assisted; Urolithiasis.

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Figures

Figure 1
Figure 1
CT image of the anteriorly located caliceal diverticular calculus before (A) and after (B) treatment.
Figure 2
Figure 2
CT guided placement of harpoon.
Figure 3
Figure 3
(A) Localization of diverticulum with repair of the harpoon. (B) Visualization of the diverticular calculus. (C) Fulguration of the diverticulum. (D) Closure of nephrotomy with the sliding knot renorraphy technique.
See this image and copyright information in PMC

References

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