Abstract
Two patients presented with calculi in ectopic kidneys. Complete clearance of calculi was achieved by laparoscopic assisted percutaneous nephrolithotomy (PCNL), by different but related techniques. In one patient with prior history of open pyelolithotomy, the anterior surface of the kidney was exposed by mobilizing the overlying sigmoid colon laparoscopically and the percutaneous tract was established into the desired calyx under combined laparoscopic and fluoroscopic control. In the second patient, the tract was established between the major mesenteric vessels without any mobilization of the bowel. Herein, we outline the nuances of these two related techniques, and the indications and contraindications for their use for laparoscopic assisted PCNL in ectopic kidneys.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
AM Eshghi JS Roth AD Smith (1985) ArticleTitlePercutaneous transperitoneal approach to a pelvic kidney for endourological removal of staghorn calculus J Urol 134 525–527 Occurrence Handle1:STN:280:BiqB1Mzisl0%3D Occurrence Handle3162036
E Holman C Toth (1998) ArticleTitleLaparoscopically assisted percutaneous transperitoneal nephrolithotomy in pelvic dystopic kidneys: experience in 15 successful cases J Laparoendosc Adv Tech 8 431–435 Occurrence Handle1:STN:280:DyaK1M7htlKgtw%3D%3D
FS Zafar JE Lingeman (1996) ArticleTitleValue of laparoscopy in the management of calculi complicating renal malformations J Endourol 10 379–383 Occurrence Handle1:STN:280:ByiD38nls1U%3D Occurrence Handle8872739
SA Troxel RK Low S Das (2002) ArticleTitleExtraperitoneal laparoscopy-assisted percutaneous nephrolithotomy in a left pelvic kidney J Endourol 16 655–657 Occurrence Handle10.1089/089277902761402998 Occurrence Handle12490018
MR Desai A Jasani (2000) ArticleTitlePercutaneous nephrolithotripsy in ectopic kidneys J Endourol 14 289–292 Occurrence Handle1:STN:280:DC%2BD3c3lsVKgug%3D%3D Occurrence Handle10795621
M Monga WR Castaneda-Zuniga R Thomas (1995) ArticleTitleFemoral neuropathy following percutaneous nephrolithotomy of a pelvic kidney Urology 45 1059–1061 Occurrence Handle10.1016/S0090-4295(99)80133-2 Occurrence Handle1:STN:280:ByqB1cfovVw%3D Occurrence Handle7771011
JD Watterson A Cook R Sahajpal J Bennett JD Denstedt (2001) ArticleTitlePercutaneous nephrolithotomy of a pelvic kidney: a posterior approach through the greater sciatic foramen J Urol 166 209–210 Occurrence Handle10.1016/S0022-5347(05)66114-9 Occurrence Handle1:STN:280:DC%2BD3MznslCksA%3D%3D Occurrence Handle11435861
M Figge (1988) ArticleTitlePercutaneous transperitoneal nephrolithotomy Eur Urol 14 414–416 Occurrence Handle1:STN:280:BiaD3crisF0%3D Occurrence Handle2971544
C Toth E Holman I Pasztor AM Khan (1993) ArticleTitleLaparoscopically controlled and assisted percutaneous transperitoneal nephrolithotomy in a pelvic dystopic kidney J Endourol 7 303–305 Occurrence Handle1:STN:280:ByuD2szhslQ%3D Occurrence Handle8252023
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Goel, R., Yadav, R., Gupta, N.P. et al. Laparoscopic Assisted Percutaneous Nephrolithotomy (PCNL) in Ectopic Kidneys: Two Different Techniques. Int Urol Nephrol 38, 75–78 (2006). https://doi.org/10.1007/s11255-005-3611-9
Issue Date:
DOI: https://doi.org/10.1007/s11255-005-3611-9