Erschienen in:
15.05.2017 | Case Report
Stone in ectopic pelvic pancake kidney: a surgical challenge overcome by robotic surgery
verfasst von:
Santosh Kumar, Kshitij Bishnoi, Vikas Kumar Panwar, Adarsh Kumar, Manjeet Kumar Sharma
Erschienen in:
Journal of Robotic Surgery
|
Ausgabe 1/2018
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Excerpt
The management of renal stone disease in current era is marked by the use of minimally invasive endourological procedures such as PCNL and RIRS. PCNL remains the gold standard treatment for renal stones with size >2.0 cm [
1]. However, in the rare presence of large stones in anomalous renal moieties often make these options not universally applicable. The presence of ectopic kidney in pelvis the use of PCNL is often not possible. Hence, in such peculiar situations one need to revert back to conventional open surgical procedures such as pyelolithotomy. Conventional laparoscopic procedures have also been described in literature as a surgical management [
2]. However, the robotic assistance has provided a new dimension in the minimally invasive management of these conditions. As the presence of associated abnormal vasculature is common with renal anomalies, which often poses a surgical challenge in the management. We hereby present a case of the ectopic pelvic pancake kidney with renal stone disease successfully managed with robot assisted laparoscopic pyelolithotomy. To the best of our knowledge this is first such case to be reported in literature. …
