Laparoscopic assisted percutaneous nephrolithotomy in chronic kidney disease patients with ectopic pelvic kidney
Purpose: Patients with deranged renal functions have a number of associated factors which can impair healing of wound and increase postoperative morbidity. This study was conducted to assess the problems while managing ectopic pelvic kidney calculi using laparoscopic approach for percutaneous nephro...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2017-01-01
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| Series: | Urology Annals |
| Subjects: | |
| Online Access: | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2017;volume=9;issue=3;spage=257;epage=260;aulast=Patwardhan |
| _version_ | 1811338954759208960 |
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| author | Sujata K Patwardhan Umesh Ravikant Shelke Bhushan P Patil Yash R Pamecha |
| author_facet | Sujata K Patwardhan Umesh Ravikant Shelke Bhushan P Patil Yash R Pamecha |
| author_sort | Sujata K Patwardhan |
| collection | DOAJ |
| description | Purpose: Patients with deranged renal functions have a number of associated factors which can impair healing of wound and increase postoperative morbidity. This study was conducted to assess the problems while managing ectopic pelvic kidney calculi using laparoscopic approach for percutaneous nephrolithotomy (PCNL) in chronic kidney disease patients.
Subjects and Methods: Patients with calculi in ectopic kidney with increased serum creatinine level secondary to obstruction were included in the study. Initially, obstruction was relieved. Patients later underwent laparoscopic-assisted PCNL. Patients were monitored postoperatively.
Results: Three patients with large renal calculi in ectopic pelvic kidney had presented in 2 years. Laparoscopic-assisted PCNL was done to remove the stone. Patients had persistent urine leak post-operatively. Mean duration for removal of nephrostomy tube and drain removal were 4.67 days and 6.67 days, respectively. These patients also had paralytic ileus for prolonged duration.
Conclusion: Although laparoscopic assisted PCNL is an option in the management of patients with stone disease in ectopic pelvic kidney, prolonged time for healing of tract may increase postoperative morbidity in these patients with impaired renal function. |
| first_indexed | 2024-04-13T18:18:56Z |
| format | Article |
| id | doaj.art-90731fed6c6f4b83a8d6e4853e50b438 |
| institution | Directory Open Access Journal |
| issn | 0974-7796 0974-7834 |
| language | English |
| last_indexed | 2024-04-13T18:18:56Z |
| publishDate | 2017-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Urology Annals |
| spelling | doaj.art-90731fed6c6f4b83a8d6e4853e50b4382022-12-22T02:35:34ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342017-01-019325726010.4103/UA.UA_16_17Laparoscopic assisted percutaneous nephrolithotomy in chronic kidney disease patients with ectopic pelvic kidneySujata K PatwardhanUmesh Ravikant ShelkeBhushan P PatilYash R PamechaPurpose: Patients with deranged renal functions have a number of associated factors which can impair healing of wound and increase postoperative morbidity. This study was conducted to assess the problems while managing ectopic pelvic kidney calculi using laparoscopic approach for percutaneous nephrolithotomy (PCNL) in chronic kidney disease patients. Subjects and Methods: Patients with calculi in ectopic kidney with increased serum creatinine level secondary to obstruction were included in the study. Initially, obstruction was relieved. Patients later underwent laparoscopic-assisted PCNL. Patients were monitored postoperatively. Results: Three patients with large renal calculi in ectopic pelvic kidney had presented in 2 years. Laparoscopic-assisted PCNL was done to remove the stone. Patients had persistent urine leak post-operatively. Mean duration for removal of nephrostomy tube and drain removal were 4.67 days and 6.67 days, respectively. These patients also had paralytic ileus for prolonged duration. Conclusion: Although laparoscopic assisted PCNL is an option in the management of patients with stone disease in ectopic pelvic kidney, prolonged time for healing of tract may increase postoperative morbidity in these patients with impaired renal function.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2017;volume=9;issue=3;spage=257;epage=260;aulast=PatwardhanChronic kidney diseaseectopic pelvic kidneylaparoscopypercutaneous nephrolithotomy |
| spellingShingle | Sujata K Patwardhan Umesh Ravikant Shelke Bhushan P Patil Yash R Pamecha Laparoscopic assisted percutaneous nephrolithotomy in chronic kidney disease patients with ectopic pelvic kidney Urology Annals Chronic kidney disease ectopic pelvic kidney laparoscopy percutaneous nephrolithotomy |
| title | Laparoscopic assisted percutaneous nephrolithotomy in chronic kidney disease patients with ectopic pelvic kidney |
| title_full | Laparoscopic assisted percutaneous nephrolithotomy in chronic kidney disease patients with ectopic pelvic kidney |
| title_fullStr | Laparoscopic assisted percutaneous nephrolithotomy in chronic kidney disease patients with ectopic pelvic kidney |
| title_full_unstemmed | Laparoscopic assisted percutaneous nephrolithotomy in chronic kidney disease patients with ectopic pelvic kidney |
| title_short | Laparoscopic assisted percutaneous nephrolithotomy in chronic kidney disease patients with ectopic pelvic kidney |
| title_sort | laparoscopic assisted percutaneous nephrolithotomy in chronic kidney disease patients with ectopic pelvic kidney |
| topic | Chronic kidney disease ectopic pelvic kidney laparoscopy percutaneous nephrolithotomy |
| url | http://www.urologyannals.com/article.asp?issn=0974-7796;year=2017;volume=9;issue=3;spage=257;epage=260;aulast=Patwardhan |
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