Intraperitoneal laparoscopic technique in trendelenburg position: an effective surgical method for pyelolithotomy, pyeloplasty, and heminephrectomy in patients with horseshoe kidneys
Ming Xiong,
Zhaohui Chen,
Xiaoming Wang,
Huiling Jiang,
Zhicheng Luo,
Guancai Liang,
Teng Hou
Affiliations
Ming Xiong
Department of Urology, Medical School, South China Hospital, Shenzhen University
Zhaohui Chen
Department of Urology, Tongji Medical College, Union Hospital, Huazhong University of Science and Technology
Xiaoming Wang
Department of Urology, Medical School, South China Hospital, Shenzhen University
Huiling Jiang
Department of Urology, Medical School, South China Hospital, Shenzhen University
Zhicheng Luo
Department of Urology, Medical School, South China Hospital, Shenzhen University
Guancai Liang
Department of Urology, Medical School, South China Hospital, Shenzhen University
Teng Hou
Department of Urology, Medical School, South China Hospital, Shenzhen University
Abstract Purpose To evaluate the safety and feasibility of intraperitoneal laparoscopic surgery in Trendelenburg position (ILSTP) for pyelolithotomy, pyeloplasty, and heminephrectomy in patients with horseshoe kidneys (HSKs). Methods Between March 2021 and March 2024, three patients with HSKs underwent ILSSP. Of these three patients, two with pelvi-ureteric junction obstruction with recurrent kidney stones underwent pyelolithotomy and pyeloplasty, one with symptomatic nonfunctioning left moiety of a HSK was managed with heminephrectomy. Results Mean operating time was 114 ± 64.8 (44–172) min, and estimated blood loss was 63.3 ± 51.3 (20–120) ml. The mean hospital stay was 3.3 ± 1.5 (2–5) days. There were no major intra- or post-operative complications. Conclusions ILSTP is a feasible and effective technique for performing pyelolithotomy, pyeloplasty, and heminephrectomy in patients with HSKs.
