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PIELOLITOTOMIA LAPAROSCOPICA:QUANDO FARLA? Dr Donato Barnaba.

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Presentation on theme: "PIELOLITOTOMIA LAPAROSCOPICA:QUANDO FARLA? Dr Donato Barnaba."— Presentation transcript:

1 PIELOLITOTOMIA LAPAROSCOPICA:QUANDO FARLA? Dr Donato Barnaba

2 The comparison of laparoscopic pyelolithotomy and percutaneous nephrolithotomy in the treatment of solitary large renal pelvic stones. Tefekli ATefekli A, Tepeler A, Akman T, Akçay M, Baykal M, Karadağ MA, Muslumanoglu AY, de la Rosette J.Tepeler AAkman TAkçay MBaykal M Karadağ MAMuslumanoglu AYde la Rosette J Urol Res Oct;40(5):557. Laparoscopic pyelolithotomy is associated with a longer operation time, is more invasive, and requires more skills when compared to PNL.

3 Laparoscopic pyelolithotomy in an ectopic kidney. Chang TDChang TD, Dretler SP.Dretler SP Department of Surgery/Urology, Northern California Health Systems, Martinez, USA. Can Ur Ass,2010

4 Laparoscopic pyeloplasty with concomitant pyelolithotomy. Ramakumar SRamakumar S, Lancini V, Chan DY, Parsons JK, Kavoussi LR, Jarrett TWLancini VChan DYParsons JK Kavoussi LRJarrett TW British J, 2011

5 Transperitoneal laparoscopic pyelolithotomy after failed percutaneous access in the pediatric patient. Casale PCasale P, Grady RW, Joyner BD, Zeltser IS, Kuo RL, Mitchell ME.Grady RWJoyner BDZeltser ISKuo RLMitchell ME Urology, Oct 2011

6 La pielolitotomia laparoscopica è indicata Stenosi del GPU Neoplasie renali trattabili con nefrectomia parziale Fallimento della PCNL(?) Malformazioni renali( rene ectopico, a ferro di cavallo) Voluminosi calcoli delluretere


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