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PIELOLITOTOMIA LAPAROSCOPICA:QUANDO FARLA?

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Presentation on theme: "PIELOLITOTOMIA LAPAROSCOPICA:QUANDO FARLA?"— 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 A, Tepeler A, Akman T, Akçay M, Baykal M, Karadağ MA, Muslumanoglu AY, de 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 TD, Dretler SP. Department of Surgery/Urology, Northern California Health Systems, Martinez, USA. Can Ur Ass,2010

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

5 Transperitoneal laparoscopic pyelolithotomy after failed percutaneous access in the pediatric patient. Casale P, Grady RW, Joyner BD, Zeltser IS, Kuo RL, Mitchell 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 dell’uretere


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