TY - JOUR
T1 - Robotic partial nephrectomy for caliceal diverticulum
T2 - A single-center case series
AU - Akca, Oktay
AU - Zargar, Homayoun
AU - Autorino, Riccardo
AU - Brandao, Luis Felipe
AU - Laydner, Humberto
AU - Samarasekera, Dinesh
AU - Krishnan, Jayram
AU - Noble, Mark
AU - Haber, George Pascal
AU - Kaouk, Jihad H.
AU - Stein, Robert J.
PY - 2014/8/1
Y1 - 2014/8/1
N2 - The aim of this study is to examine the role of robotic partial nephrectomy (RPN) in the management of caliceal diverticula by assessing our single-center outcomes. Between July 2007 and July 2013, 7 of 670 patients underwent RPN procedures as a reason of caliceal diverticula. The indications for RPN in all cases were recurrent urinary tract infection and pain attributed to the diverticulum in addition to failed management by endourologic or extracorporeal shockwave lithotripsy (SWL) treatments. One patient with a calcified diverticulum and another with an unsuccessful SWL treatment underwent RPN without further endourologic intervention. The other five patients had a history of unsuccessful percutaneous nephrolithotomy (one case), ureteroscopy (URS) (two cases), and a combination of SWL+URS (two cases). No intraoperative or postoperative complications were observed. No patient was readmitted postoperatively. Unique features of the robotic platform facilitate the excision of diverticulum and subsequent kidney reconstruction for this benign, but complex pathology.
AB - The aim of this study is to examine the role of robotic partial nephrectomy (RPN) in the management of caliceal diverticula by assessing our single-center outcomes. Between July 2007 and July 2013, 7 of 670 patients underwent RPN procedures as a reason of caliceal diverticula. The indications for RPN in all cases were recurrent urinary tract infection and pain attributed to the diverticulum in addition to failed management by endourologic or extracorporeal shockwave lithotripsy (SWL) treatments. One patient with a calcified diverticulum and another with an unsuccessful SWL treatment underwent RPN without further endourologic intervention. The other five patients had a history of unsuccessful percutaneous nephrolithotomy (one case), ureteroscopy (URS) (two cases), and a combination of SWL+URS (two cases). No intraoperative or postoperative complications were observed. No patient was readmitted postoperatively. Unique features of the robotic platform facilitate the excision of diverticulum and subsequent kidney reconstruction for this benign, but complex pathology.
UR - http://www.scopus.com/inward/record.url?scp=84905262458&partnerID=8YFLogxK
U2 - 10.1089/end.2014.0184
DO - 10.1089/end.2014.0184
M3 - Article
C2 - 24720868
AN - SCOPUS:84905262458
SN - 0892-7790
VL - 28
SP - 958
EP - 961
JO - Journal of Endourology
JF - Journal of Endourology
IS - 8
ER -