Simultaneous laparoscopic surgery for ureteropelvic junction obstruction and retrograde intrarenal surgery for nephrolithiasis
V. V. Sergeev,
V. L. Medvedev,
S. A. Gabriel,
G. Yu. Zamulin,
V. V. Churbakov,
Ya. Yu. Korotchenko,
A. A. Rasulov https://doi.org/10.35401/2541-9897-2023-26-2-93-99
Abstract
Objective: To determine the surgical possibilities of the one-stage laparoscopic repair in the obstructed ureteropelvic junction (UPJ) complicated with nephrolithiasis in combination with the retrograde intrarenal surgery.
Case report: The patient A., a 36-year-old male complaining about dragging pains in the right lumbar region was admitted to Urology Unit No. 1 of Krasnodar Regional Clinical Hospital No. 2. The patient underwent ultrasound examination, CT, and dynamic renal scintigraphy. The findings were as follows: the enlargement of pelvicalyceal system in the right kidney (calyx up to 22 mm, pelvis up to 50 mm), 5 calyx concrements and 2 pelvic concrements 6 to 8 mm in size, obstruction at the level of the right UPJ up to 10 mm in length, III grade hydronephrosis on the right according to Lopatkin classification.
Conclusions: The combination of laparoscopic surgery and retrograde intrarenal surgery with the flexible ureteroscope and holmium laser is an effective and safe method for the treatment of UPJ obstruction complicated with nephrolithiasis.
About the Authors
V. V. Sergeev
Regional Clinical Hospital No. 2
Russian Federation
Russian Federation
Vladimir V. Sergeev, Cand. Sci. (Med.), Head of Urology Unit No. 1
ulitsa Krasnykh Partisan 6/2, Krasnodar, 350012, Russian Federation
V. L. Medvedev
Kuban State Medical University; Scientific Research Institute – Ochapovsky Regional Clinical Hospital No. 1
Russian Federation
Russian Federation
Vladimir L. Medvedev, Dr. Sci. (Med.), Professor, Head of the Urology Department; Chief Physician Assistant (Urology), Head of the Regional Uronephrology Center
Krasnodar
S. A. Gabriel
Kuban State Medical University; Regional Clinical Hospital No. 2
Russian Federation
Russian Federation
Sergey A. Gabriel, Dr. Sci. (Med.), Chief Physician; Professor at Surgery Department No. 3
Krasnodar
G. Yu. Zamulin
Regional Clinical Hospital No. 2
Russian Federation
Russian Federation
Georgiy Yu. Zamulin, Urologist, Urology Unit No. 1
Krasnodar
V. V. Churbakov
Regional Clinical Hospital No. 2
Russian Federation
Russian Federation
Vasiliy V. Churbakov, Urologist, Urology Unit No. 1
Krasnodar
Ya. Yu. Korotchenko
Kuban State Medical University
Russian Federation
Russian Federation
Yaroslav Yu. Korotchenko, 5th Year Student, Faculty of General Medicine
Krasnodar
A. A. Rasulov
Yaroslavl State Medical University
Russian Federation
Russian Federation
Amil А. Rasulov, 6th Year Student, Faculty of General Medicine
Yaroslavl
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Review
For citations:
Sergeev V.V., Medvedev V.L., Gabriel S.A., Zamulin G.Yu., Churbakov V.V., Korotchenko Ya.Yu., Rasulov A.A. Simultaneous laparoscopic surgery for ureteropelvic junction obstruction and retrograde intrarenal surgery for nephrolithiasis. Innovative Medicine of Kuban. 2023;(2):93-99. (In Russ.) https://doi.org/10.35401/2541-9897-2023-26-2-93-99
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