Laparoscopic nephrolithotomy: the value of intracorporeal sonography and color Doppler.
Laparoscopic nephrolithotomy was used as an alternative to open surgery in a patient who had failed extracorporeal shock-wave lithotripsy and whose anteriorly located stone-bearing calix precluded percutaneous extraction. Endocavitary ultrasonography and color Doppler render the procedure safe and effective; localization of the stone, selection of an optimal nephrotomy site away from large vessels and where cortical thickness is minimal, and control of fragment clearance are greatly facilitated.
Van Cangh
P J
PJ
Division of Urology, University of Louvain Medical School, Brussels, Belgium.
Abi Aad
A S
AS
Lorge
F
F
Wese
F X
FX
Opsomer
R
R
D000328:Adult; D006801:Humans; D007669:Kidney Calculi / Q000000981:diagnostic imaging / Q000628:therapy*; D007670:Kidney Calices; D010535:Laparoscopy; D008297:Male; D009403:Nephrostomy, Percutaneous / Q000379:methods*; D018615:Ultrasonography, Doppler, Color