Retroperitoneoscopic management of caliceal diverticular calculi.
BACKGROUND
The management of caliceal diverticular calculi has changed from an open surgical approach to endoscopic management.


METHODS
Different minimally invasive treatment modalities, such as extracorporeal shock wave lithotripsy, ureteroscopy, percutaneous nephrolithotomy, laparoscopy, and retroperitoneoscopy, can be offered to the patient. We report on a retroperitoneoscopic operative technique using endosonography for location and performing nephrotomy with complete excision of the caliceal diverticulum and ligation of the diverticular neck with an Endo-loop.


CONCLUSIONS
The advantages of this minimally invasive technique include total excision of the diverticulum with no risk of recurrence and easy and complete closure of the diverticular neck.
Wyler
Stephen Frederic
SF
Department of Urology, University Hospital of Basel, Basel, Switzerland.
Bachmann
Alexander
A
Jayet
Christian
C
Casella
Roberto
R
Gasser
Thomas C
TC
Sulser
Tullio
T
D004240:Diverticulum / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D019160:Endosonography; D005260:Female; D006801:Humans; D007669:Kidney Calculi / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D007674:Kidney Diseases / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D010535:Laparoscopy / Q000379:methods*; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures; D009392:Nephrectomy; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery; D011704:Pyelonephritis / Q000601:surgery; D018084:Ultrasonography, Interventional