PIELOLITOTOMIA
LAPAROSCOPICA:QUANDO
FARLA?
Dr Donato Barnaba
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. 2012 Oct;40(5):557.

Laparoscopic pyelolithotomy is
associated with a longer operation
time, is more invasive, and requires
more skills when compared to PNL.
Laparoscopic pyelolithotomy in an ectopic
kidney.
Chang TD, Dretler SP.
Department of Surgery/Urology, Northern
California Health Systems, Martinez, USA.
Can Ur Ass,2010
Laparoscopic pyeloplasty with concomitant
pyelolithotomy.
Ramakumar S, Lancini V, Chan DY, Parsons JK,
Kavoussi LR, Jarrett TW

British J, 2011
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

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