Category: Laparoscopy: Upper Tract - Benign

VS2-10 - Hand assisted laparoscopic anatrophic nephrolithotomy for staghorn stone

Fri, Sep 21
10:00 AM - 12:00 PM

Introduction & Objective : We report the experience of hand assisted laparoscopic anatrophic nephrolithotomy with ice-slush for staghorn stone.


Methods :

The patient was a 76-year-old man who presented to the urology department with complicated APN with staghorn stone, left. and right renal stone. Computed tomography revealed a large staghorn stone with lower calyceal stones in the left side and right lower pole stone. The patient underwent left hand assisted laparoscopic anatrophic nephrolithotomy, which was performed transperitonealy via one hand port and two 12mm-ports in the left flank position.


Results : During the operation, blood loss was 850 ml and cold ischemia time was 35 minutes. Total operative time was 230 minutes. Hospital stay was 11 days. Postoperative KUB showed no residual stone.


Conclusions : Hand assisted laparoscopic anatrophic nephrolithotomy is a feasible alternative for patients with staghorn stone who are candidates for open surgery.

Sung Yul Park

Associate professor
Hanyang University
Seoul, Seoul-t'ukpyolsi, Republic of Korea

Jae Hoon Chung

Seoul, Seoul-t'ukpyolsi, Republic of Korea

Young Eun Yoon

clinical assistant professor
Hanyang University College of Medicine
Seoul, Seoul-t'ukpyolsi, Republic of Korea

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Jin Kim

Seoul, Seoul-t'ukpyolsi, Republic of Korea

Eun Jin Park

Seoul, Seoul-t'ukpyolsi, Republic of Korea

Ji Ye Han

Seoul, Seoul-t'ukpyolsi, Republic of Korea

Sung Eun Kim

Seoul, Seoul-t'ukpyolsi, Republic of Korea