Summary
Introduction
Simultaneous bilateral endoscopic surgery (SBES) is the performance of a percutaneous
nephrolithotomy (PCNL) on one side and a retrograde intrarenal surgery (RIRS) on the
other kidney simultaneously.
Objective
Our aim is to report through a video the surgical technique and the step-by-step details
of a SBES performed in a pediatric patient.
Patients and methods
A 12-year-old male patient with bilateral upper tract urolithiasis.
Results
Supine PCNL is performed in Galdakao-modified Valdivia position. Ureteroscopic surgeon
performs retrograde pyelography on PCNL kidney. Percutaneous access under fluoroscopic
guidance trough the lower calyx and dilated with Amplatz dilators to 17.5 Fr. Storz®
17.5 MIP Nephroscope is introduced and fragmentation with pneumatic lithotripter starts.
On the other kidney, after introduction of ureteral sheet 12/14 Fr and digital flexible
ureteroscope Flex Xc ® 9.5Fr, pulverization of the stone starts with Laser Holmium
YAG (Oddysey®). Surgeons work simultaneously and share fluoro-scopic c-arm.
Conclusion
SBES can be reproduced in children. Proper planification and preparation of the involved
team and OR set up are essential. Further prospective randomized studies are needed
to establish safety and efficacy of SBES in pediatric patients.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Journal of Pediatric UrologyAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Simultaneous bilateral endoscopic surgery for patients with bilateral upper tract urolithiasis: technique and outcomes.Eur Urol. 2018; 74: 810-815https://doi.org/10.1016/j.eururo.2018.06.034
- Simultaneous bilateral endoscopic surgery (SBES) for bilateral urolithiasis: the future? Evidence from a systematic review.Curr Urol Rep. 2019; 20
- Simultaneous bilateral endoscopic manipulation for bilateral renal stones.Urology. 2016; 94: 265-269
Article info
Publication history
Published online: December 04, 2020
Accepted:
November 28,
2020
Received:
May 29,
2020
Identification
Copyright
© 2020 Journal of Pediatric Urology Company. Published by Elsevier Ltd. All rights reserved.
