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Laparoscopic Choledochal Cyst Excision and Roux-en-Y Choledochojejunostomy in Adults
Published on: February 28, 2025
Retroperitoneoscopic management of caliceal diverticular calculi
Stephen Frederic Wyler1, Alexander Bachmann, Christian Jayet
1Department of Urology, University Hospital of Basel, Basel, Switzerland.
Introduction:
The management of caliceal diverticular calculi has changed from an open surgical approach to endoscopic management.
Technical Considerations:
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.
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