Three Stone-Containing Calyceal Diverticula Treated with Da Vinci Xi Surgical System with Intraoperative Sonography: A Case Report

10.6966/EDMJ.202209_9(3).0003

Cheng-Hsin Lu；Mu-Chiao Tung；Lun-Hsiang Yuan；Tsan-Jung Yu；Hung-Yu Lin

calyceal diverticular calculi ； robotic surgical system ； intraoperative ultrasound

E-Da Medical Journal

9卷3期（2022 / 09 / 01）

25 - 30

英文

There are different surgical strategies for the treatment of renal calyceal diverticular calculi with different success rates. For patients with complex calyceal diverticular calculi, using a robotic surgical system with intraoperative ultrasound enables rapid and accurate localization of the diverticulum, thereby improving the success rate. The plain X-ray of the kidney, ureters, and bladder (KUB) of a 56-year-old man who complained of right flank pain for over one year showed multiple small renal stones in right lower kidney. Abdominal computed tomography (CT) confirmed the presence of right calyceal diverticula with multiple sandy stones. Stones extraction was conducted together with robot-assisted laparoscopic diverticulectomy. Renal hilar vascular control was not necessary because of the peripheral locations of the diverticula. Intraoperative laparoscopic ultrasound was used to help meticulously identify each diverticulum. After the extraction of a total of 130 stones, postoperative KUB showed no residual stones. Using da Vinci Xi Surgical System with intraoperative ultrasound can help manage complex calyceal diverticular stones with satisfactory outcomes.

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