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Saad Aldousari - One of the best experts on this subject based on the ideXlab platform.

  • robotic pyelolithotomy in a congenital Pelvic Kidney side docking and robotic prostatectomy port site approach
    International Braz J Urol, 2017
    Co-Authors: Rawan Alyousef, Ahmad Almarzouq, Saad Aldousari
    Abstract:

    INTRODUCTION AND OBJECTIVES Ectopic Pelvic Kidneys with renal stones are challenging to treat. We report our experience in managing a case of ectopic Pelvic Kidney with a Pelvic stone by robotic pyelolithotomy after failure of flexible ureteroscopy. MATERIALS AND METHODS A 46-year old male with 2 months history of vague lower abdominal pain was found to have on Computed Tomography scan a left ectopic Pelvic Kidney with a 12mm stone in an anomalous renal pelvis. Flexible ureteroscopy failed to reach the stone twice and a 4.7 French ureteric stent was placed. RESULTS Side docking was utilized with the patient in supine Trendelenburg position. Port placements were similar to robotic assisted laparoscopic prostatectomy. Docking time was 35 minutes and console time was 150 minutes. Multiple attempts failed to follow the course of the ureter to the renal pelvis. Subsequently the renal pelvis was directly opened through the mesocolon and a flexible cystoscope was used to basket the stone out. Estimated Blood Loss was < 100ml. The patient was discharged 2 days postoperatively. CONCLUSION Robotic pyelolithotomy is safe and feasible for management of ectopic Pelvic Kidneys with Pelvic stones. The use of flexible cystoscopy helped in localizing and extracting the stone in our case. Detailed understanding of patient's anatomy helps in the success of this procedure.

  • v6 02 robotic pyelolithotomy in ectopic Pelvic Kidney side docking in supine position and a four arm approach
    The Journal of Urology, 2015
    Co-Authors: Ahmad Almarzouq, Rawan Alyousef, Saad Aldousari
    Abstract:

    RESULTS: Robotic flexible ureteroscopy, provides better ergonomics, prevents the user from radiation exposure, prevents damages of the device In the meantime more than 150 renal stones have been treated with the device at all three centers including a series of larger stones (n1⁄442) with a mean volume of these stones of 1,6 cm3. CONCLUSIONS: Avicenna Roboflex is a new and suitable platform for the flexible ureteroscopy, with free rotatable manipulator, fine movement steerable at console, adjustable to American and European endoscopes, versatile for endoscopes and lasers, the Avicenna Roboflex improves ergonomy by sitting at console with armrest and free control of all functions.

  • Robotic pyelolithotomy in a congenital Pelvic Kidney: side docking and robotic prostatectomy port - site approach
    Sociedade Brasileira de Urologia, 2026
    Co-Authors: Rawan Al-yousef, Ahmad Almarzouq, Saad Aldousari
    Abstract:

    ABSTRACT Introduction and Objectives Ectopic Pelvic Kidneys with renal stones are challenging to treat. We report our experience in managing a case of ectopic Pelvic Kidney with a Pelvic stone by robotic pyelolithotomy after failure of flexible ureteroscopy. Materials and Methods A 46-year old male with 2 months history of vague lower abdominal pain was found to have on Computed Tomography scan a left ectopic Pelvic Kidney with a 12mm stone in an anomalous renal pelvis. Flexible ureteroscopy failed to reach the stone twice and a 4.7 French ureteric stent was placed. Results Side docking was utilized with the patient in supine Trendelenburg position. Port placements were similar to robotic assisted laparoscopic prostatectomy. Docking time was 35 minutes and console time was 150 minutes. Multiple attempts failed to follow the course of the ureter to the renal pelvis. Subsequently the renal pelvis was directly opened through the mesocolon and a flexible cystoscope was used to basket the stone out. Estimated Blood Loss was

Santosh Kumar - One of the best experts on this subject based on the ideXlab platform.

  • robot assisted nephron sparing surgery in a l shaped fused ectopic Pelvic Kidney reproducibility of the procedure and technical considerations
    International Conference on Robotics and Automation, 2017
    Co-Authors: Santosh Kumar, Aditya Prakash Sharma, Manjeet Kumar, Tushar Aditya Narain
    Abstract:

    Crossed fused ectopia of the Kidneys is a rare anomaly and tumours arising in them are rarer still. We report a case of a renal cell carcinoma arising in an L shaped crossed fused ectopic Kidney in a 38 year old man for whom a robot assisted nephron sparing surgery was done. Our report highlights the importance of preoperative contrast enhanced computerized tomography (CECT) with arterial 3D reconstruction for preoperative surgical planning and the use of daVinci robot (Intuitive Surgical Inc., Sunnyvale, CA, USA) in performing the heminephrectomy with utmost precision. We have earlier reported the use of the robot for heminephrectomy in a patient with chromophobe renal cell carcinoma in a crossed fused ectopic Kidney and this report highlights the technical aspects of the surgical procedure and establishes the reproducibility of the same.

  • laparoscopic pyeloplasty for ureteroPelvic junction obstruction in crossed fused ectopic Pelvic Kidney
    Korean Journal of Urology, 2014
    Co-Authors: Kalyaperumal Muruganandham, Avijit Kumar, Santosh Kumar
    Abstract:

    Crossed fused renal ectopia is a rare anomaly and may be associated with Pelvic ureteric junction obstruction (PUJO). The L-shaped fusion variety is even rarer. We report such a case with a crossed fused ectopic Pelvic Kidney (L-type) with PUJO and its successful laparoscopic management. Through this report we emphasize the importance of adequate preoperative imaging and intraoperative details to avoid mishaps.

P. N. Dogra - One of the best experts on this subject based on the ideXlab platform.

R Rolland - One of the best experts on this subject based on the ideXlab platform.

  • mayer rokitansky kuster hauser syndrome distinction between two forms based on excretory urographic sonographic and laparoscopic findings
    American Journal of Roentgenology, 1993
    Co-Authors: E H Strubbe, W N P Willemsen, J A M Lemmens, Cornelis J P Thijn, R Rolland
    Abstract:

    The purpose of this study was to discriminate typical (type A) from atypical (type B) Mayer-Rokitansky-Kuster-Hauser (MRKH) syndrome (congenital absence of vagina and uterus) and determine their association with renal anomalies and ovarian disease.The excretory urographic, sonographic, and laparoscopic findings in 91 patients with MRKH syndrome were compared retrospectively. Symmetric muscular buds and fallopian tubes were diagnostic of type A, and asymmetric muscular buds or abnormally developed fallopian tubes were diagnostic of type B.On the basis of laparoscopic findings, type A was diagnosed in 40 patients (44%) and type B was diagnosed in 51 patients (56%). Renal anomalies were found in 34 (37%) of the 91 patients, all of whom had type B syndrome. Renal agenesis and a Pelvic Kidney were the most common findings in the upper part of the urinary tract. Ovarian abnormalities were seen in 14 patients (15%), all of whom had type B syndrome. Sonography did not allow discrimination between types A and B in...

Anup Kumar - One of the best experts on this subject based on the ideXlab platform.