Open AccessLAPAROSCOPIC LEFT HEMINEPHRECTOMY IN COMPLETE DOUBLE COLLECTING SYSTEM WITH MULTIPLE UPPER MOEITY KIDNEY STONE
Author(s) -
Aga Parardya,
Sawkar Vijay Pramod
Publication year - 2015
Publication title -
jurnal urologi indonesia (indonesian journal of urology)
Language(s) - English
Resource type - Journals
ISSN - 2355-1402
DOI - 10.32421/juri.v22i2.181
Subject(s) - medicine , surgery , flank pain , kidney , nephrectomy
Objective: Laparoscopic heminephrectomy was firstly reported by Jordan and Winslow in 1993. Laparoscopic heminephrectomy has recently been described as a feasible procedure for the treatment of poorly functioning renal moiety in the duplex kidney. However, this minimally invasive technique is a complex procedure that has remained confined to the hands of experienced teams, with a limited number of reports of relatively few cases. In Indonesia, it has rarely been done. Material & method: A 49-year-old male with chief complaint of pain at the left flank for 2 months. From IVU, we found double collecting system with left upper moiety kidney stone. Then we performed laparoscopic left heminephrectomy. Result: Operative time was 2 hours 30 minutes with bleeding < 100 mL. Post operative VAS was 3 with paracetamol analgetic. Patient was discharged 5 days after operation without any complaint. Conclusion: Laparoscopic heminephrectomy is safe to treat patient with complete double collecting system with multiple upper moeity kidney stone.