Korean J Urol.  2009 Sep;50(9):925-928.

A Hybrid Treatment for Large Bladder Stones: Laparoscopic Cystolithotomy with Combined Direct Visual Lithotripsy

• Lee JG
• Yoo KH
• Kim TH
• Min GE
• Jeon SH

Abstract

There are diverse surgical methods for treating large bladder stones, such as transurethral cystolithotripsy (TUCL), percutaneous suprapubic cystolithotripsy (PCCL), open surgery, and laparoscopic methods. We report here a case of two large bladder stones treated by using a combined surgical method of a laparoscopic approach and direct visual lithotripsy.

Keyword

Urinary bladder calculi; Laparoscopy; Lithotripsy; Minimally invasive surgical procedures

MeSH Terms

Chimera
Laparoscopy
Lithotripsy
Surgical Procedures, Minimally Invasive
Urinary Bladder
Urinary Bladder Calculi

Figure

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  Fig. 1 (A) Pelvic radiograph showing that two large radiopaque densities lie in the bladder, and (B) computed tomography showing two large urinary bladder stones.

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  Fig. 2 (A) Laparoscopic cystolithotomy and (B) direct visual lithotripsy.

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  Fig. 3 Gross appearance of the calculus after extraction showing that the fragmented sections have a laminated form.

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