Difficult Cases in Endourology

346 Pages·2013·10.16 MB·English

by  Mahesh Desai

Dif fi cult Cases in Endourology

Ahmed M. Al-Kandari • Mahesh Desai
Ahmed A. Shokeir • Ahmed M. Shoma
Arthur D. Smith
Editors
Dif fi cult Cases
in Endourology
Editors
Ahmed M. Al-Kandari, M.D., FRCS(C) Ahmed M. Shoma, M.D.
Department of Surgery Department of Urology
Kuwait University Urology and Nephrology Center
Jabriyah Mansoura University
Kuwait City Mansoura
Kuwait Egypt
Mahesh Desai, M.S., FRCS Arthur D. Smith, M.D.
Department of Urology Department of Urology
Muljibhai Patel Urological Hospital Smith Institute for Urology
Nadiad Hofstra North Shore – Long Island
Gujarat Jewish Health System
India New Hyde Park
NY
Ahmed A. Shokeir, M.D., Ph.D., FEBU USA
Department of Urology
Urology and Nephrology Center
Mansoura University
Mansoura
Egypt

ISBN 978-1-84882-082-1 ISBN 978-1-84882-083-8 (eBook)
DOI 10.1007/978-1-84882-083-8
Springer London Heidelberg New York Dordrecht
Library of Congress Control Number: 2012951404
© Springer-Verlag London 2013
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I would like to dedicate this book to the very important people
in my life. These people are:
(cid:129) First of all, my mother, whose support and prayers I am still
enjoying. I can never repay my mother no matter what I do
for her in the future.
(cid:129) I also am very grateful to my father, who died several years
ago but was so supportive of my becoming a physician.
(cid:129) Finally, I wish to express my appreciation to my life
companion, my wife Somayah, mother of my children, who
continues over the years to be my support and encouragement
in my self-development and who has stood with me during all
the dif fi cult periods of my life.
Ahmed M. Al-Kandari, M.D., FRCS(C)

Preface
The idea of this book, Dif fi cult Cases in Endourology , came about from my
feeling that a concise book with a practical approach toward the common
endourologic procedures and their dif fi culties was needed. It is of utmost
importance that the urologists who are interested in doing endourologic pro-
cedures have a good knowledge of the dif fi culties and complications associ-
ated with these procedures and be prepared to deal with them.
It is a great honor for me to collaborate with world experts in endourology,
such as the founder of the Endourologic Society, Dr. Arthur Smith. I am hon-
ored to be one of his previous fellows in his distinguished Smith Institute for
Urology at the Hofstra North Shore-Long Island Jewish Health System. Dr.
Smith continues to encourage endourologic training, research, and educa-
tional activities all over the world.
Endourology cannot be discussed without a tribute to outstanding urolo-
gists and scientists such as our coeditor Dr. Mahesh Desai, who contributed
tremendously to this important subspecialty. His endourologic contribution
was and continues to be a major reference for this important specialty.
I am also honored to work at and collaborate with the distinguished
Mansoura Urology Center in Egypt. There, I have the privilege to work with
our two other distinguished coeditors, Dr. Ahmed Shokeir, who is the editor
of the Arab Journal of Urology , and Dr. Ahmed Shoma, who is a well-known
world-class endourologist.
We are pleased to have with us as contributors a group of world experts in
endourology who have de fi nitely enriched the book.
I am con fi dent that this book will be an excellent, handy, and practical
resource for residents, fellows, and urologists interested in pursuing and per-
forming endourologic procedures.
Finally, we do hope that this book will be an important, practical, and
helpful reference in the important and technically demanding subspecialty of
endourology.
Ahmed M. Al-Kandari, M.D., FRCS(C)
vviiii

Contents
1 Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
Ahmed M. Al-Kandari
2 Anesthetic Considerations During Endourologic Surgery . . . . . . . . 5
Ahmed M. Labib and Ahmed M. Al-Kandari
3 Difficulties in Instrumentation of Endourologic Procedures. . . . . . 15
Ahmed M. Al-Kandari
4 Percutaneous Management of Calyceal Diverticula:
An American Experience . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33
Jessica A. Mandeville, Ehud Gnessin, and James E. Lingeman
5 Managing Bleeding During Percutaneous Renal Surgery. . . . . . . . 43
Ahmed R. El-Nahas, Ahmed M. Shoma, and Ahmed A. Shokeir
6 Septic Complications During Percutaneous
Nephrolithotomy (PCNL) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55
Evangelos Liatsikos and Panagiotis Kallidonis
7 Visceral Complications of Percutaneous
Nephrolithotomy (PCNL) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 63
Abdelghaffar S. Arafa and Ahmed M. Al-Kandari
8 Percutaneous Nephrolithotomy (PCNL) for Staghorn Calculi:
The Rigid Approach – Overcoming the Difficulties . . . . . . . . . . . 73
Arvind P. Ganpule and Mahesh Desai
9 Flexible Renal Nephroscopy: Overcoming the Difficulties . . . . . . . . . 79
Joseph A. Graversen, Adam C. Mues, and Mantu Gupta
10 Chinese Minimally Invasive Percutaneous Nephrolithotomy
(MPCNL): Overcoming the Difficulties. . . . . . . . . . . . . . . . . . . . 97
Zhaohui He, Guohua Zeng, and Xun Li
11 Percutaneous Renal Surgery for Renal Pelvic Tumors:
Overcoming the Difficulties. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 107
Brian Duty, Michael Blute, Zhamshid Okhunov,
Arthur D. Smith, and Zeph Okeke
ix