Robotic right nephrolithotomy for a staghorn stone

Mariaconsiglia Ferriero1, Giuseppe Simone 1, Rocco Papalia2, Riccardo Mastroianni2, Francesco Minisola1, Salvatore Guaglianone1, Michele Gallucci1
  • 1 Istituto Nazionale Tumori "Regina Elena" (Roma)
  • 2 Università Campus Bio-Medico (Roma)


The video shows a case of robotic right nephrolithotomy for a staghorn stone. With patient in extended flank position a five trocar access and docking were performed. The right colon was deflected and Gerota's fascia was opened. Renal parenchyma was incised at the level of upper pole. The upper calix was opened and a 3 cm staghorn stone was secured in endobag. Irrigation of pyelocaliceal system was performed; urinary tract and renal parenchyma were closed with a sliding clip technique. A drein was left in place.
Operative time was 110 minutes, blood loss was negligible. Postoperative course was uneventful. The patient was discharged on 2nd postoperative day.
A 6 mo x-Ray did not show recurrent stones.