Laparoscopic pyelolithotomy: optimizing surgical technique
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Updated: Jun 24, 2026

Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
José A Salvadó1, Sergio Guzmán, Cristian A Trucco
1Facultad de Medicina, Pontificia Universidad Católica de Chile, Santiago, Chile. tsalvado@yahoo.com
Abstract:
The classic approach to renal stone disease includes shockwave lithotripsy, ureteroscopy or percutaneous nephrolithotripsy, and, in some cases, a combination of both. The usefulness of laparoscopy in this regard remains debated. In this report and video, we present our technique of laparoscopic pyelolithotomy assisted by flexible instrumentation to achieve maximal stone clearance in a selected group of patients.
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