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Published on: July 8, 2025
Laparoscopic trans-peritoneal pyelolithotomy in a pelvic kidney
Shahnawaz Ahangar1, Abdul Munnon Durrani, Syed Javid Qadri
1Department of Surgery, Government Medical College, Karan Nagar, Srinagar, India. shanz101gmail.com
Summary
Urinary tract stones, or urinary lithiasis, are common. Laparoscopic pyelolithotomy successfully treated a large stone in a pelvic kidney when minimally invasive options failed.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Urinary lithiasis is a prevalent and ancient condition affecting the urinary tract.
- Management has evolved from open surgery to minimally invasive techniques like extra-corporeal shock wave lithotripsy (ESWL) and percutaneous nephrolithotomy (PCNL).
Observation:
- Minimally invasive procedures are not always effective for all urinary stone cases.
- Complex cases, such as stones in malrotated or malpositioned kidneys, may require alternative approaches.
Findings:
- Laparoscopic trans-peritoneal pyelolithotomy was successfully employed to manage a large calculus in a pelvic kidney.
- This technique offers a viable solution for challenging urinary stone presentations.
Implications:
- Laparoscopic pyelolithotomy provides an effective minimally invasive option for specific complex urinary stone cases.
- This approach expands the surgical armamentarium for treating difficult renal calculi, particularly in anatomically anomalous kidneys.
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