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Laparoscopic nephrolithotomy: the value of intracorporeal sonography and color Doppler
P J Van Cangh1, A S Abi Aad, F Lorge
1Division of Urology, University of Louvain Medical School, Brussels, Belgium.
Urology
|March 1, 1995
Abstract:
Laparoscopic nephrolithotomy was used as an alternative to open surgery in a patient who had failed extracorporeal shock-wave lithotripsy and whose anteriorly located stone-bearing calix precluded percutaneous extraction. Endocavitary ultrasonography and color Doppler render the procedure safe and effective; localization of the stone, selection of an optimal nephrotomy site away from large vessels and where cortical thickness is minimal, and control of fragment clearance are greatly facilitated.