Laparoscopic pyelolithotomy

Urology
G H JordanE L Robey

Abstract

Laparoscopic surgery has been applied to virtually every aspect of urinary tract disease. Presented is a case of laparoscopic-extended pyelolithotomy accomplished in a 16-month-old child with a large cystine stone that occupied the child's entire renal pelvis. Although not the first pyelolithotomy accomplished laparoscopically, we believe this to be the first extended laparoscopic pyelolithotomy and also believe this is the youngest patient in whom laparoscopic pyelolithotomy has been done. Extracorporeal shock wave lithotripsy and percutaneous and endoscopic stone techniques have drastically modified the management of urolithiasis. However, select cases in which these techniques may not be applicable (such as this toddler with bulky cystine lithiasis) may require open surgery. The laparoscopic approach represents an excellent, yet less-invasive option.

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Citations

Jun 27, 2002·Current Urology Reports·A M Kaynan, H N Winfield
Jun 22, 2012·Current Urology Reports·Hasan Serkan Dogan, Serdar Tekgul
Sep 25, 2002·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·D D GaurM Gopichand
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Jun 7, 2006·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy
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