Laparoscopic Pyelolithotomy in a Pelvic Kidney: A Case Report and Review of the Literature |
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Authors: | David M Hoenig Arieh L Shalhav Abdelhamid M Elbahnasy Elspeth M McDougall and Ralph V Clayman |
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Institution: | 1Washington University Division of Urology, St. Louis, MO, USA.;2Washington University Department of Radiology, St. Louis, MO, USA. |
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Abstract: | Background and Objectives:Laparoscopic pyelolithotomy was performed in a pelvic kidney with a large renal pelvis calculus.Methods and Results:Laparoscopic pyelolithotomy was successfully performed in a pelvic kidney with an operative time of 310 minutes. The use of intraoperative fluoroscopy and a semi-automatic suturing device greatly facilitated the procedure. The patient''s operative pain was managed with 3 doses of ketorolac; she resumed a regular diet the day after surgery, and was discharged on the first postoperative day.Conclusions:For patients with a large stone in the renal pelvis of an ectopic kidney, laparoscopic pyelolithotomy provides an effective approach. |
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Keywords: | Laparoscopy Pyelolithotomy Ectopic kidney Pelvic kidney Shock wave lithotripsy Percutaneous nephrolithotomy |
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