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Laparoscopic Pyelolithotomy in a Pelvic Kidney: A Case Report and Review of the Literature
Authors:David M Hoenig  Arieh L Shalhav  Abdelhamid M Elbahnasy  Elspeth M McDougall  and Ralph V Clayman
Institution:1Washington University Division of Urology, St. Louis, MO, USA.;2Washington University Department of Radiology, St. Louis, MO, USA.
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.
Keywords:Laparoscopy  Pyelolithotomy  Ectopic kidney  Pelvic kidney  Shock wave lithotripsy  Percutaneous nephrolithotomy
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