Generally laparoscopy is appropriate for patients with a renal pelvic stone in an ectopic kidney and for those who need adjunctive procedures such as a pyeloplasty. Laparoscopy does not result in nephron injury and is advantageous in children with large stone burden. Percutaneous nephrolithotomy (PCNL) may require more than one puncture in a similar situation.
A computed tomography (CT) scan is a useful investigation to determine the exact relationship of the stone to the pelvis and calyces.
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References
Gaur DD, Trivedi S, Prabhudesai MR, Gopichand M (2002) Retroperitoneal laparoscopic pyelolithotomy for staghorn stones. J Laparoendosc Adv Surg Tech A 12(4):299–303.
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Senthil, K., Ramalingam, M. (2009). Laparoscopic Pyelolithotomy. In: Ramalingam, M., Patel, V.R. (eds) Operative Atlas of Laparoscopic Reconstructive Urology. Springer, London. https://doi.org/10.1007/978-1-84800-151-0_10
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DOI: https://doi.org/10.1007/978-1-84800-151-0_10
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