Laparoscopic pyelolithotomy in a pelvic kidney: a case report and review of the literature.

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.