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Laparoscopic Pyelolitotomy is a minimally invasive surgical procedure to remove stones from the renal pelvis (the funnel-shaped, dilated area in each kidney) or the ureter (the tubes in each kidney that connect the kidney to the urinary bladder). “Pyelo” means renal pelvis, and “lithotomy” means stone removal. Pyelolithotomy is a surgical intervention used to remove stones from the ureter and pelvis when performing a laser or an ultrasound method for breaking down the stones is not feasible. Pyelolithotomy is recommended when a large kidney stone obstructing the renal pelvis is present. Pyelolithotomy can be performed by open, laparoscopic, or retroperitoneal approaches.
Stones in the kidney are hard masses of different compositions that are formed from crystals in the urine. Calcium stones are the most common type of kidney stones. Other types include uric acid stones, struvite, and cystine stones. The size of the stone varies from being small gravel-like to larger stones like staghorn (like the antlers of the deer, filling the renal pelvis and calyces) calculi. These stones can cause symptoms like pain in the flanks, abdomen, lower groin, or back, blood in urine, nausea, vomiting, etc. When these stones become big and block the passage of urine or cause infection, they can damage the kidneys.
If the stones are small, they can be passed automatically through the kidney and excreted through the urine. Larger stones can cause continuous and recurrent symptoms; hence, they must be broken into smaller bits and removed. The surgeon can remove kidney stones by different techniques, like Extracorporeal shockwave lithotripsy (ESWL), percutaneous nephrolithotomy (PCNL), ureteroscopy, laparoscopy, and open surgery in Gurgaon.
Recent studies have proved the safety and efficacy of Laparoscopic Pyelolithotomy in treating large and complex stone diseases. LP as a treatment modality is increasingly used for renal stones and is recommended in patients:
Laparoscopic Pyelolithotomy is a safe and effective procedure for most patients, but it is contraindicated in some.
Before undergoing the surgery, it is important to prepare for it. Your urologist will take a detailed history of your symptoms and discuss further action.
Laparoscopic pyelolithotomy is a minimally invasive surgical procedure performed under general anesthesia.
You are expected to stay in the hospital for 2 to 3 days following a laparoscopic pyelolithotomy.
Laparoscopic pyelolithotomy is a safe and effective procedure that helps remove the renal calculi within the renal pelvis. It is gaining momentum over other procedures like PCNL due to its benefits:
Benefits:
Risks:
Like any surgical procedure, laparoscopic pyelolithotomy involves the following risks:
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