Laparoscopic Pyelolithotomy

Laparoscopic pyelolithotomy is a minimally invasive surgical technique used to remove stones from the renal pelvis. This procedure combines the principles of traditional open surgery with the advantages of laparoscopy, offering a less invasive option with quicker recovery times compared to open surgery. Here’s a detailed overview of laparoscopic pyelolithotomy:

• Large or complex kidney stones that are not suitable for less invasive procedures like ureteroscopy or percutaneous nephrolithotomy (PCNL).
• Stones causing significant obstruction and/or recurrent infections.
• Patients with anatomical abnormalities that complicate other surgical approaches.
• Situations where multiple less invasive procedures have failed.

• Bleeding: Some risk of bleeding, though less than with open surgery.
• Infection: Risk of infection at the surgical site or within the kidney.
• Injury to Adjacent Organs: Potential damage to surrounding organs or structures, though less common with experienced surgeons.
• Prolonged Recovery: Longer recovery period compared to other minimally invasive procedures but shorter than open surgery.
• Pain and Discomfort: Pain and discomfort at the incision sites during recovery.

• Minimally Invasive: Smaller incisions lead to less post-operative pain and quicker recovery compared to open surgery.
• Effective for Large Stones: Highly effective for removing large or complex stones.
• Direct Visualization: Direct access to the stone allows for thorough inspection and removal.
• Reduced Hospital Stay: Typically requires a shorter hospital stay compared to open surgery.

• Highly Invasive: More invasive than other techniques, leading to a longer recovery period and increased risk of complications.
• Hospital Stay: Typically requires a longer hospital stay.
• Post-operative Care: More intensive post-operative care and monitoring are required.