Laparoscopic Management of Urolithiasis in Different Circumstances

Abstract Introduction: Urolithiasis is a common urological problem with significant morbidity for the patients. Currently, open surgery is indicated for failed percutaneous, ureteroscopic procedure and for calculus in anomalous kidney when other methods are not feasible or not available. In these scenarios, when expertise is available, laparoscopic approach has been proved to be more beneficial with regard to postoperative morbidity, recovery, and clearance of the stone.1,2 We are presenting a video demonstration of laparoscopic management of urolithiasis in different circumstances. Laparoscopic pyelolithotomy for left renal calculus was performed through transperitoneal approach using four ports in lateral decubitus. Double-J stent was placed in the lithotomy position. After reflecting colon, upper ureter was identified and traced proximally to reach the renal pelvis. Renal pelvis was exposed completely, and inverted V-shaped pyelotomy was performed. Calculus was identified and delivered, followed by pye...