Laparoscopic transmesocolic pyelolithotomy in an ectopic pelvic kidney.
Management of large calculi in ectopic pelvic kidneys poses a challenge to the urologist. Risk of injury to surrounding abdominal viscera and vasculature makes open surgery as well as percutaneous nephrostolithotomy in an ectopic kidney a challenging procedure. Laparoscopic management avoids open surgery and associated morbidity and offers added safety. We report the management of symptomatic stones in a pelvic ectopic kidney lying anterior to the L5 vertebra and sacrum by transmesocolic laparoscopic pyelolithotomy in an 11-year-old child. Complete stone clearance was achieved with no complications and an uneventful postoperative recovery. The patient was discharged 72 hours after the surgery.
Gupta
Narmada P
NP
Department of Urology, All India Institute of Medical Sciences, New Delhi, India. narmadagupta@hotmail.com
Yadav
Rajiv
R
Singh
Ashutosh
A
D002648:Child; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000002:abnormalities*; D007669:Kidney Calculi / Q000000981:diagnostic imaging / Q000601:surgery*; D010535:Laparoscopy; D008297:Male; D008646:Mesocolon; D009403:Nephrostomy, Percutaneous / Q000379:methods*; D014567:Urography