Renal (kidney) stones may form in either one or both kidneys. In laparoscopic pyelolithotomy, small cuts or incision were made in the abdomen and the stones were thereby removed from the kidney by using fine fibreoptic tube to view, observe and perform the simple movements inside the body. The Laparoscopic pyelolithotomy, even though uncommonly done, it may be a choice in patients who have renal anomalies are poorly compliant, and suffering with a large single renal-pelvic stones.


  • Laparoscopic pyelolithotomy is done under general anesthesia and time takes for the whole surgery to be done is about 2 to 4 hours.

  • The area of cut (side of your body) will be cleaned before the incision was performmed. Doctor make 3 to 4 small cuts or incisions in abdomen and introduces a laparoscope (tube along with a light and a small camera was attached) to observe the abdominal cavity.

  • Surgical instruments were passed by the other incisions.

  • Once the cuts or incisions are done then your ureter and renal pelvis are been exposed and your doctor locates the stone manually or by using X-ray imaging procedures.

  • The stone are removed and the cuts were closed. A ureteric stent (thin soft tube) was positioned in the ureter to drain out urine and any left-over remains of the stones and will also helps to heal the surgical cuts so faster. A flexible drainage tube is called a catheter which was placed into patient’s urethra to help for urination.

  • After the operation your vitals are been checked and patients will be observed for 2 to 3 days after the operation in the hospital before discharging them.

Laparoscopic pyelolithotomy may involve risks also like infection and bleeding. In connection with this, when a stone is blocked firmly in the ureter it may cause scars to form in the ureter by making the canal narrower. But this procedure is most cost effective compared with other methods.