TY  - EJOU
AU  - Aron, Stephanie 
AU  - Galvez, Anthony 
AU  - Nasseri, Ryan 
AU  - Berrios, Susana 
AU  - Sheetz, Tyler 

TI  - Robotic-assisted laparoscopic pyelolithotomy in a horseshoe kidney
T2  - Canadian Journal of Urology

PY  - 2024
VL  - 31
IS  - 6
SN  - 1488-5581

AB  - Nephrolithiasis is one of the most common indications
for surgery in patients with a horseshoe kidney. Robotic
assisted surgery has become a staple in urologic practice,
yet its application in stone management is largely
undefined. We present a patient with a horseshoe
kidney, who underwent a robotic-assisted laparoscopic pyelolithotomy (RPL) to treat a 3 cm stone burden. This
procedure allowed for safe access that could not be obtained
with percutaneous nephrolithotomy (PCNL) and stone
removal without fragmentation, which would have been
challenging with traditional laparoscopy. We advocate
for the use of robotic-assisted laparoscopic pyelolithotomy
in cases of aberrant anatomy complicating a heavy stone
burden.
KW  - horseshoe kidney
KW  -  kidney calculi
KW  -  robotic surgery
KW  -  pyelolithotomy

DO  -