{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T01:08:27Z","timestamp":1761786507938,"version":"build-2065373602"},"reference-count":15,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T00:00:00Z","timestamp":1761696000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["BMC Urol"],"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>In cases of long-standing giant kidney stones resulting in irreversible loss of renal function, frequent urinary tract infections and a chronic flank pain that cannot be managed by other treatment options nephrectomy is considered the only effective treatment option. The largest KS documented in the literature weighed 2260\u00a0g and was treated by nephrectomy; while the largest stone removed without nephrectomy weighed 1350\u00a0g. There are no documented cases of KS over 200\u00a0g being removed by laparoscopic surgery. The preserved excretory function supported proceeding with pyelolithotomy rather than nephrectomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We hereby present a case of a giant KS in a functioning kidney of the female patient. She had previously (&gt;\u200915 years ago) undergone an open left nephrolithotomy which made the procedure more challenging. She underwent successful transperitoneal laparoscopic pyelolithotomy.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Materials and methods<\/jats:title>\n                    <jats:p>The patient, aged 55, underwent an kidney-preserving transperitoneal laparoscopic left-sided pyelolithotomy due to the presence of a large staghorn stone in a functioning kidney. Because kidney function was salvageable, nephrectomy was not considered.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A successful kidney-preserving surgery was performed, without the occurrence of any surgical complications. The postoperative period was characterized by a brief duration of hospital stay.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Laparoscopic pyelolithotomy is a safe and effective surgical technique for the removal of large and complex KS. The minimally invasive approach ensures a rapid recovery process, minimal blood loss, reduced postoperative pain, and improved cosmetic results. However, it should be noted that the method requires highly skilled surgeons and advanced laparoscopic instruments were used (30\u00b0 laparoscope, trocars, atraumatic graspers, maryland dissectors, monopolar\/ultrasonic energy, and barbed suture for pyelotomy closure).<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12894-025-01959-5","type":"journal-article","created":{"date-parts":[[2025,10,29]],"date-time":"2025-10-29T13:52:24Z","timestamp":1761745944000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Case report of a giant kidney stone removed by transperitoneal laparoscopic pyelolithotomy"],"prefix":"10.1186","volume":"25","author":[{"given":"Ruslan N.","family":"Trushkin","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Teymur K.","family":"Isaev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pavel E.","family":"Medvedev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Petr P.","family":"Teihrib","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mariana A.","family":"Lysenko","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ilya V.","family":"Dmitriev","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aslan G.","family":"Balkarov","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tuong Lan","family":"Ho","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2025,10,29]]},"reference":[{"key":"1959_CR1","doi-asserted-by":"publisher","unstructured":"Rieu P. 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The patient has given written consent for the publication of his personal data along with any identifying images in this process.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}},{"value":"The authors have no conflicts of interest to declare.","order":5,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"not applicable.","order":6,"name":"Ethics","group":{"name":"EthicsHeading","label":"Clinical trial number"}},{"value":"This study was sponsored by the ANO \u201cMoscow Center for Innovative Healthcare Technologies\u201d.","order":7,"name":"Ethics","group":{"name":"EthicsHeading","label":"Funding"}}],"article-number":"272"}}