Laparoscopic Surgery for Kidney Stone Removal

Usually, the stones form when the urine becomes concentrated, allowing the minerals to stick and crystallize together. Going through kidney stones can be very painful. Read on to view the full details...

Dr. Samrat Jankar Created on 23rd Feb, 21

Many people in Pune suffer from kidney stones. Renal lithiasis, also known as kidney stones, are small, hard mineral deposits in your kidneys. The stones are created from acid salts and minerals. They can harm any part of your urinary tract from the kidneys to your bladder.

If stones get lodged in the urinary tract or cause problems, then you might need surgery. However, surgery does not mean that you must spend many days in the hospital or go through a lot of pain.


You can choose a minimally invasive surgery like laparoscopic surgery. So, consult your laparoscopic surgeon in Pune to remove the existing kidney stones and get suggestions on preventing them from recurring.

Now let us get more into details about kidney stones and how laparoscopic surgery can help.


Different types of kidney stones

Different types of kidney stones

Calcium stones:

Most kidney stones are calcium stones, usually in the type of calcium oxalate. Oxalate is a naturally happening substance present in food, involving vegetables, fruits, chocolates, and nuts. The liver also creates oxalate. High doses of dietary factors, vitamin D, intestinal bypass procedures, and many metabolic disorders can raise the calcium oxalate's concentration in urine.


Uric acid stones:

They can occur in individuals who do not drink adequate fluids or lose a lot of liquid, people who have gout, or people who consume a high-protein diet. Some genetic factors may also increase your uric acid stone's chances.


Struvite stones:

Such stones occur in response to an infection like a urinary tract infection. They can build swiftly and get very large, sometimes with some symptoms.


Cystine stones:

Such stones occur in individuals with a hereditary disorder that make the kidneys excrete many amino acids. Now that you know the types of kidney stones, let us understand the symptoms.

Kidney stones - what are the symptoms?

A kidney stone may or may not cause any symptoms till it has moved into the ureteral tube linking the bladder and kidney. The signs happening at this point involve:


  • Pain while urinating
  • Serious pain in the back and side, under the ribs
  • Nausea and vomiting
  • Pain that expands to the lower groin and abdomen
  • Persistent urge to urinate
  • Pink, brown, or red urine
  • Chills and fever if an infection is there

Causes of kidney stones

The cause of kidney stone formation is unknown. However, research shows that stones are the outcome of mineral supersaturation and crystallization inside the urine.

Age, environment, diet, heredity, sex, metabolic diseases, and urinary infection are probably included in the stone formation. The primary causes involve:

  • Lack of sufficient fluid ingestion and dehydration
  • Insufficient urinary drainage
  • Foreign bodies in the urinary tract
  • Urinary infections
  • Metabolic diseases including hyperparathyroidism, intestinal dysfunction, and cystinuria
  • Diet with extra oxalates, calcium, and vitamin abnormalities- vitamin D extra, vitamin A deficiency
  • Utilization of some medicines, including diuretics that raises uric acid's level.

Laparoscopic removal of a kidney stone

The keyhole or laparoscopy procedure is done for kidney stones that cannot be treated using laser and endoscopy. It is better for people receiving or taking anti-coagulation (blood thinning agents) therapy to go for laparoscopic kidney stone removal. We have mentioned below how the procedure for laparoscopic surgery for kidney will be conducted:


Laparoscopic surgery is done under general anaesthesia and will need a hospital stay for two-three days. Your specialist will create about three or four small 5mm -10mm incisions on your abdomen to expose and take out the stones.


An internal fine plastic tube known as a stent is placed in the urine tract following the procedure and removed after one-two week.


As it is likely to be a pre-planned operation so you must take plenty of time talking about it with your doctor. Some of the advantages of going for laparoscopic surgery for kidney stone removal include:

  • Less morbidity
  • Quicker recovery periods
  • Less pain
  • Shorter hospital stay
  • Useful to people requiring their stones to be taken out in a single operative session.
  • Beneficial for large single renal stone or renal anomalies, including ectopic kidney or UPJ obstruction.

Kidney stones can be extremely painful. If you have kidney stones, you should see a doctor before they become a life-threatening issue. Kidney stones can be removed with a combination of lifestyle changes and drugs. 


If the problem has progressed past the point where medicine will help, laparoscopic surgery is the best option for rapid relief.



Relevant Questions

Q. Can i know about bariatric surgery and the criteria on meeting which i will qualify for this surgery?

To be eligible for bariatric surgery, you must meet the following requirements:

  • Have a body mass index (BMI) of 40 or higher, or have a BMI between 35 and 40.
  • An obesity-related condition, such as heart disease, diabetes, high blood pressure or severe sleep apnea.
  • Weigh less than 450 pounds, the maximum weight that hospital radiology equipment can accommodate. If you need to lose weight to meet this requirement, a nutritionist is available to help.
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Q. What is incarcerated hernia?

A section of the intestine or abdominal tissue that becomes trapped in the sac of a hernia—the bulge of soft tissue that pushes through a weak place in the abdominal wall—is known as an incarcerated hernia. Stool may not be able to pass through the intestine if a section of it is trapped.


Incarcerated inguinal hernias usually cause swelling in the groin region, and some may show redness. If bowel obstruction has occurred, some additional symptoms may include sudden onset of pain, lack of appetite, irritability, and nausea or vomiting.

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Q. What are the symptoms of colon cancer?

Colon cancer is also known as colorectal cancer, a term that combines colon cancer with rectal cancer, which starts in the rectum. The following are some of the signs and symptoms of colon cancer:

  • A change in your bowel habits, such as diarrhoea or constipation, or a change in the consistency of your stool, that persists.
  • Blood in your stool or rectal bleeding.
  • Consistent stomach pain, such as cramps or gas.
  • Unexplained weight loss
  • Weakness or exhaustion.
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Q. How does non-vegetarian food cause acidity?

Yes, non-vegetarian food causes acidity or may lead to acid peptic disease. If you are experiencing so, then take less spicy and less oily food. You can have chicken and eggs but should avoid them being cooked in a fried oily manner.

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Q. What is colonoscopy and how does it help in treating colon cancer?

A colonoscopy is a procedure in which doctor examines the inside of your large intestine to seek for the cause of symptoms such as abdominal pain, rectal bleeding or changes in bowel habits.


To check the inside of the colon, doctor will insert a long, flexible tube with a camera on one end into the rectum. A particular diet may be required for 24-48 hours before to the surgery. In a process called as bowel prep, the colon will also need to be cleaned using strong laxatives.


If polyps are discovered in the colon, they will be removed by a surgeon and referred for biopsy. A pathologist examines the polyps under a microscope for malignant or precancerous cells during a biopsy.

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