Laparoscopic ablation of calyceal diverticula or hydrocalyces is different
than other minimally invasive options for these lesions (shock wave Lithotr
ipsy and ureteroscopic and percutaneous nephroscopy) in that it incorporate
s complete obliteration of both the cavity and its connection with the coll
ecting system. Laparoscopic ablation provides definitive management similar
to that achieved with open surgery, but with less patient morbidity. Lapar
oscopic treatment of calyceal diverticula or hydrocalyces is an excellent c
hoice for anterior cavities without significant overlying renal parenchyma
that are large or have an endoscopically inaccessible neck and either a nar
row neck or large stone burden.