Is laparoscopic pyelolithotomy an alternative to percutaneous nephrolithotomy for treatment of kidney stones larger than 2.5 cm in pediatric patients?

This comparative study of 72 pediatric patients demonstrates that laparoscopic pyelolithotomy offers superior safety outcomes compared to percutaneous nephrolithotomy for kidney stones larger than 2.5 cm, with significantly lower blood loss, transfusion rates, and complications while maintaining 100% stone-free rates in both groups.