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    Continued Open Surgery. Open surgery is rarely done for kidney stones anymore. But if your stone is very large or it can't be removed or crushed with other treatments, surgery might be an option.

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    Once the surgeon gets to the kidney, a nephroscope (a miniature fiberoptic camera) and other small instruments are threaded in through the hole. lf the stone is removed through the tube, it is called nephrolithotomy. lf the stone is broken up and then removed, it is called nephrolithotripsy.

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