Laparoscopic transperitoneal ureterolithotomy for large ureteric stones.

Urology Annals
Ahmed Al-Sayyad

Abstract

To evaluate the efficacy and safety of laparoscopic transperitoneal ureterolithotomy for management of large proximal ureteric stones. Medical records of patients who underwent laparoscopic transperitoneal ureterolithotomy for proximal ureteral stones ≥2 cm were reviewed retrospectively. Patients' characteristics, stone characteristics, perioperative and follow-up data were studied. Patients with stones <2 cm in size, previous transperitoneal surgical procedure, or follow-up duration <6 months were excluded from the study. Twelve patients (mean age = 52.9 ± 12 years) with large upper ureteric stones (mean stone largest diameter = 39 ± 13 mm) were included. Nine patients had single stone, 2 patients had two stones, and 1 patient had large impacted stone with 2 small stones floating above. Mean operative time was 107 ± 49.5 min with mean blood loss of 60.5 ± 19.2 cc. Mean total pain score was 38.4 ± 5.5 (100 point scale) and mean time till resuming oral intake was 3.6 ± 0.5 h. Mean duration of hospital stay was 2.6 ± 1.4 days and mean duration of stenting was 7.3 ± 2 weeks. Throughout a mean duration of follow-up of 14.8 ± 7.6 months, 100% stone clearance rate was achieved with no recurrence. One patient developed a ureteric stri...Continue Reading

References

Nov 7, 2006·International Journal of Urology : Official Journal of the Japanese Urological Association·Ahmet Yaser MuslumanogluYalcin Berberoglu
Feb 1, 2007·Journal of Endourology·Ahmed El-FeelAmr M Abdel-Hakim
May 16, 2008·International Journal of Urology : Official Journal of the Japanese Urological Association·Mohamed Gad El-MoulaHiro-Omi Kanayama
Aug 13, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Suparu KhaladkarSuresh Patankar
Sep 30, 2009·Journal of Endourology·Marcel HruzaJens Jochen Rassweiler
Apr 17, 2010·Urological Research·Andreas SkolarikosDean Assimos

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