Laparoscopic transperitoneal ureterolithotomy for large ureteric stones
Objectives: To evaluate the efficacy and safety of laparoscopic transperitoneal ureterolithotomy for management of large proximal ureteric stones. Materials and Methods: Medical records of patients who underwent laparoscopic transperitoneal ureterolithotomy for proximal ureteral stones ≥2 cm were r...
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Wolters Kluwer Medknow Publications
2012-01-01
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doaj-249939f3e674491b8db24af22d3ade532020-11-25T00:08:16ZengWolters Kluwer Medknow PublicationsUrology Annals0974-77960974-78342012-01-0141343710.4103/0974-7796.91619Laparoscopic transperitoneal ureterolithotomy for large ureteric stonesAhmed Al-SayyadObjectives: To evaluate the efficacy and safety of laparoscopic transperitoneal ureterolithotomy for management of large proximal ureteric stones. Materials and Methods: 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. Results: 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 stricture treated by laser endoureterotomy and stenting for 6 weeks and responded without re-stricture formation. Conclusion: Laparoscopic transperitoneal ureterolithotomy is a safe and effective approach for selected patients with large proximal ureteric stones with reduced postoperative pain and short hospital stay, and should be considered as a treatment option for such stones.http://www.urologyannals.com/article.asp?issn=0974-7796;year=2012;volume=4;issue=1;spage=34;epage=37;aulast=Al-SayyadLaparoscopystoneureterolithotomy |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Ahmed Al-Sayyad |
spellingShingle |
Ahmed Al-Sayyad Laparoscopic transperitoneal ureterolithotomy for large ureteric stones Urology Annals Laparoscopy stone ureterolithotomy |
author_facet |
Ahmed Al-Sayyad |
author_sort |
Ahmed Al-Sayyad |
title |
Laparoscopic transperitoneal ureterolithotomy for large ureteric stones |
title_short |
Laparoscopic transperitoneal ureterolithotomy for large ureteric stones |
title_full |
Laparoscopic transperitoneal ureterolithotomy for large ureteric stones |
title_fullStr |
Laparoscopic transperitoneal ureterolithotomy for large ureteric stones |
title_full_unstemmed |
Laparoscopic transperitoneal ureterolithotomy for large ureteric stones |
title_sort |
laparoscopic transperitoneal ureterolithotomy for large ureteric stones |
publisher |
Wolters Kluwer Medknow Publications |
series |
Urology Annals |
issn |
0974-7796 0974-7834 |
publishDate |
2012-01-01 |
description |
Objectives: To evaluate the efficacy and safety of laparoscopic transperitoneal ureterolithotomy for management of large proximal ureteric stones.
Materials and Methods: 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.
Results: 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 stricture treated by laser endoureterotomy and stenting for 6 weeks and responded without re-stricture formation.
Conclusion: Laparoscopic transperitoneal ureterolithotomy is a safe and effective approach for selected patients with large proximal ureteric stones with reduced postoperative pain and short hospital stay, and should be considered as a treatment option for such stones. |
topic |
Laparoscopy stone ureterolithotomy |
url |
http://www.urologyannals.com/article.asp?issn=0974-7796;year=2012;volume=4;issue=1;spage=34;epage=37;aulast=Al-Sayyad |
work_keys_str_mv |
AT ahmedalsayyad laparoscopictransperitonealureterolithotomyforlargeuretericstones |
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