Indian Journal of Urology Users online:2107  
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Year : 2004  |  Volume : 20  |  Issue : 2  |  Page : 101-105

Retroperitoneal laparoscopic ureterolithotomy - our experience

Department of Urology and Kidney Transplantation, Institute of Kidney Diseases and Transplantation Sciences, BJ Medical College and Civil Hospital Campus, Asarwa, Ahmedabad, India

Correspondence Address:
Tejanshu P Shah
65-B Swastik Society, Navrangpura, Ahmedabad - 380 009
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Source of Support: None, Conflict of Interest: None

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Objectives : Appraisal of indications for laparoscopic ureterolithotomy, its results and advantages in the current era of minimally invasive surgery. Methods : We performed 56 laparoscopic uretero­lithotomy in 54 patients, all by extraperitoneal approach. Out of 56 stones, 34 were located in the upper ureter, 18 in the mid-ureter and 4 in the lower ureter Main indica­tion was large (1.5 to 3.5 cm) impacted stone in 50 cases (89%). Other indications were failed ESWL and a failed attempt at ureteroscopy. Results : There were no major complications. The pro­cedure failed in two patients. Average duration of hospi­tal stay was 2-4 days. During follow-up 3 months later IVU revealed normal ureter in all cases. Conclusions : In selected patients with large, hard, impacted ureteral stones, which are likely to cause diffi­culty in endourological procedures due to its large size and distance from pelviureteral junction or ureterovesi­cal junction, laparoscopic ureterolithotomy is a reason­able treatment option in lieu of open surgery. It offers stone free status by a single procedure with serendipitous ad­vantage of maintaining laparoscopic skill among general urologic community who do not have flexible uretero­scopies and holmium laser facilities.

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