| RESEARCH ARTICLE |
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| Year : 2004 | Volume
: 20
| Issue : 2 | Page : 101-105 |
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Retroperitoneal laparoscopic ureterolithotomy - our experience
Tejanshu P Shah, Kirtipal Vishana, Prakash Ranka, Manish Patel, Rajesh Chaudhary
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
India
 Source of Support: None, Conflict of Interest: None  | Check |
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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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