Indian Journal of Urology
: 2004  |  Volume : 20  |  Issue : 2  |  Page : 101--105

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

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.

How to cite this article:
Shah TP, Vishana K, Ranka P, Patel M, Chaudhary R. Retroperitoneal laparoscopic ureterolithotomy - our experience.Indian J Urol 2004;20:101-105

How to cite this URL:
Shah TP, Vishana K, Ranka P, Patel M, Chaudhary R. Retroperitoneal laparoscopic ureterolithotomy - our experience. Indian J Urol [serial online] 2004 [cited 2022 Jan 21 ];20:101-105
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