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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

Urinary Tract Calculi VI: Surgical Management

Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...

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Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Laparoscopic ureterolithotomy: our experience with 74 cases.

Mohamed Gad El-Moula1, Adel Abdallah, Fathy El-Anany

  • 1Department of Urology, Assiut University, Assiut, Egypt.

International Journal of Urology : Official Journal of the Japanese Urological Association
|May 16, 2008
PubMed
Summary

Laparoscopic ureterolithotomy is a safe and effective treatment for ureteral stones, offering minimal blood loss and a short hospital stay. This minimally invasive procedure provides good cosmetic results and a faster recovery for patients.

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Endourology

Background:

  • Ureteral stones pose a significant clinical challenge.
  • Surgical intervention is often required for impacted or large ureteral stones.
  • Laparoscopic ureterolithotomy is an alternative surgical approach.

Purpose of the Study:

  • To evaluate the safety and efficacy of laparoscopic ureterolithotomy for treating ureteral stones.
  • To assess outcomes including success rates, complications, and recovery parameters.

Main Methods:

  • Retrospective review of 74 patients undergoing laparoscopic ureterolithotomy between 2002 and 2006.
  • Procedures included retroperitoneal and transperitoneal approaches.
  • Ureteral stenting was commonly employed without primary ureteral repair.

Main Results:

  • Successful completion rate of 94.6% with low conversion to open surgery (5.4%).
  • Mean operative time was 58.7 minutes with minimal blood loss (90.6 mL).
  • Low complication rate, including one case of prolonged urinary leakage and one ureteral stricture requiring endoscopic management.

Conclusions:

  • Laparoscopic ureterolithotomy is a safe and effective treatment for ureteral stones, suitable for primary treatment or as a salvage procedure.
  • The technique offers benefits such as minimal blood loss, reduced pain, good cosmesis, and shorter hospital stays.
  • It is a viable option for managing large or impacted ureteral stones, especially after failed less invasive treatments.