[Transumbilical single-incision laparoscopic ureterolithotomy].
G L Almeida1, N G Lima, C S Schmitt
1Departamento de Cirugía y Urología, Instituto Catarinense de Urología y Hospital Marieta Konder Bornhausen, Itajaí, Brasil. glalmeida@ibest.com.br
Actas Urologicas Espanolas
|January 25, 2011
Summary
Transumbilical single-incision laparoscopic ureterolithotomy is a safe and feasible surgical option for ureteral stones when endourological treatments fail. This minimally invasive approach offers cosmetic benefits and reduced patient discomfort.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Innovation
Background:
- Laparoendoscopic single-site surgery (LESS) presents an attractive alternative for ureterolithotomy in cases of failed endourological management.
- Transumbilical access with conventional laparoscopic instruments offers a viable approach for complex ureteral stone removal.
Observation:
- A 29-year-old woman with a 1.2 cm impacted ureteral stone, refractory to ureteroscopy and unavailable shockwave lithotripsy, underwent the procedure.
- A transumbilical single-incision laparoscopic ureterolithotomy was successfully performed using three conventional trocars within a single umbilical incision.
Findings:
- The ureterolithotomy was completed successfully with all steps performed transumbilically in 180 minutes.
- No specialized single-port devices or articulating instruments were required.
- Estimated blood loss was minimal (<50 mL), with no intraoperative or postoperative complications, and a 24-hour hospitalization period.
Implications:
- Transumbilical single-incision laparoscopic ureterolithotomy is a feasible and safe approach for ureteral stones.
- This technique provides significant cosmetic advantages and minimizes postoperative discomfort.
- Further investigation and accumulated experience are recommended to solidify its role in clinical practice.
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