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Laparoscopic transperitoneal ureterolithotomy: a single-center experience
Hamidreza Nasseh1, Farshid Pourreza, Ehsan Kazemnejad Leyli
1Urology Research Center, Razi Hospital, Guilan University of Medical Sciences, Rasht, Iran.
Laparoscopic transperitoneal ureterolithotomy is a safe and effective procedure for extracting ureteral stones, with a 94% success rate. Experienced surgeons can overcome challenges like lower ureteral stones and previous surgeries.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Surgical Techniques
Background:
- Ureteral stones pose a significant clinical challenge.
- Laparoscopic surgery offers a minimally invasive approach to stone extraction.
Purpose of the Study:
- To evaluate the efficacy and safety of laparoscopic transperitoneal ureterolithotomy.
- To assess outcomes and complications associated with the procedure.
Main Methods:
- A retrospective analysis of 33 patients undergoing laparoscopic transperitoneal ureterolithotomy.
- Data collected included operative time, success rates, complications, and postoperative recovery.
Main Results:
- A 94% success rate in laparoscopic ureteral stone extraction.
- Mean operative time was 85.48 minutes; mean hospital stay was 4.1 days.
- No visceral complications occurred; minor complications included stone migration and conversion to open surgery.
Conclusions:
- Laparoscopic transperitoneal ureterolithotomy is a safe and effective treatment for ureteral stones.
- Surgical experience is key to managing challenging cases, including lower ureteral stones and prior surgeries.
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