Retroperitoneal laparoscopic ureterolithotomy for proximal ureteral calculi in selected patients
Qingfeng Hu1, Weihong Ding1, Yuancheng Gou1
1Department of Urology, Huashan Hospital, Fudan University, No. 12 Central Urumqi Road, Shanghai 200040, China ; Fudan Institute of Urology, Huashan Hospital, Fudan University, Shanghai 200040, China ; Department of Surgery, Shanghai Medical College, Fudan University, Shanghai 200040, China.
Objectives:
To summarize our experience of retroperitoneal laparoscopic ureterolithotomy for ureteral calculi and evaluate the safety and efficiency of this procedure.
Methods:
We conducted a retrospective analysis of 197 patients with proximal ureteral calculi who accepted retroperitoneal laparoscopic ureterolithotomy from June 2005 to June 2014.
Results:
All procedures were performed successfully and the mean operating time and estimated blood loss were 87 min and 64 mL. The clearance rate was 98.5% and the rates of urine leak and ureteral stricture were 2.5% and 1.0%.
Conclusions:
Retroperitoneal laparoscopic ureterolithotomy is a safe and effective procedure for patients with complex stones or anatomic abnormalities, and, with experience of high volume series, it is also a reasonable choice as the primary treatment for such selected patients.
More Related Videos
03:57Transmesenteric Laparoscopic Pyeloplasty in Trendelenburg Position for Horseshoe Kidney with Hydronephrosis
Published on: July 8, 2025
05:34A Mouse Model to Evaluate the Long-Term Structural and Functional Outcomes after the Reversal of Prolonged Unilateral Ureteric Obstruction
Published on: July 18, 2025
Related Concept Videos
Urinary Tract Calculi VI: Surgical Management
Urinary Tract Calculi I: Introduction
Urinary Tract Calculi III: Medical Management
Urinary Tract Calculi V: Nursing Management
Imaging Studies V: Intravenous Urography and Retrograde Pyelography
Urinary Tract Calculi IV: Nutrition Therapy and Prevention
