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Related Concept Videos

Urinary Tract Calculi VI: Surgical Management01:25

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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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Related Experiment Video

Updated: Mar 23, 2026

Technical Modification of the Terminal Ureter During Total Transperitoneal Laparoscopic Nephroureterectomy for Upper Urinary Tract Urothelial Carcinoma
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Laparoscopic Ureterolithotomy.

Selçuk Şahin1, Bekir Aras2, Mithat Ekşi1

  • 1Department of Urology, Bakirkoy Dr. Sadi Konuk Training and Research Hospital, Istanbul, Turkey.

JSLS : Journal of the Society of Laparoendoscopic Surgeons
|March 29, 2016
PubMed
Summary

Laparoscopic ureterolithotomy is a successful treatment for large ureteral stones, offering a high stone-free rate and quick recovery with minimal complications. This minimally invasive procedure is a reliable option for patients with challenging stone burdens.

Keywords:
LaparoscopyRetroperitonealTransperitonealUreterolithotomy

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Area of Science:

  • Urology
  • Minimally Invasive Surgery
  • Endourology

Background:

  • Upper and middle ureteral stones pose a significant clinical challenge.
  • Large stones (>15 mm) and failed primary treatments necessitate alternative therapeutic strategies.

Purpose of the Study:

  • To evaluate the efficacy and safety of laparoscopic ureterolithotomy for treating ureteral stones.
  • To assess outcomes in patients with large or impacted ureteral stones and those with prior treatment failures.

Main Methods:

  • Retrospective analysis of 213 patients undergoing laparoscopic ureterolithotomy between April 2006 and January 2015.
  • Utilized both retroperitoneal (170 patients) and transperitoneal (43 patients) approaches.
  • Inclusion criteria: large ureteral stones or history of failed shock-wave lithotripsy/ureteroscopy.

Main Results:

  • Mean patient age: 39.3 years; 63.3% male.
  • Mean stone size: 19.7 mm; mean operative time: 80.9 minutes; mean blood loss: 63.3 mL.
  • Achieved an overall stone-free rate of 99% with no major complications; one conversion to open surgery.

Conclusions:

  • Laparoscopic ureterolithotomy demonstrates high success rates and low complication profiles.
  • It is an effective and reliable treatment for large, impacted ureteral stones.
  • Considered a potential first-line option for patients with treatment-resistant ureteral stones.