Bilateral Synchronous 3-Port Trans-peritoneal Laparoscopic Ureterolithotomy: a Case Report
1Command Hospital (Southern Command), Pune, 411040 India.
SN Comprehensive Clinical Medicine
|June 13, 2022
Summary
Trans-peritoneal laparoscopic ureterolithotomy is a minimally invasive technique for large ureteric stones. This report details the first successful bilateral synchronous laparoscopic ureterolithotomy for impacted upper ureteric calculi, resolving obstructive uropathy and azotemia.
Area of Science:
- Urology
- Minimally Invasive Surgery
- Laparoscopic Procedures
Background:
- Trans-peritoneal laparoscopic ureterolithotomy is a standard treatment for large ureteric stones.
- The management of bilateral large upper ureteric calculi with obstructive uropathy presents significant challenges.
Observation:
- A 51-year-old male presented with bilateral large upper ureteric calculi causing obstructive uropathy and azotemia.
- The patient underwent a successful bilateral synchronous 3-port trans-peritoneal laparoscopic ureterolithotomy.
Findings:
- This case represents the first reported instance of bilateral synchronous trans-peritoneal laparoscopic ureterolithotomy for large upper ureteric calculi.
- The procedure effectively managed the obstructive uropathy and azotemia in this complex bilateral stone case.
Implications:
- This technique offers a viable minimally invasive option for complex bilateral upper ureteric stones.
- Successful bilateral synchronous laparoscopic ureterolithotomy may expand treatment possibilities for challenging stone burdens.
