Retroperitoneal laparoscopic ureterolithotomy for multiple upper mid ureteral calculi
D D Gaur1, D K Agarwal, K C Purohit
1Department of Urology, Bombay Hospital Institute of Medical Sciences, India.
Retroperitoneal laparoscopy successfully removed ureteral calculi in a 30-year-old man. Gaur's technique addressed upper mid ureteral stones causing hydroureteronephrosis.
Area of Science:
- Urology
- Minimally Invasive Surgery
Background:
- Ureteral calculi can cause significant urinary tract obstruction.
- Gross hydroureteronephrosis indicates severe upper urinary tract dilation due to blockage.
Observation:
- A 30-year-old male patient presented with upper mid ureteral stones.
- The patient exhibited gross hydroureteronephrosis secondary to the calculi.
Findings:
- Four large and two small calculi were identified in the mid ureter.
- Gaur's technique of retroperitoneal laparoscopy was employed for stone removal.
- The calculi were successfully removed using this minimally invasive approach.
Implications:
- Retroperitoneal laparoscopy is an effective treatment for complex ureteral calculi.
- Gaur's technique offers a viable surgical option for mid ureteral stones.
- Successful management of ureteral calculi prevents further renal damage and preserves kidney function.
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