| Laparoscopic ureterolithotomy: the method of choice in selected cases. | |
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MedLine Citation:
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PMID: 15898906 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To evaluate retrospectively the results and complication, efficacy, and safety rates of laparoscopic ureterolithotomy in the treatment of large, impacted ureteric stones. MATERIALS AND METHODS: Between September 1994 and December 2003, 73 patients underwent 75 laparoscopic ureterolithotomies (LUL). Mid- and upper-ureteric stones were removed retroperitoneally in 69 cases (92%). Lower ureteric stones were removed transperitoneally in 6 cases (8%). There were 2 (3%) bilateral LULs in one session, 7 (10%) ipsilateral percutaneous nephrolithotomy, and 6 (8%) ipsilateral ureteroscopy in the same session. The mean age of the patients was 39 years (range, 15-70 years). Mean stone size was 25 mm (range, 12-55 mm). RESULTS: The success rate was 98.7%, with 1 patient (1.3%) requiring conversion to an open procedure. There were no major complications. Mean operative time was 45 minutes (range, 15-100 minutes). Postoperative analgesic medication was required for 1 day in 39 patients (52%). The postoperative hospital stay ranged from 2 to 5 days (mean, 3 days). CONCLUSION: On the basis of our experience, laparoscopic ureterolithotomy is a safe and effective method for the treatment of large, dense, and impacted ureteric stones. In selected cases it can be the first choice of treatment. |
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Authors:
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Tibor Flasko; Endre Holman; Gabor Kovacs; Bela Tallai; Csaba Toth; Morshed A Salah |
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Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Journal of laparoendoscopic & advanced surgical techniques. Part A Volume: 15 ISSN: 1092-6429 ISO Abbreviation: J Laparoendosc Adv Surg Tech A Publication Date: 2005 Apr |
Date Detail:
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Created Date: 2005-05-18 Completed Date: 2005-09-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9706293 Medline TA: J Laparoendosc Adv Surg Tech A Country: United States |
Other Details:
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Languages: eng Pagination: 149-52 Citation Subset: IM |
Affiliation:
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Department of Urology, Medical and Health Science Center, University of Debrecen, Debrecen, Hungary. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Analgesia Female Humans Laparoscopy* Length of Stay Male Middle Aged Retrospective Studies Treatment Outcome Ureteral Calculi / surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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