Document Detail


Laparoscopic ureterolithotomy: the method of choice in selected cases.
MedLine Citation:
PMID:  15898906     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
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.
Authors:
Tibor Flasko; Endre Holman; Gabor Kovacs; Bela Tallai; Csaba Toth; Morshed A Salah
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Publication Detail:
Type:  Journal Article    
Journal Detail:
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:
Created Date:  2005-05-18     Completed Date:  2005-09-22     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9706293     Medline TA:  J Laparoendosc Adv Surg Tech A     Country:  United States    
Other Details:
Languages:  eng     Pagination:  149-52     Citation Subset:  IM    
Affiliation:
Department of Urology, Medical and Health Science Center, University of Debrecen, Debrecen, Hungary.
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MeSH Terms
Descriptor/Qualifier:
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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