Views: 1,374 | Downloads:
23
| Responses: 0
| XML | Respond to this article | Alert & updates | Request permissions | Email to a friend |
Original ArticleOpen Access
Laparoscopic Ureterolithotomy for Upper Ureteric Calculi
Nualyong C 
,
Taweemonkongsap T
,
Taweemonkongsap T Laparoscopic ureterolithotomy was performed on 10 patients with upper ureteric stones
indicated for open ureterolithotomy after failed prior minimally invasive approaches. Stone size
ranged from 7 to 15 mm. (mean 9.3). The routes of approach were all done transperitoneally
except in one case in which the retroperitoneal route was initially attempted and later converted
to transperitoneal route due to contracted space and unclear landmarks. Stones were all removed
successfully with the operating time ranging from 120 to 270 min. (mean 181.5). The only significant
complication encountered was urine leak interval postoperatively which were long in 4
patients in whom ureterotomy was not sutured. The longest urine leak interval was seen in a patient
whose ureterotomy was neither sutured nor stented. Postoperative pain was rewarding in that
seven patients required a single dose of 50 mg of pethidine, two required only oral paracetamol
and one required no analgesic at all. Postoperative hospital stay ranged from 5 to 23 days
which was actually overwhelmed by urine leak complication. Recovery period was satisfactory
which ranged from 10 to 28 days (mean 18.1 ). Overall laparoscopic ureterolithotomy offers an
alternative procedure to open ureterolithotomy with the advantages of minimal postoperative pain
and short recovery period.
Key word : Ureteral Calculi, Laparoscopy, Ureterolithotomy
indicated for open ureterolithotomy after failed prior minimally invasive approaches. Stone size
ranged from 7 to 15 mm. (mean 9.3). The routes of approach were all done transperitoneally
except in one case in which the retroperitoneal route was initially attempted and later converted
to transperitoneal route due to contracted space and unclear landmarks. Stones were all removed
successfully with the operating time ranging from 120 to 270 min. (mean 181.5). The only significant
complication encountered was urine leak interval postoperatively which were long in 4
patients in whom ureterotomy was not sutured. The longest urine leak interval was seen in a patient
whose ureterotomy was neither sutured nor stented. Postoperative pain was rewarding in that
seven patients required a single dose of 50 mg of pethidine, two required only oral paracetamol
and one required no analgesic at all. Postoperative hospital stay ranged from 5 to 23 days
which was actually overwhelmed by urine leak complication. Recovery period was satisfactory
which ranged from 10 to 28 days (mean 18.1 ). Overall laparoscopic ureterolithotomy offers an
alternative procedure to open ureterolithotomy with the advantages of minimal postoperative pain
and short recovery period.
Key word : Ureteral Calculi, Laparoscopy, Ureterolithotomy
Download:
PDF