Indian Journal of Urology Users online:716  
IJU
Home Current Issue Ahead of print Editorial Board Archives Symposia Guidelines Subscriptions Login 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size
RESEARCH ARTICLE
Year : 2004  |  Volume : 20  |  Issue : 2  |  Page : 101-105

Retroperitoneal laparoscopic ureterolithotomy - our experience


Department of Urology and Kidney Transplantation, Institute of Kidney Diseases and Transplantation Sciences, BJ Medical College and Civil Hospital Campus, Asarwa, Ahmedabad, India

Correspondence Address:
Tejanshu P Shah
65-B Swastik Society, Navrangpura, Ahmedabad - 380 009
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


Rights and PermissionsRights and Permissions

Objectives : Appraisal of indications for laparoscopic ureterolithotomy, its results and advantages in the current era of minimally invasive surgery. Methods : We performed 56 laparoscopic uretero­lithotomy in 54 patients, all by extraperitoneal approach. Out of 56 stones, 34 were located in the upper ureter, 18 in the mid-ureter and 4 in the lower ureter Main indica­tion was large (1.5 to 3.5 cm) impacted stone in 50 cases (89%). Other indications were failed ESWL and a failed attempt at ureteroscopy. Results : There were no major complications. The pro­cedure failed in two patients. Average duration of hospi­tal stay was 2-4 days. During follow-up 3 months later IVU revealed normal ureter in all cases. Conclusions : In selected patients with large, hard, impacted ureteral stones, which are likely to cause diffi­culty in endourological procedures due to its large size and distance from pelviureteral junction or ureterovesi­cal junction, laparoscopic ureterolithotomy is a reason­able treatment option in lieu of open surgery. It offers stone free status by a single procedure with serendipitous ad­vantage of maintaining laparoscopic skill among general urologic community who do not have flexible uretero­scopies and holmium laser facilities.


[FULL TEXT] [PDF Not available]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed5583    
    Printed172    
    Emailed4    
    PDF Downloaded0    
    Comments [Add]    

Recommend this journal

 

HEALTHWARE INDIA