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SURGICAL CRAFT
Year : 2009  |  Volume : 25  |  Issue : 1  |  Page : 140-142

Laparoscopic ureterolithotomy for lower ureteric stones: Steps to make it a simple procedure


Department of Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh-226 014, India

Correspondence Address:
Anil Mandhani
Department of Urology, Sanjay Gandhi Post Graduate Institute of Medical Sciences., Lucknow, Uttar Pradesh- 226 014
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0970-1591.45556

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Despite advances in endoscopy and availability of holmium lithotripsy there are ureteric stones, which primarily need to be treated with laparoscopic ureterolithotomy. Literature is replete with the stone retrieval in upper ureteric stone but there are a very few reports on stones removal from ureter below the lower sacroiliac joint. Putting a double J stent before starting the procedure does not give any extra advantage; rather it takes away significant operating room time. This point of technique describes port placement strategy, proximal ureteral occlusion; stone localization, ureterotomy, stone retrieval and laparoscopic stenting are the important steps where one would like to be careful enough to complete the procedure successfully.


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