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KMID : 0358320060470050498
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Korean Journal of Urology
2006 Volume.47 No. 5 p.498 ~ p.501
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Laparoscopic Ureterolithotomy has a Role for Treating Ureteral Stones
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Lee Yong-Seong
Lee Dong-Hoon
Han Woong-Kyu
Kim Hyung-Joon
Yang Seung-Choul
Rha Koon-Ho
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Abstract
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Purpose: Shock wave lithotripsy(SWL) and ureteroscopy are used to successfully manage the majority of ureteral stones. However, some large and impacted ureteral stones still require surgery. Laparoscopic ureterolithotomy has emerged as a feasible treatment option for the patients with large and impacted ureteral stone.
Materials and Methods: Between December 2004 and October 2005, laparoscopic ureterolithotomy was performed in 12 patients who required surgical treatment. In four patients, laparoscopy was carried as a salvage procedure after failed SWL, and laparoscopy was performed in seven patients as a primary procedure for treating large and impacted stones. The mean stone size was 16mm(range: 8-28).
Results: All the procedures were completely laparoscopically, and all the patients were rendered stone-free after a single procedure; no complications were encountered. The mean operative time was 132.5 minutes (range: 60-220), and the mean estimated blood loss was 100ml(range: 50- 150). The mean postoperative hospital stay was 4.3 days(range: 2-7).
Conclusions: Laparoscopic ureterolithotomy can be a safe and effective treatment for large and impacted stones. In selected cases, it should be considered as a primary procedure for large and impacted ureteral stones that are located at the mid and upper levels of the ureter, including renal pelvic stones. (Korean J Urol 2006;47:498-501)
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KEYWORD
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Laparoscopy, Urinary stone, Ureter
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