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KMID : 0358320060470060635
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Korean Journal of Urology
2006 Volume.47 No. 6 p.635 ~ p.639
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Video Assisted Minilaparo-Ureterolithotomy in 36 Upper Ureteral Calculi
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Kim Min-Su
Moon Young-Tae
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Abstract
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Purpose: Most cases of urolithiasis are successfully managed with extracorporeal shock wave lithotripsy(ESWL), ureterorenoscopic lithotripsy and percutaneous nephrolithtomy. However, in patients whose calculi are not managed by these methods, an open ureterolithotomy still plays a considerable role. We performed video assisted minilaparo(VAM)-ureterolithotomy in 36 patients with upper ureteral calculi.
Materials and Methods: Between January 2001 and July 2005, VAM- ureterolithotomy was performed in 36 patients with upper ureteral calculi. We retrospectively analyzed the operating times, postoperative hospital stay, number of postoperative analgesics, incisional size, complications and the degree of improvement in these patients.
Results: The stones of all the patients were successfully removed using VAM-ureterolithotomy through a minimal 4cm skin incision. The mean operative time and postoperative hospital stay were 75 minutes and 3.9 days, respectively. The mean analgesic requirement was 69mg of ketorolac. Compared to a conventional ureterolithotomy, the VAM-ureterolithotomy required a similar operating time, but less analgesics and a shorter postoperative hospital stay. There were no significant complications associated with the VAM-ureterolithotomy.
Conclusions: A VAM-ureterolithotomy is a safe and effective minimally invasive procedure, which may be considered as an alternative treatment technique to a conventional ureterolithotomy and laparoscopic ureterolithotomy in cases where first-line treatments have failed or are unlikely to be effective. (Korean J Urol 2006;47:635-639)
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KEYWORD
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Video-assisted surgery, Laparoscopy, Ureteral calculi
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