Laparoscopic ureterolithotomy: a rare case report
DOI:
https://doi.org/10.18203/2320-6012.ijrms20240230Keywords:
Large upper ureteric calculus, Laparascopic uretrolithotomy, Minimal invasive urgeryAbstract
In this era of endourology most of the ureteric calculi are managed by endourological technique. However, lap ureterolithotomy has a role in the management of large ureteric calculus with minimal complications, morbidity, early recovery and short hospital stay. Laparoscopic ureterolithotomy bridges the gap between open and endourologic procedures as it is minimally invasive and overcomes a few of the disadvantages of open ureterolithotomy. We report a case of our experience of impacted upper ureteric calculus done by laparoscopy. Here we present a case of 45 -year-old male with right loin pain with CT suggestive of impacted right upper ureteric calculus measuring 2.2×1×2.2 with moderate HDUN and good renal function. Patient underwent right transperitoneal laparoscopic ureterolithotomy and, the ureteric calculi was removed successfully. Hence, we can conclude that, laparoscopic uretrolithotomy is safe for large impacted ureteric calculus with early recovery and minimal morbidity to the patient with complete clearance.
Metrics
References
Aboutaleb H, Omar M, Salem S, Elshazly M. Management of upper ureteral stones exceeding 15 mm in diameter: Shock wave lithotripsy versus semirigid ureteroscopy with holmium: yttrium-aluminium-garnet laser lithotripsy. SAGE Open Med. 2016;4:2050312116685180.
El-Feel A, Abouel-Fettouh H, Abdel-Hakim AM. Laparoscopic transperitoneal ureterolithotomy. J Endourol. 2007;21(1):50-4.
Watson GM, Landers B, Nauth-Misir R, Wickham JE. Developments in the ureteroscopes, techniques and accessories associated with laser lithotripsy. World J Urol. 1993;11(1):19-25.
Tiselius HG. Removal of ureteral stones with extracorporeal shock wave lithotripsy and ureteroscopic procedures. What can we learn from the literature in terms of results and treatment efforts? Urol Res. 2005;33(3):185-90.
Fan S, Gong B, Hao Z, Zhang L, Zhou J, Zhang Y et al. Risk factors of infectious complications following flexible ureteroscope with a holmium laser: a retrospective study. Int J Clin Exp Med. 2015;8(7):11252-9.
Bansal A, Purkait B, Kumar M, Sankhwar S, Aeron R, Goel S. Chain of stones in distal ureter: is there any role of open ureterolithotomy in era of endourological intervention? SM J Urol. 2016;2(1):1016.
Gaur DD, Trivedi S, Prabhu Desai MR, Madhusudhan HR, Gopichand M. Laparoscopic ureterolithotomy: technical considerations and long term follow-up. BJU Int. 2002;89:339-43.
Ganpule AP, Prashant J, Desai MR. Laparoscopic and robot-assisted surgery in the management of urinary lithiasis. Arab J Urol. 2012;10(1):32-9.
Harewood LM, Webb DR, Pope AJ. Laparoscopic ureterolithotomy: The results of an initial series, and an evaluation of its role in the management of ureteric calculi. Br J Urol. 1994;74(2):170e176.
Downloads
Published
How to Cite
Issue
Section
