Laparoscopic Transperitoneal Ureterolithotomy

El-Feel, Ahmed; Abouel-Fettouh, Hazem; Abdel-Hakim, Amr M.

doi:10.1089/end.2006.0141

Cited by 44 publications

(54 citation statements)

References 10 publications

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“…The reported mean hospital stay in laparoscopic ureterolithotomy ranges from 3.8 to 5.8 ± 2.3 day. 7,16 This allowed early ambulation and early resumption of oral intake in laparoscopic group.…”

Section: Resultsmentioning

confidence: 99%

Laparoscopic Ureterolithotomy: A Prospective Comparative Study

Giri

Thapa

et al. 2017

Med. J. Shree Birendra Hosp.

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Introduction: With the developments of non invasive and minimally invasive technology in the management of urolithiasis, the choice of open surgery is rapidly decreasing. The optimal modality of stone management is governed by multiple factors like stone parameters, patient character, availability of technology and surgeon's skill. Open or laparoscopic ureterolithotomy can be used as primary treatment option for large, impacted ureteral stones of more than 1.5 cm or as an adjunct procedure in case of failed ESWL and attempted URS or PCNL.Methods: This is a prospective comparative study to see the outcome of Trans-peritoneal Laparoscopy Ureterolithotomy (TPLU) with Open Ureterolithotomy (OU). Out of 42 patients 21 had undergone laparoscopic ureterolithotomy and same number had undergone open surgery over the period of two and half years. The variables evaluated were age, sex, stone character, operative time, Visual Analogue Scale (VAS) for pain, complications and hospital stay.Results: The patient and disease characteristics in both groups were comparable. Mean operative time was 107.62 ± 32.84 mins in TPLU VS 65.48 ± 15.72 mins in OU group. Median hospital stay was 2.19 ± 1.78 days in TPLU VS 4.62 ± 1.53 days in OU group. The pain score is significantly low in TPLU than OU (p < 0.05).Conclusion: Laparoscopic ureterolithotomy is a safe and feasible treatment option for the selected ureteric stone with comparable outcomes.

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Section: Resultsmentioning

confidence: 99%

Laparoscopic Ureterolithotomy: A Prospective Comparative Study

Giri

Thapa

et al. 2017

Med. J. Shree Birendra Hosp.

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“…Additional analgesy with ketoprofen and tramadol was required in 15 patients and morphine sulfate in 15, averaging 18.5 mg / patient. Other authors reported the use of analgesics in 52% to 66% (16,23). Kijvikai Patcharatrakul and 15 used 5.6 mg of morphine in their cases.…”

Section: Results Results Results Resultsmentioning

confidence: 96%

“…The double-J catheter use in this circumstance is not a consensus. Many authors advocate that the minimally invasive approach with careful handling of the ureter may be sufficient for proper healing of the body, without complications and without the use of a ureteral stent 12,14,15,16 . In the reported series of laparoscopic ureterolithotomy, many patients were treated without the use of ureteral stent, with few complications reported.…”

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confidence: 99%

O emprego do cateter duplo J diminui as complicações na ureterolitotomia retroperitoneoscópica

Cavalli

Filho

Slongo

et al. 2012

Rev. Col. Bras. Cir.

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OBJETIVO: Avaliar os resultados da ureterolitotomia retroperitoneoscópica no tratamento do cálculo ureteral e a necessidade do cateter duplo J para reduzir complicações relacionadas ao procedimento. MÉTODOS: Estudo retrospectivo comparativo de 47 pacientes operados pela técnica de ureterolitotomia retroperitoneoscópica, dos quais 31 foram selecionados e divididos em dois grupos: Grupo 1, cujos pacientes não receberam cateter duplo J, e Grupo 2, que foram submetidos ao implante de cateter duplo J transoperatório. Foram coletados dados de urografia excretora pré e pós-operatória, tempo cirúrgico, analgesia pós-operatória, tempo de internação e retirada do dreno. RESULTADOS: Os grupos foram semelhantes quando comparados na idade e sexo, grau de dilatação do trato urinário, posição e tamanho médio do cálculo (Grupo 1= 15,5 ± 6,6mm; Grupo 2= 16,3 ± 6,1mm). O tempo operatório também não teve diferença significativa (Grupo 1= 130 ± 40,3min; Grupo 2= 136,3 ± 49,3min). O Grupo 1 apresentou seis pacientes (37,5 %) com complicações precoces (quatro casos de fístula urinária) e tardias (um caso de estenose de ureter, um caso de exclusão funcional do rim operado), enquanto o Grupo 2 não teve complicações, sendo esta diferença estatisticamente significativa (p=0,011). CONCLUSÃO: O emprego do cateter duplo J foi associado a um número significativamente menor de complicações na ureterolitotomia retroperitoneoscópica. Tempo cirúrgico, analgesia pós-operatória e tempo de internação foram semelhantes entre os grupos com e sem cateter.

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“…This was probably in patients were it was difficult to close the pelvis and ureter water tight [18] . Urinary loss of 2-20% is reported in the literature [15,18,19,20,21]. All these were managed conservatively.…”

Section: Jmscr Vol||06||issue||04||page 982-989||april 2018mentioning

confidence: 99%