Treatment of Upper and Mid Ureter Stones: Comparison of Semirigid Ureteroscopic Lithotripsy with Holmium: YAG Laser and Shock Wave Lithotripsy

Kwon, Yong Uk; Lee, Sang Ik; Jeong, Tae Yoong

doi:10.4111/kju.2007.48.2.171

Cited by 8 publications

(4 citation statements)

References 16 publications

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“…The mean time taken for completion of the procedure in our series was 76.60 minutes (range 35 to 125 min.). Kwon [6] observed mean operating time of 109 minutes (range 90 to 120 minutes). Tejanshu [7] observed mean operating time of 82 minutes (range 60 to 120 minutes).…”

Section: Time Taken For Surgerymentioning

confidence: 99%

Evaluation of Laparoscopic Retroperitoneal Ureterolithotomy for Large Upper and Middle Ureteric Calculi at a Tertiary Health Care Level

Sharma¹,

Verma²,

Kumar³

2016

IJLSSR

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This study was carried out to evaluate laparoscopic retroperitoneal ureterolithotomy (RPUL) as a viable option to open surgical ureterolithotomy, laparoscopic transperitoneal ureterolithotomy (TPUL) & endoscopic urology and to assess its place in the spectrum of alternatives for the surgical treatment of ureteric calculi in a tertiary care centre. This study was conducted on 20 selected patients of single large impacted calculus of size more than 8mm in upper & middle ureter. It was observed that excessive bleeding was present in only one (5%) of the patients, while need for conversion to open ureterolithotomy was seen in 8 (40%) cases. No major peri-operative complications were encountered. From our experience, it can be concluded that this procedure has definitely shown decreased post-operative discomfort, decreased requirement of post-operative analgesia, better cosmesis, early return to work and less morbidity. RPUL can be considered as another well-established armamentarium in the armour of laparoscopic surgeons and is recommended as an effective minimally invasive primary treatment in large, impacted difficult stones in the upper & mid ureter.

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Section: Time Taken For Surgerymentioning

confidence: 99%

Evaluation of Laparoscopic Retroperitoneal Ureterolithotomy for Large Upper and Middle Ureteric Calculi at a Tertiary Health Care Level

Sharma¹,

Verma²,

Kumar³

2016

IJLSSR

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“…Simforoosh [9] , El-Feel [10] and Feyaerts [11] were reported varying range of time in TPUL. On the other hand Kwon et al [12] ; Shah et al [13] , Gaur [14] and Goel [15] were also reported wide variation in time in RPUL.…”

Section: Time Taken For Surgerymentioning

confidence: 99%

Comparative Study Between Two Different Laparoscopic Ureterolithotomies at IGMC Shimla H.P.

Verma¹,

Sharma²

2017

IJLSSR

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ABSTRACT-This study was carried out to evaluate two different Laparoscopic Ureterolithotomies, Laparoscopic Transperitoneal ureterolithotomy (TPUL) and Retroperitoneal ureterolithotomy (RPUL). This study was conducted on 45 [25 cases for TPUL and 20 cases for RPUL] selected patients of single large impacted calculus of size more than 8mm in upper and middle ureter. It was observed that conversion to open ureterolithotomy was observed in 4 cases and excessive bleeding in one case for Transperitoneal ureterolithotomy. On the other hand excessive bleeding was present in one patient while need for conversion to open ureterolithotomy was seen in 8 cases in case of Retroperitoneal ureterolithotomy. No major perioperative complications were seen in either study. Both the procedures have definitely shown decreased post-operative discomfort, decreased requirement of post-operative analgesia, better cosmesis, early return to work, and less morbidity with acceptable variations in these parameters between two studies.

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“…Laparoscopic upper urinary tract procedures are frequently used today in the treatment of uropathologies that cause obstruction of the upper urinary tract such as ureteropelvic junction obstruction (UPJO) and middle-upper ureteral stones. Although extracorporeal shock wave lithotripsy (SWL) and ureteroscopic lithotripsy are the recommended first-line treatments especially for patients with proximal ureteral stones, in the case of patients with large ureteral stones where the treatment has failed, laparoscopic ureterolithotomy is applied as an alternative to open surgery procedures [1–3].…”

Section: Introductionmentioning

confidence: 99%

Antegrade stent placement in laparoscopic upper urinary tract surgery. Is there an easy way?

Gökçen

Gökçe

Kordan

et al. 2018

Videosurgery and Other Miniinvasive Techniques

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IntroductionAntegrade placement of double J stents in laparoscopy is considered a challenging and time-consuming process due to limitations regarding stent flexibility.AimTo describe the method we used to facilitate the antegrade placement of intracorporeal stents in laparoscopic upper urinary tract (LUUT) surgery and report its results.Material and methodsData obtained from 42 consecutive patients who had stents placed antegradely in laparoscopic pyeloplasty or in laparoscopic ureterolithotomy for middle-upper ureteral stones were retrospectively evaluated. The mean age of the patients was 30.1 ±18.6 (10 months–68 years) and 13 patients were in the paediatric age group. All patients in the paediatric age group underwent laparoscopic pyeloplasty.ResultsThe mean operative time for the 42 total cases, of which 32 underwent laparoscopic dismembered pyeloplasty and 10 laparoscopic ureterolithotomy, was 126.9 ±33.5 (70–200) min and the intraoperative stent placement time was calculated as 2.61 ±0.8 (1.5–5) min. The patients, who had a mean hospitalization time of 2.8 ±0.9 (2–5) months, required no additional interventions and no complications were encountered intraoperatively. In the patient series that had a mean follow-up time of 17.4 ±11.3 (1–35), it was determined only in 1 patient that the distal tip of the stent had not been in the bladder.ConclusionsThe described modified antegrade stent placement technique is a practical method that is safe for all LUUT cases in both paediatric and adult age groups and it has been shown to produce successful outcomes and to be time-saving.

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Treatment of Upper and Mid Ureter Stones: Comparison of Semirigid Ureteroscopic Lithotripsy with Holmium: YAG Laser and Shock Wave Lithotripsy

Cited by 8 publications

References 16 publications

Evaluation of Laparoscopic Retroperitoneal Ureterolithotomy for Large Upper and Middle Ureteric Calculi at a Tertiary Health Care Level

Evaluation of Laparoscopic Retroperitoneal Ureterolithotomy for Large Upper and Middle Ureteric Calculi at a Tertiary Health Care Level

Comparative Study Between Two Different Laparoscopic Ureterolithotomies at IGMC Shimla H.P.

Antegrade stent placement in laparoscopic upper urinary tract surgery. Is there an easy way?

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