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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
medicine
Laparoscopic ureterolithotomy: Our experience with 74 cases
International Journal of Urology, Volume 15, No. 7, Year 2008
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Description
Objectives: We retrospectively evaluated our experience with a relatively uncommon procedure, the laparoscopic ureterolithotomy, for the treatment of ureteral stones. Methods: Between April 2002 and October 2006, a total of 74 patients (56 males, 18 females) with upper (54 cases), middle (18 cases) and lower (two cases) ureteral stones underwent laparoscopic ureterolithomy. The mean age was 39.4 years (range, 19-74). The stones were in the right side in 44 cases (59.5%) and in the left side in 30 (40.5%) cases. The mean stone size was 1.8 cm (range 1.5-2.8). The procedure was retroperitoneal in 66 cases (89.2%) and transperitoneal in eight (10.8%) cases. Laparoscopic guided flexible ureterorenoscopic extraction of kidney stone was carried out in one case as an adjuvant procedure. The ureter was stented and not sutured in 64 cases (86.5%). Results: The procedure was successfully completed in 94.6% of cases and an open conversion was carried out in four (5.4%) patients. The mean operative time was 58.7 min, and the mean blood loss was 90.6 mL. No major complications were encountered. Prolonged urinary leakage occurred in one patient. The mean hospital stay was 6.4 days. One patient developed ureteral stricture during follow up and was treated by endoscopic dilatation and stenting. Conclusion: In our experience laparoscopic ureterolithotomy represents a safe and effective treatment option for ureteral stones either as primary for large impacted stones or as a salvage procedure after failed shock wave lithotripsy or ureteroscopy. This procedure fulfills the advantages of minimal blood loss and analgesia requirements, good cosmetic appearance, short hospital stay and convalescence period. © 2008 Japanese Urological Association.
Authors & Co-Authors
Gadelmoula, Mohamed
Egypt, Asyut
Faculty of Medicine
Japan, Tokushima
Graduate School of Medical Sciences
Abdallah, Adel
Egypt, Asyut
Faculty of Medicine
El-Anany, F. G.
Egypt, Asyut
Faculty of Medicine
Abdelsalam, Yasser Mahmoud
Egypt, Asyut
Faculty of Medicine
Abolyosr, Ahmad
Egypt, Asyut
Faculty of Medicine
Abdelhameed, Diaa
Egypt, Asyut
Faculty of Medicine
Izaki, Hirofumi
Japan, Tokushima
Graduate School of Medical Sciences
Elhaggagy, Abdelmoneim
Egypt, Asyut
Faculty of Medicine
Kanayama, Hiroomi
Japan, Tokushima
Graduate School of Medical Sciences
Statistics
Citations: 62
Authors: 9
Affiliations: 2
Identifiers
Doi:
10.1111/j.1442-2042.2008.02065.x
ISSN:
09198172
e-ISSN:
14422042
Research Areas
Health System And Policy
Participants Gender
Female