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Title: Experience Sharing of Retroperitoneal Laparoscopic Ureterolithotomy from a Teaching Hospital
Authors: Joshi, R
Citation: JoshiR. (2014). Experience Sharing of Retroperitoneal Laparoscopic Ureterolithotomy from a Teaching Hospital. Journal of Nepal Health Research Council.
Issue Date: 2013
Publisher: Nepal Health Research Council
Article Type: Original Article
Keywords: Double J stent
Retroperitoneal ureterolithotomy
 Urinary tract Infection
Series/Report no.: Sep-Dec, 2013;405
Abstract: Abstract Background: Retro-peritoneal ureterolithotomy may be first option in impacted large upper and mid ureteric stones in selected cases. Methods: We performed 16 Retroperitoneal Laparoscopic Ureterolithotomy in a teaching hospital. Out of 16 cases, eleven stones were located in the upper ureter and rest in mid ureter. Main indication was impacted large stone (1.5- 2cm) (1.72 cm, mean size). Failed extracorporeal shock wave lithotripsy and Uretero-renoscopy were other two indications. Failed PCNL for renal pelvic stone were resorted to open procedure not RUL. Results: Total 16 RUL were performed. Hospital stay in range was 3-11 days. The mean operative time was 96 minutes and mean blood loss was 30 ml. There were 4 failures. No major complications were encountered. Prolong urinary leakage was seen in one patient. Follow up Intravenous urogram at 3 months revealed normal ureter in all cases. Conclusions: RUL is a good option in lieu of open surgery for selected patient with large hard impacted ureteral stone which are likely to resist any endo-urological procedure. Our experience represents a safe and effective treatment option as a first option for large impacted stone or as a salvage second option for failed endo-urological procedure or ESWL. Keywords :Double J stent; retroperitoneal ureterolithotomy; Uretero-renoscopy; Â Urinary tract Infection.
Description: Original Article
ISSN: Print ISSN: 1727-5482; Online ISSN: 1999-6217
Appears in Collections:Vol. 11 No. 3 Issue 25 Sep - Dec, 2013

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