Please use this identifier to cite or link to this item:
https://hdl.handle.net/20.500.14356/1875
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. https://doi.org/10.33314/jnhrc.v0i0.405 |
Issue Date: | 2013 |
Publisher: | Nepal Health Research Council |
Article Type: | Original Article |
Keywords: | Double J stent Retroperitoneal ureterolithotomy Uretero-renoscopy  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 |
URI: | http://103.69.126.140:8080/handle/20.500.14356/1875 |
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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405-Article Text-488-1-10-20140207.pdf | Fulltext Download | 312.32 kB | Adobe PDF | View/Open |
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