ABSTRACT
Objective To evaluate the clinical indication,research value and surgical techniques of retroperitoneal laparoscopic ureter lithotomy for ureteral calculi.Methods Clinical data of 98 cases were retrospectively analyzed.All the patients underwent RLU,KWB,IVP,CTU or MRU examination and diagnosed with ureteral calculi,with 42 cases of upper ureteral calculi,35 cases of middle ureteral calculi,and 21 cases of low ureteral calculi.Laparoscopic ureter lithotomy was performed on all the patients.Results All the 98 cases underwent laparoscopic ureter lithotomy (RLU) successfully,with the sizes of stones ranging from 1.5 to 3.0cm,the mean operative time 60 minutes (from 45 to 100 minutes),and mean blood loss 30 mL (from 20 to 60ml).Complication had not been observed in 85 cases for 3-38 months follow-up.Conclusions The treatment of ureteral calculi with lapa-endo-scopic ureter lithotomy shows its unique superiority on the basis of skilled operative technology.Lapa-endo-scopic ureter lithotomy can be a preferred method to be performed or be a compensation method in some cases.
ABSTRACT
Objective To explore the clinical efficacy of retroperitoneal laparoscopy in the treatment of refractory for ureteral stones.Methods From January 2010 to January 2015,the clinical data of 45 patients with refractory ureteral stones were retrospectively analyzed.The manner,duration of surgery,complications and length of stay and other indicators were summarized,and the treatment effect was evaluated.Results 45 patients were success-fully operated,of which 38 patients taken simple lithotomy,7 cases received simultaneous resection and anastomosis of ureter stenosis,the surgery time was 35 -135 minutes,5 -15 days in the hospital after surgery.Postoperative compli-cations:urinary fistula in 3 cases and 2 cases of wound infection was curable with appropriate treatment.Postoperative follow -up 3 -24 months,3 cases of recurrent calculus,2 patients with mild stenosis of ureter.Conclusion The retroperitoneal laparoscopy in treatment of refractory ureteral calculi trauma has quicker recovery and fewer complica-tions,which is currently the preferred method for treatment of refractory for ureteral calculi.