[66] Right transperitoneal laparoscopic ureterolithotomy

Objective: To report our experience of laparoscopic ureterolithotomy and its effectiveness, as this technique is an excellent alternative to ureteroscopy in the treatment of large ureteric stones. Methods: We present a laparoscopic right lumbar ureterolithotomy in a 55-year-old patient with obstruct...

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Bibliographic Details
Main Authors: Amine Saouli, Tarik Karmouni, Khalid Elkhader, Abdellatif Koutani, Ahmed Ibn Attya Andalousi
Format: article
Language:EN
Published: Taylor & Francis Group 2018
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Online Access:https://doaj.org/article/98f2ae95a61242c6899a07fec0017ca8
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Summary:Objective: To report our experience of laparoscopic ureterolithotomy and its effectiveness, as this technique is an excellent alternative to ureteroscopy in the treatment of large ureteric stones. Methods: We present a laparoscopic right lumbar ureterolithotomy in a 55-year-old patient with obstructive pyelonephritis on two lumbar calculi measuring 18 and 20 mm, respectively. Results: Urinary drainage was ensured by percutaneous nephrostomy, which was placed preoperatively and removed 15 days postoperatively; there were no postoperative complications, and a fast learning curve. Excellent results were obtained, with no residual fragments. Conclusion: Laparoscopic ureterolithotomy is an effective and reliable surgical procedure with better results (without residual fragments) compared to ureteroscopy.