Minimally Invasive Retroperitoneoscopic Ureterolithotomy

作者: A.K. HEMAL , APUL GOEL , RAJIV GOEL

DOI: 10.1016/S0022-5347(05)63938-9

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摘要: ABSTRACTPurpose: We assessed the efficacy of modified technique retroperitoneal ureterolithotomy for managing ureteral stones.Materials and Methods: Between December 1999 March 2002, 31 patients underwent ureterolithotomy. In most cases only 3 ports (a 10 mm., 2 5 mm. in a few 2, mm.) were used without any stent or catheter. The stone was removed from primary port site, while visualizing retrieval through 3/5 using fine laparoscope. Ureterotomy closure performed by intracorporeal interrupted sutures 4-zero polyglactin.Results: 20 males 11 females had mean age 38.5 years. Mean operative time 67 minutes hospital stay 2.4 days. analgesic requirement 42.2 mg. meperidine. followup 8 months. There no significant postoperative complications except persistent urine leakage 48 hours after surgery. An internal placed subsided consequences.Conclusions:...

参考文章(16)
George W. Drach, Study Coordinator, Stephen Dretler, William Fair, Birdwell Finlayson, Jay Gillenwater, Donald Griffith, James Lingeman, Daniel Newman, Study Group, Report of the United States cooperative study of extracorporeal shock wave lithotripsy. The Journal of Urology. ,vol. 135, pp. 1127- 1133 ,(1986) , 10.1016/S0022-5347(17)46015-0
J. E. A. Wickham, Urinary calculous disease Churchill Livingstone , distributed in the U.S. by Longman. ,(1979)
Keeley, Gialas, Pillai, Chrisofos, Tolley, Laparoscopic ureterolithotomy: the Edinburgh experience BJUI. ,vol. 84, pp. 765- 769 ,(2001) , 10.1046/J.1464-410X.1999.00287.X
RAJEEV SINHA, NEETA SHARMA, None, Retroperitoneal laparoscopic management of urolithiasis. Journal of Laparoendoscopic & Advanced Surgical Techniques. ,vol. 7, pp. 95- 98 ,(1997) , 10.1089/LAP.1997.7.95
Michael Erhard, Julia Salwen, Demetrius H. Bagley, Ureteroscopic Removal of Mid and Proximal Ureteral Calculi The Journal of Urology. ,vol. 155, pp. 38- 42 ,(1996) , 10.1016/S0022-5347(01)66533-9
Joseph W. Segura, Glenn M. Preminger, Dean G. Assimos, Stephen P. Dretler, Robert I. Kahn, James E. Lingeman, Joseph N. Macaluso, URETERAL STONES CLINICAL GUIDELINES PANEL SUMMARY REPORT ON THE MANAGEMENT OF URETERAL CALCULI Journal of Urology. ,vol. 158, pp. 1915- 1921 ,(1997) , 10.1016/S0022-5347(01)64173-9
D.D. GAUR, Retroperitoneal Endoscopic Ureterolithotomy: Our Experience in 12 Patients Journal of Endourology. ,vol. 7, pp. 501- 503 ,(1993) , 10.1089/END.1993.7.501
A.K. Hemal, Retroperitoneoscopic nephrectomy for benign diseases of the kidney. Urologia Internationalis. ,vol. 67, pp. 121- 129 ,(2001) , 10.1159/000050967
K. Skrepetis, K. Doumas, I. Siafakas, M. Lykourinas, Laparoscopic versus open ureterolithotomy. A comparative study. European Urology. ,vol. 40, pp. 32- 37 ,(2001) , 10.1159/000049746