Outcome of laparoscopic ureterolithotomy and initial 2-cases experience of retroperitoneal laparo-endoscopic single site ureterolithotomy
Lin, Chia-Da
林佳達
Urology Department, Taipei Tzu Chi Hospital, Buddhist Tzu Chi Medical Fundation
佛教慈濟醫療財團法人台北慈濟醫院 泌尿科
Purpose
To report our surgical outcomes in laparoscopic ureterolithotomy (LU) and retroperitoneal laparo-endoscopic single site ureterolithotomy (LESS-RU).
Materials and Methods
From July 2014 to February 2016,14 conventional 3-port LU and 2 LESS-RU were performed by a single surgeon. The patients with large ureteral stone (>1.5 cm) on KUB or CT scan were included in our study. In the 2 cases of LESS-RU, the patients were placed in prone position and 2.5 cm skin incision was done below 12 rib.
Results
Totoally 14 conventional LU were done by a single surgeon. The mean age was 61.35 (46-81) years old, and the stones mean size was 2.4 cm (1.5-5.5). The mean operation time was 164 (100-300) mins. After these cases, we performed 2 LESS-RU with stone size of 1.8 and 2.0 cm, respectively. The operation time was 200 and 130 mins for the 2 cases. Surgical outcome is excellent with no complication in these 16 cases.
Conclusions
Laparoscopic ureterolithotomy is an ideal method in treating giant ureteral stone. LESS surgery with retroperitoneal approach may be a better fashion for these patients in experienced hands.