A novel case of laparoscopic ureterolithotomy in a partial duplex ureteric collecting system: can open procedures still be justified in the minimally invasive era?

Springer Science and Business Media LLC - Tập 182 - Trang 519-522 - 2013
F. O’Kelly1, P. Nicholson1, J. Brennan1, A. Carroll2, S. Skehan2, D. W. Mulvin1
1Department of Urological Surgery, St. Vincent’s University Hospital, Dublin 4, Republic of Ireland
2Department of Diagnostic and Interventional Radiology, St. Vincent’s University Hospital, Dublin 4, Republic of Ireland

Tóm tắt

Impacted ureteric stones can pose a treatment challenge due to the high level of failure of ESWL and endourological approaches. Laparoscopic ureterolithotomy can provide a safe and successful alternative to these and open, invasive procedures. Interval laparoscopic ureterolithtomy was carried out following placement of a percutaneous nephrostomy. This was performed through an trans-peritoneal approach with the ureterotomy closed by intracorporeal suturing and placement of a JJ stent without the need for an abdominal wound drain. Laparoscopic ureterolithotomy is a safe, minimally invasive method of managing large, impacted ureteric stones with minimal associated patient morbidity.

Tài liệu tham khảo

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