Abstract:
OBJECTIVE:Analyze technical details and results of laparoscopic treatment of ureterolithiasis. MATERIALS AND METHODS:Between January 2005 and August 2008 it was performed laparoscopic ureterolithotomy in 22 patients in our service. Two (9%) by retroperitoneal access and 20 (91%) by transperitoneal access. Mean size of the calculi was 15 mm. with a variation from 8 mm to 23 mm. The calculus were in the upper tract in 18 patients (81.8%) and in mid ureter in 4 patients (18.2), any of the calculus were in lower ureter. Most of calculi were obstructive stones for more than 2 months. Eight patients were submited a previous section of extracorporeal shockwave lithotripsy and 2 by extracorporeal shockwave lithotripsy plus ureterolithotripsy as a calculi treatment attempt. Twelve patients had a laparoscopic ureterolithotomy as a primary indication for treatment. RESULTS:Laparoscopic ureterolithotomy was successful for 20 patients (90.9%), and the fails occurred in the beginning of our experiment. Mean operative time was 145 minutes with range from 70 to 240 minutes. The indwelling ureteral stent was used in 03 cases; 02 preoperative, and 01 postoperative. The ureteral suture was performed with absorbable 4.0 separated stitches in all patients. The global average of permanence in hospital was 3.3 days and the drain permanence was 7.2 days. The global complication rate was 13,6%. The global rate of stone free was 91%, and there were residual stone in 2 patients. CONCLUSIONS:The laparoscopic treatment of ureterolithiasis besides minimally invasive, it is viable, secure and very effective. It should have taken into consideration as a procedure to extracorporeal shockwave lithotripsy and ureteroscopy. But, in cases where there are obstructive stones for a long time, in selected patients and, in special, in patients with just one kidney, it can be considered as a first line treatment. About the access, if retroperitoneal or transperitoneal; it is not still possible to affirm which would be the best one, the option must take into account the surgeon preference and experience.
journal_name
Actas Urol Espjournal_title
Actas urologicas espanolasauthors
Matias DB,Alvim RG,Ribas M,de Oliveira BP,Chaves OHdoi
10.1016/s0210-4806(09)74205-6subject
Has Abstractpub_date
2009-06-01 00:00:00pages
667-9issue
6eissn
0210-4806issn
1699-7980pii
S0210-4806(09)74205-6journal_volume
33pub_type
杂志文章abstract:INTRODUCTION:We try to establish the chronological evolution that has taken the renal transplant in Spain. Supported on the heuristic one we gather from the first experiences and scientific works published at the beginning of the sixties up to those of the finals of the XXth century in which the procedure is already co...
journal_title:Actas urologicas espanolas
pub_type: 历史文章,杂志文章
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abstract::Wilms tumour is an infantile neoplasia with low incidence in adults. Worldwide literature describes 260 cases but only 50 meet the diagnostic criteria described by Kilton. This paper presents one case diagnosed in our service and includes a review of the literature. ...
journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
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journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
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journal_title:Actas urologicas espanolas
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journal_title:Actas urologicas espanolas
pub_type: 杂志文章
doi:
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journal_title:Actas urologicas espanolas
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