Retroperitoneal Laparoscopic Ureterolithotomy for Proximal Ureteral Calculi in Selected Patients

Objectives. To summarize our experience of retroperitoneal laparoscopic ureterolithotomy for ureteral calculi and evaluate the safety and efficiency of this procedure. Methods. We conducted a retrospective analysis of 197 patients with proximal ureteral calculi who accepted retroperitoneal laparosc...

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Main Authors: Qingfeng Hu, Weihong Ding, Yuancheng Gou, Yatfaat Ho, Ke Xu, Bin Gu, Chuanyu Sun, Guowei Xia, Qiang Ding
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:The Scientific World Journal
Online Access:http://dx.doi.org/10.1155/2014/687876
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author Qingfeng Hu
Weihong Ding
Yuancheng Gou
Yatfaat Ho
Ke Xu
Bin Gu
Chuanyu Sun
Guowei Xia
Qiang Ding
author_facet Qingfeng Hu
Weihong Ding
Yuancheng Gou
Yatfaat Ho
Ke Xu
Bin Gu
Chuanyu Sun
Guowei Xia
Qiang Ding
author_sort Qingfeng Hu
collection DOAJ
description Objectives. To summarize our experience of retroperitoneal laparoscopic ureterolithotomy for ureteral calculi and evaluate the safety and efficiency of this procedure. Methods. We conducted a retrospective analysis of 197 patients with proximal ureteral calculi who accepted retroperitoneal laparoscopic ureterolithotomy from June 2005 to June 2014. Results. All procedures were performed successfully and the mean operating time and estimated blood loss were 87 min and 64 mL. The clearance rate was 98.5% and the rates of urine leak and ureteral stricture were 2.5% and 1.0%. Conclusions. Retroperitoneal laparoscopic ureterolithotomy is a safe and effective procedure for patients with complex stones or anatomic abnormalities, and, with experience of high volume series, it is also a reasonable choice as the primary treatment for such selected patients.
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language English
publishDate 2014-01-01
publisher Wiley
record_format Article
series The Scientific World Journal
spelling doaj-art-dcd1d9c42e7c4bf6ae3dd538c2993ee32025-02-03T07:25:57ZengWileyThe Scientific World Journal2356-61401537-744X2014-01-01201410.1155/2014/687876687876Retroperitoneal Laparoscopic Ureterolithotomy for Proximal Ureteral Calculi in Selected PatientsQingfeng Hu0Weihong Ding1Yuancheng Gou2Yatfaat Ho3Ke Xu4Bin Gu5Chuanyu Sun6Guowei Xia7Qiang Ding8Department of Urology, Huashan Hospital, Fudan University, No. 12 Central Urumqi Road, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital, Fudan University, No. 12 Central Urumqi Road, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital, Fudan University, No. 12 Central Urumqi Road, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital, Fudan University, No. 12 Central Urumqi Road, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital, Fudan University, No. 12 Central Urumqi Road, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital, Fudan University, No. 12 Central Urumqi Road, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital, Fudan University, No. 12 Central Urumqi Road, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital, Fudan University, No. 12 Central Urumqi Road, Shanghai 200040, ChinaDepartment of Urology, Huashan Hospital, Fudan University, No. 12 Central Urumqi Road, Shanghai 200040, ChinaObjectives. To summarize our experience of retroperitoneal laparoscopic ureterolithotomy for ureteral calculi and evaluate the safety and efficiency of this procedure. Methods. We conducted a retrospective analysis of 197 patients with proximal ureteral calculi who accepted retroperitoneal laparoscopic ureterolithotomy from June 2005 to June 2014. Results. All procedures were performed successfully and the mean operating time and estimated blood loss were 87 min and 64 mL. The clearance rate was 98.5% and the rates of urine leak and ureteral stricture were 2.5% and 1.0%. Conclusions. Retroperitoneal laparoscopic ureterolithotomy is a safe and effective procedure for patients with complex stones or anatomic abnormalities, and, with experience of high volume series, it is also a reasonable choice as the primary treatment for such selected patients.http://dx.doi.org/10.1155/2014/687876
spellingShingle Qingfeng Hu
Weihong Ding
Yuancheng Gou
Yatfaat Ho
Ke Xu
Bin Gu
Chuanyu Sun
Guowei Xia
Qiang Ding
Retroperitoneal Laparoscopic Ureterolithotomy for Proximal Ureteral Calculi in Selected Patients
The Scientific World Journal
title Retroperitoneal Laparoscopic Ureterolithotomy for Proximal Ureteral Calculi in Selected Patients
title_full Retroperitoneal Laparoscopic Ureterolithotomy for Proximal Ureteral Calculi in Selected Patients
title_fullStr Retroperitoneal Laparoscopic Ureterolithotomy for Proximal Ureteral Calculi in Selected Patients
title_full_unstemmed Retroperitoneal Laparoscopic Ureterolithotomy for Proximal Ureteral Calculi in Selected Patients
title_short Retroperitoneal Laparoscopic Ureterolithotomy for Proximal Ureteral Calculi in Selected Patients
title_sort retroperitoneal laparoscopic ureterolithotomy for proximal ureteral calculi in selected patients
url http://dx.doi.org/10.1155/2014/687876
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