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[Retroperitoneal laparoscopy for the management of lumbar ureter stones].

AbstractINTRODUCTION:
Retroperitoneal laparoscopy is a recent alternative to conventional surgical treatment of ureterolithiasis. The objective of this study was to evaluate the place of retroperitoneal laparoscopic ureterolithotomy.
MATERIAL AND METHODS:
The authors report 50 cases of retroperitoneal laparoscopy for lumbar ureter stones performed in 49 patients between January 2001 and December 2006. The indications were a very large (>15 mm) obstructive stone in the lumbar ureter in 88% of cases, failure of extracorporeal shock wave lithotripsy (ESWL) in 6% of cases and refusal of ESWL in 6% of cases.
RESULTS:
The mean stone diameter was 17 mm (range: 10-35 mm). The stone was removed by retroperitoneal laparoscopy in 46 out of 50 cases (92%). The mean operating time was 97 min. (range: 35-170 min.). The surgical conversion rate was 8%. Ten patients (20%) developed a urinary fistula requiring secondary drainage by double J ureteric stent. The mean hospital stay was 6.8 days. No cases of ureteric stenosis or kidney destruction was observed with a mean follow-up of 32 months.
CONCLUSION:
Retroperitoneal laparoscopic lumbar ureterolithotomy is a safe, effective and minimally invasive technique which could constitute an alternative to open ureterolithotomy in the majority of its current indications.
AuthorsA Derouiche, K Belhaj, N Garbouj, H Hentati, M R Ben Slama, M Chebil
JournalProgres en urologie : journal de l'Association francaise d'urologie et de la Societe francaise d'urologie (Prog Urol) Vol. 18 Issue 5 Pg. 281-7 (May 2008) ISSN: 1166-7087 [Print] France
Vernacular TitleL'approche lomboscopique dans le traitement des calculs urétéraux lombaires.
PMID18538272 (Publication Type: English Abstract, Journal Article)
Topics
  • Adult
  • Aged
  • Female
  • Humans
  • Laparoscopy
  • Male
  • Middle Aged
  • Retroperitoneal Space
  • Treatment Outcome
  • Ureteral Calculi (surgery)

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