Laparoscopic ureterolithoto my intreatment of impacted upper ureteral calculi below the third lumbar vertebravia transperitoneal approach
Wang Ping
Sun Xingc hun
Mao Jie
Zhu Rui
Yang Ji wei
Yan Yongji
Abstract：To explore the method and clinical value of laparoscopic ureterolithoto my intreatment of impacted upper ureteral calculi below the third lumbar vertebravia transperitoneal approach .Methods :From January 2013 to February 2014 ,laparoscopic ureterolithoto my was carried out on 18 patients with impacted upper ureteral calculivia transperitoneal access .Of all patients ,7 had been treated with ES WL before .The mean stone size was 2.1cm (range 1.3 to 3.0 cm).Results :Laparoscopic ureterolithoto my was successfully performed on all cases without conversi on to open surgery .Mean operative time was 75 min (range 45 to 130 min ).Mean esti mated blood loss was 35mL (range 20 to 55mL ).Urine leakage occurred in one case and disappeared by drainage for 2 weeks .Mean fol-low- up period was 5 months (range 1 to 11 months ),and no ureteric stricture or recurrent calcul us were found .Con-clusions :Laparoscopic ureterolithoto my via transperitoneal approach deserves clinical applicati on in treat ment of im-pacted upper ureteral calculi for the advantages of spacious space ,clear anato mical land marks and relati vely simple manipulation .
Keywords：laparoscopyureterolithoto myupper ureteral calculii mpactedtransperitoneal approach
Publication Date：2014-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：2( 103-104 )