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- Title
Treatment of Ipsilateral Renal Ureteral Calculi by Combining Retroperitoneal Laparoscopic Surgery with Tubeless Mini-Percutaneous Nephrolithotomy.
- Authors
Sun, Lu; Peng, Fang-Li
- Abstract
Objectives: To report and discuss the role of the treatment of ipsilateral renal and upper middle ureteral stones in pa-tients by combing retroperitoneal laparoscopic surgery with tubeless mini-percutaneous nephrolithotomy. Patients and Methods: Eleven patients associated with ipsilateral renal and upper middle ureteral stones underwent combing ret-roperitoneal laparoscopic surgery with tubeless mini-percu-taneous nephrolithotomy after failure of Shockwave or ure-teroscopy lithotripsy. Their data were analyzed retrospec-tively including stone burden, perioperative complications and outcomes. Results: All the patients underwent retroper-itoneal laparoscopic ureterolithotomy and tubeless mini-percutaneous nephrolithotomy successfully. Surgical time ranged from 80to 160 min with a mean of 118 min. The mean hospital stay was 4 days (3-7 days). The mean length of ret-roperitoneal urinary drainage was 3 days (2-6 days). There were minor complications in 3 (27.2%) patients. The stone-free rate was 82% (9 patients). Two patients had a residual calyceal fragment that was treated with Shockwave lithotrip-sy. All of them were followed up for 3-24 months. Renal function was improved in different degree. Conclusion: In carefully selected patients, combining retroperitoneal lapa-roscopic surgery with tubeless mini-percutaneous nephroli-thotomy can treat ipsilateral renal and upper middle ureter-al calculi by a single procedure with advantages of high stone-free rate, safety, reliability, rapid recovery and less complications.
- Subjects
URINARY calculi; RETROPERITONEUM; ULTRASONIC lithotripsy; SURGICAL complications; UROLOGY; HEALTH outcome assessment; SURGERY; THERAPEUTICS
- Publication
Urologia Internationalis, 2013, Vol 90, Issue 2, p139
- ISSN
0042-1138
- Publication type
Article
- DOI
10.1159/000342104