Flexible ureteroscopic renal stone extraction during laparoscopic ureterolithotomy in patients with large upper ureteral stone and small renal stones

Authors

  • Myung Ki Kim Department of Urology, Chonbuk National University Medical School, Jeonju, Korea
  • Jae Hyung You Department of Urology, Chonbuk National University Medical School, Jeonju. Korea
  • Young Gon Kim Department of Urology, Chonbuk National University Medical School, Jeonju, Korea

DOI:

https://doi.org/10.5489/cuaj.1806

Keywords:

Laparoscopic ureterolithotomy, Flexible ureteroscopy, Ureteral stone, Renal stone

Abstract

Introduction: We describe laparoscopic ureterolithotomy with renal stone extraction using a stone basket under flexible ureteroscopy. We describe its efficacy through a laparoscopic port and a ureterotomy site in patients with large upper ureteral stone and small renal stones.

Methods: Between January 2009 and February 2012, we performed laparoscopic ureterolithotomy with renal stone extraction using a stone basket under flexible ureteroscopy in 11 patients who had upper ureteral and renal stones. The retroperitoneal approaches were used in all patients using 3-4 trocars.

Results: All procedures were performed successfully without significant complications. Mean operative time was 78.5 minutes (range: 52-114 minutes). The mean size of ureteral stone was 19.91 mm (range: 15-25 mm). In addition, 25 renal stones (mean size 7.48 mm, range: 2-12 mm) were removed from 11 patients. The mean length of hospital stay was 3.5 days (range: 2-6 days).

Conclusions: Laparoscopic ureterolithotomy with renal stone extraction using a stone basket under flexible ureteroscopy can be considered one of treatment modalities for patients with large upper ureteral stones accompanied by renal stones who are indicated in laparoscopic ureterolithotomy.

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Published

2014-09-09

How to Cite

Kim, M. K., You, J. H., & Kim, Y. G. (2014). Flexible ureteroscopic renal stone extraction during laparoscopic ureterolithotomy in patients with large upper ureteral stone and small renal stones. Canadian Urological Association Journal, 8(9-10), e591–4. https://doi.org/10.5489/cuaj.1806

Issue

Vol. 8 No. 9-10 (2014): CUAJ September

Section

Original Research

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