These patients received two modalities of surgical treatment (Open Ureterolithotomy
versus Endoscopic Ureterolithotomy
, 15 patients in each), which were allocated into two modalities (taking into account the feasibility, every alternate case was allotted each modality of treatment) and outcome of which were compared in terms of duration of surgery (in minutes), pre-operative complications, postoperative complications, ambulation, total hospital stay after operation (in days) and delayed complications.
always has its place in the treatment of ureteral calculi, and laparoscopic surgery is increasingly replacing open surgery today.
Seventy-nine children were treated with ESWL, percutaneous procedures, drugs, stents, or close observation; only 25 children required surgical procedures including cystolithotomy, nephrolithotomy, partial nephrectomy, pyelolithotomy, ureterolithotomy
, and urethral stone extraction.
In 30 patients with bilateral ureteric obstruction, 10 (50%) patients had undergone Double J (DJ) stenting only and 20 (50%) patients had undergone open ureterolithotomy
and DJ stenting (Table No.
Various treatment options available for the management of proximal ureteral calculi include ESWL, uretero-renoscopy, laparoscopic ureterolithotomy
and open surgery3.
Keywords: Laparoscopic ureterolithotomy
, Laparoscopy, Ureteral stone.
Objective: To compare the safety and effectiveness of flexible ureteroscopy (F-URS) with transperitoneal laparoscopic ureterolithotomy
(TPLU) in cases of obstructive pyelonephritis secondary to large proximal ureteral stones.
When percutaneous procedures fail, ureterolithotomy
is the last option in these patients (Level of Evidence 4, Grade C).
He had a history of right ureterolithotomy
and diabetes, although no history of tuberous sclerosis, lymphangiomyomatosis, renal cancer or renal cyst was present.
There was history of previous cholecystectomy in 2 cases, whereas remaining four operations were Ureterolithotomy
, Appendicectomy, Caesarean section and Abdominal Hysterectomy [One case each]; 5 operations had been done in emergency settings and remaining 7 operations had been done as routine planned procedures.
Nowadays, various treatment alternatives such as extracorporeal shock wave lithotripsy (ESWL), retrograde URS, antegrade percutaneous URS, flexible URS and laparoscopic ureterolithotomy
Patients with previous URS, percutaneous antegrade URS, laparoscopy, or open surgical ureterolithotomy