TITLE:
Transperitoneal Laparoscopic Ureterotomy: A Mini-Invasive Option for Ureteral Stones
AUTHORS:
Cyril Kamadjou, Herve Edouard Moby, Annie Kameni Wadeu, Achille Mbassi, Bertin Njinou Ngninkeu, Fru Angwafor
KEYWORDS:
Ureteral Calculi, Laparoscopy, Cosmetic Results
JOURNAL NAME:
Surgical Science,
Vol.13 No.3,
March
25,
2022
ABSTRACT: Background and Objective: Laparoscopy can be an alternative modality in the
management of ureteral stones. We herein present our experience with
laparoscopic ureterolithotomy although most ureteral stones are managed using endourologic techniques, open surgery, or shockwave lithotripsy. Materials
and Methods: This retrospective study was performed from January
2014 to December 2019 on 20 patients with ureteral stones who were treated
using transperitoneal laparoscopic access. We collected data on patients’ ages,
genders, clinical profiles, relevant medical history, sizes of the calculi,
localisation of the calculi as confirmed by imaging, and outcome of
lithotripsy. Continuous data were presented
as mean values and standard deviations (for normally distributed data) and
medians with interquartile ranges (for skewed data). Categorical data were
presented as frequencies and percentages. Results: We included 20 patients (13 males and 7 females)
with a mean age of 40.40 ± 13.25 years. The mean stone size was 18.5 ±
3.05 mm and all procedures were completed laparoscopically. The mean operative
time was 96 ± 22.34 minutes. The mean
estimated blood loss was less than 150 ml, and none of the patients received a
blood transfusion. There was no intraoperative complication or postoperative
complications, except for leakage of urine in the suture area. The mean
hospital stay was 2.05 ± 0.69 days and the double J stent was removed after an
average of 20 days post-operatively. The stone-free rate was 100% and
after a mean follow-up period of 3 months, there was no stone recurrence. Conclusion: Laparoscopic ureterolithotomy is an effective and safe technique in the
management of ureteric stones. The benefits of this technique include minimal
postoperative morbidity, short postoperative hospitalization, a short
convalescence period, and remarkable cosmetic results.