Korean J Urol.  2006 Jun;47(6):635-639. 10.4111/kju.2006.47.6.635.

Video Assisted Minilaparo-Ureterolithotomy in 36 Upper Ureteral Calculi

• Kim MS
• Moon YT

• KMID: 2294239
• DOI: http://doi.org/10.4111/kju.2006.47.6.635

Abstract

PURPOSE: Most cases of urolithiasis are successfully managed with extracorporeal shock wave lithotripsy (ESWL), ureterorenoscopic lithotripsy and percutaneous nephrolithtomy. However, in patients whose calculi are not managed by these methods, an open ureterolithotomy still plays a considerable role. We performed video assisted minilaparo (VAM)-ureterolithotomy in 36 patients with upper ureteral calculi.
MATERIALS AND METHODS
Between January 2001 and July 2005, VAM-ureterolithotomy was performed in 36 patients with upper ureteral calculi. We retrospectively analyzed the operating times, postoperative hospital stay, number of postoperative analgesics, incisional size, complications and the degree of improvement in these patients.
RESULTS
The stones of all the patients were successfully removed using VAM-ureterolithotomy through a minimal 4cm skin incision. The mean operative time and postoperative hospital stay were 75 minutes and 3.9 days, respectively. The mean analgesic requirement was 69mg of ketorolac. Compared to a conventional ureterolithotomy, the VAM-ureterolithotomy required a similar operating time, but less analgesics and a shorter postoperative hospital stay. There were no significant complications associated with the VAM-ureterolithotomy.
CONCLUSIONS
A VAM-ureterolithotomy is a safe and effective minimally invasive procedure, which may be considered as an alternative treatment technique to a conventional ureterolithotomy and laparoscopic ureterolithotomy in cases where first-line treatments have failed or are unlikely to be effective.

Keyword

Video-assisted surgery; Laparoscopy; Ureteral calculi

MeSH Terms

Analgesics
Calculi
Humans
Ketorolac
Laparoscopy
Length of Stay
Lithotripsy
Operative Time
Retrospective Studies
Shock
Skin
Ureter*
Ureteral Calculi*
Urolithiasis
Video-Assisted Surgery
Analgesics
Ketorolac

Figure

• 

  Fig. 1 Learning curve for the video assisted minilaparo (VAM)-ureterolithotomy (operative time vs. number of cases experienced).

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