LAPAROSCOPIC URETEROLITHOTOMY IN TREATMENT OF UROLITHIASIS

Objective. To assess the effectiveness, resource, and safety of laparoscopic ureterolithotomy in the mid- and proximal portion of ureter.

Materials and methods. The present study analyzed retrospectively the data of 28 patients who had underwent laparoscopic ureterolithotomy from August 2017 to February 2020 in the Urology Department of Minsk Regional Clinical Hospital.

Results. All patients underwent transperitoneal laparoscopic ureterolithotomy successfully. The mean stone size was 18.1 mm. The mean operative time was 105 minutes. Mean hospital stay after operation was 4.9 days. No major complication was observed in any patient. The stone free rate was 96.7%.

Conclusion. Laparoscopic transperitoneal ureterolithotomy is a safe, minimally invasive, and maximally effective treatment modality. In selected patients having impacted, hard, large ureteral stones that are likely to cause difficulty in endo-urological procedures or ESWL, laparoscopic ureterolithotomy may be a reasonable treatment option.

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Автор(ы): D. T. Tarend, D. M. Nitkin, A. D. Haponenka, P. V. Milasheuski, S. A. Liubetski