Abhijit Dhale
Assistant Professor Dept. of Urology Jawaharlal Nehru Medical College, Datta Meghe Institute of Medical Sciences Sawangi (Meghe), Wardha
Abstract
Background: About 33-54 percent of all urinary tract stones are ureteric calculi. It's not uncommon to locate an upper ureteric stone that has been impacted. Surgical procedures include URSL, ESWL, PCNL, and ureterolithotomy (laparoscopic/open).
Aims & objectives: The goal of this research was to look at the treatment effects of Laparoscopic Retroperitoneal Ureterolithotomy in patients with big impacted upper ureteric calculi (>15mm).
Patients and Methods: This two-year study took place in a tertiary healthcare centre in Central India. The study included 60 medically fit individuals who had a big upper ureteral stone (>15 mm) and underwent laparoscopic retroperitoneal ureterolithotomy. The features of the patients, as well as the success rate, stone-free rate, surgery time, hospital stay, and complications, were all documented and studied.
Results: The patients in our study were on average 31.8 years old. The male-to-female ratio was 42/18. More patients (36/60) had stones on their right side. The operation's success rate was 93.8 percent (56/60). The stone-free rate was 100% (60/60) after 4 weeks of follow-up. The average operation time and hospital stay after surgery were respectively 100.52 minutes and 4.33 days. After laparoscopic retroperitoneal ureterolithotomy, the postoperative complication rate was 13% (8/60).
Conclusion: For big, impacted upper ureteric stones, laproscopic retroperitoneal ureterolithotomy is a safe and successful therapeutic option.
Keywords: Ureteric Calculus; Laparoscopic retroperitoneal Ureterolithotomy; PCNL- Percutaneous Nephrolithotomy; URSL- Ureteroscopic Lithotripsy; ESWL- Extracorporeal Shockwave Lithotripsy.