Laparoscopic Transperitoneal Ureterolithotomy- An Alternative to Open Surgery

Abstract

ABSTRACT-Urinary tracts stone diseases are one of the most common afflictions of modern society and it has witnessed much advancement in its management. Keeping in view various aspects of management we carried out a comparatively newer study called Transperitoneal Ureterolithotomy. This study was carried out to evaluate Laparoscopic Transperitoneal Ureterolithotomy (TPUL) as a viable option to open surgical ureterolithotomy, Laparoscopic Retroperitoneal Ureterolithotomy (RPUL) & endoscopic urology and to assess its place in the spectrum of various surgical interventions for ureteric calculi in a tertiary care center. This study was conducted on 25 selected patients of a single large impacted calculus of size more than 10mm in upper and middle ureter. It was observed that conversion to open ureterolithotomy was observed in 4 cases and excessive bleeding in one case. No major perioperative complications were seen. The procedure has definitely shown decreased post-operative discomfort, decreased requirement of post-operative analgesia, better cosmesis, early return to work and less morbidity.

Comparative Study Between Two Different Laparoscopic Ureterolithotomies at IGMC Shimla H.P.

“…Intraoperatively periureteric adhesions and minor bleeding was observed in both the studies, whereas spillage of stone and lump formation was observed only in TPUL. [7] No. In both the studies 100% of patients complained of pain prior to admission in the hospital.…”