TY  - JOUR
TI  - Laparoscopic management of ureter stones, comparisonof two techniques
AB  - Aim: With the improvement of minimally invasive urology procedures, open surgical interventions are less common to treat ureteralcalculus. Laparoscopic ureterolithotomy (LU) indications are large multiple and/or impacted ureteral calculus that may not be treatedwith shock-wave lithotripsy or ureterorenoscopy approaches. In this study, we aimed to compare laparoscopic retroperitoneal andtransperitoneal ureterolithotomy techniques in terms of perioperative-postoperative results. Materials and Methods: We reviewed 45 patients with large and impacted upper ureter calculus who underwent transperitonealor retroperitoneal LU between January 2012 and December 2017. The transperitoneal and retroperitoneal routes were grouped asgroup 1 and 2, respectively. Groups were crosschecked according to preoperative, intraoperative, and postoperative clinical datum. Results: We did not find statistically meaningful disparity between groups with regards to age, gender, stone size, blood loss andbody mass index. The stone free accomplishment ratio was 100% in group 1 and 2. Visual analogue scale scores were higher andstatistically meaningful in group 1 (p<0.05). The mean operative time was statistically shorter in group 2 (p:0.022). No double J stentinserted routinely intraoperatively. Conclusion: Compared to those obtained with the transperitoneal technique, the retroperitoneal technique has a significantly shorteroperating time and less postoperative pain for large and impacted proximal ureteral calculus. More randomized, controlled andprospective studies on large samples are needed.
AU  - Akkoç, Ali
AU  - aydin, cemil
DO  - 10.5455/annalsmedres.2020.05.428
PY  - 2021
JO  - Annals of Medical Research
VL  - 28
IS  - 6
SN  - 2636-7688
SP  - 1128
EP  - 1133
DB  - TRDizin
UR  - http://search/yayin/detay/463570
ER  -