Experience with Laparoscopic Ureterolithotomy in Large Proximal Ureteral Calculi

Yevale Ashish, Sachin Patil, Siddharth Dube, D. K. Jain

Abstract: Aim: To evaluate the outcome and safety of Laparoscopic Ureterolithotomy (LAP-UL) for large proximal ureteral calculi. Design: Prospective observational study. Methods and Material: From March 2018 to December 2019, 50 patients with proximal ureteral calculi ≥ 15mm who underwent LAP-UL were evaluated for clearance, auxiliary procedure need and complications. Results: Complete clearance was 100 % in LAP-UL with none needing auxiliary procedures. Operation time was 110.12±10.13 min, the hospital stay was 2.08±0.40 days, post operative analgesic use was 5.2±0.87 days and no major complications were encountered during the procedures. Conclusions: Laparoscopic ureterolithotomy may prevent the need for auxiliary procedures while treating large ureteral calculi if used as a primary modality rather than a last resort after failed endourological procedures.

Keywords: Upper ureteral calculi, Laparoscopic ureterolithotomy