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Research Paper | Surgery | Volume 15 Issue 3, March 2026 | Pages: 895 - 896 | India
An Observational Prospective Study of Transperitoneal Laparoscopic Ureterolithotomy (TLUT) for Upper Ureteric Calculi
Abstract: Background: Ureteric calculi are one of the most common urological problems. Although extracorporeal shock wave lithotripsy (ESWL) and ureteroscopic lithotripsy (URSL) are preferred for lower and mid-ureteric stones, larger upper ureteric calculi remain challenging. This study evaluates the efficacy and safety of transperitoneal laparoscopic ureterolithotomy (TLUT) for upper ureteric stones. Methods: A prospective observational study was conducted on patients with upper ureteric calculi ≥1 cm who underwent TLUT at a tertiary care center. Intraoperative parameters, postoperative complications, and stone clearance rates were assessed. Results: The mean operative time was 82 ± 14 minutes, with minimal blood loss. Complete stone clearance was achieved in 100% of patients. Mean hospital stay was 3.2 ± 0.8 days. Complications included minor port-site infection (6%) and transient urine leakage (4%), managed conservatively. Conclusion: TLUT is a safe and effective option for managing large, impacted upper ureteric calculi, offering high clearance rates and minimal morbidity, especially where endourological expertise or equipment is limited.
Keywords: upper ureteric calculi, laparoscopic ureterolithotomy, transperitoneal approach, stone clearance, minimally invasive surgery
How to Cite?: Shivani Shah, Dinesh Prasad, "An Observational Prospective Study of Transperitoneal Laparoscopic Ureterolithotomy (TLUT) for Upper Ureteric Calculi", Volume 15 Issue 3, March 2026, International Journal of Science and Research (IJSR), Pages: 895-896, https://www.ijsr.net/getabstract.php?paperid=SR26312213223, DOI: https://dx.doi.org/10.21275/SR26312213223