Title: Clinical observation on the Retroperitoneoscopic Ureterolithotomy in treatment of Upper Ureteral Calculi (With 27 Cases Reports)
Abstract: OBJECTIVE To investigate the clinical value of retroperitoneoscopic ureterolithotomy in treatment of upper ureteral calculi. METHODS We retrospectively analyzed clinical data of 27 patients who had received the retroperitoneoscopic ureterolithotomy. 15 cases of them were males and 12 were females. The locations of ureteral calculi of all the patients were at upper ureter, size was at the range of 1.2-2.5cm. 11 cases had used extracorporeal shock wave lithotripsy method to deal with the calculi before the operative, but all failed. RESULTS The ureteral calculi of the 27 cases were all completely removed. The operative time was at the range of 100-180 min; The average time was 130 min. Intraoperative blood loss was at the range of 50-80ml, and the average was 60 ml. 3-5 days later the retroperitoneal drainage tube was removed, and the postoperative treatment time was at the range of 5-9d. All the patients were followed up for 6-12 months, the hydronephrosis and ureter expansion were significantly reduced comparing to preoperative. CONCLUSION The retroperitoneoscopic ureterolithotomy method in treatment of the upper ureteral calculi is safe and effective, and has the aspect of minimally invasive. This method is worthy of widely application.
Publication Year: 2012
Publication Date: 2012-01-01
Language: en
Type: article
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