Laparoscopic management of ureter stones, comparisonof two techniques

dc.contributor.authorAydın, Cemil
dc.contributor.authorAkkoç, Ali
dc.date.accessioned2022-11-30T05:46:16Z
dc.date.available2022-11-30T05:46:16Z
dc.date.issued2021
dc.departmentALKÜ, Fakülteler, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractAim: 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.
dc.identifier.doi10.5455/annalsmedres.2020.05.428
dc.identifier.endpage1133en_US
dc.identifier.issue6en_US
dc.identifier.startpage1128en_US
dc.identifier.urihttps://search.trdizin.gov.tr/yayin/detay/463570/laparoscopic-management-of-ureter-stones-comparisonof-two-techniques
dc.identifier.urihttps://hdl.handle.net/20.500.12868/2068
dc.identifier.volume28en_US
dc.indekslendigikaynakTR-Dizin
dc.language.isotr
dc.relation.ispartofAnnals of Medical Research
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectLaparoscopy
dc.subjectRetroperitoneal
dc.subjectTransperitoneal
dc.subjectUreterolithotomy
dc.titleLaparoscopic management of ureter stones, comparisonof two techniques
dc.typeArticle

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