Lower Ureteral Stones Revisited: Expanding the Horizons of Robotics

Objective To study the feasibility of robot-assisted laparoscopic ureterolithotomy for large (>2 cm) or impacted lower ureteral stones and the immediate outcome measures such as the stone-free rate and occurrence of intra- and postoperative complications. Materials and Methods From April 2010 to...

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Bibliographic Details
Published in:Urology (Ridgewood, N.J.) N.J.), 2013-07, Vol.82 (1), p.95-99
Main Authors: Dogra, Prem Nath, Regmi, Subodh K, Singh, Prabhjot, Saini, Ashish K, Nayak, Brusabhanu
Format: Article
Language:English
Subjects:
Adult
Biological and medical sciences
Blood Loss, Surgical
Disease-Free Survival
Feasibility Studies
Female
Humans
Laparoscopy - adverse effects
Laparoscopy - methods
Length of Stay
Male
Medical sciences
Nephrology. Urinary tract diseases
Operative Time
Retrospective Studies
Robotics
Ureteral Calculi - surgery
Urinary lithiasis
Urinary system involvement in other diseases. Miscellaneous
Urinary tract. Prostate gland
Urology
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Summary:Objective To study the feasibility of robot-assisted laparoscopic ureterolithotomy for large (>2 cm) or impacted lower ureteral stones and the immediate outcome measures such as the stone-free rate and occurrence of intra- and postoperative complications. Materials and Methods From April 2010 to August 2012, 52 robotic stone surgeries were performed in our department. Robot-assisted laparoscopic ureterolithotomy was performed in 16 patients for large (>2 cm) or impacted lower ureteral stones. Results The stone was most commonly located in the juxtavesical position in all 16 patients. The average stone size was 2.2 cm, and all stones were impacted. The mean operative time was 45.3 minutes (range, 38-63), including stent placement time, and the mean blood loss was 10 mL. The mean console time was 20.3 minutes. No conversion to an open procedure was required. Conclusion Robot-assisted laparoscopic ureterolithotomy for large, impacted, lower ureteral stones is an acceptable alternative. The ease of surgery and shorter operative times are significant advantages compared with the laparoscopic approach.
ISSN:0090-4295
1527-9995
DOI:10.1016/j.urology.2013.02.059