Upper and mid‐ureteric stones: a prospective unrandomized comparison of retroperitoneoscopic and open ureterolithotomy

Objectives To review our experience of retroperitoneoscopic ureterolithotomy (RPUL) and to compare the results with those from open surgery. Patients and methods Between March 1994 and mid‐December 2000, 55 patients with large (mean 2.1 cm) upper and mid‐ureteric calculi, and with normal renal value...

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Bibliographic Details
Published in:BJU international 2001-11, Vol.88 (7), p.679-682
Main Authors: Goel, A., Hemal, A.K.
Format: Article
Language:English
Subjects:
Adult
Aged
Analgesics - therapeutic use
Biological and medical sciences
Blood Loss, Surgical
Elective Surgical Procedures - methods
Female
Humans
laparoscopy
Length of Stay
Male
Medical sciences
Middle Aged
Nephrology. Urinary tract diseases
Pain, Postoperative - prevention & control
Prospective Studies
retroperitoneoscopy
Stents
Time Factors
Ureter - surgery
Ureteral Calculi - surgery
ureterolithotomy
Ureteroscopy - methods
Urinary Catheterization
Urinary lithiasis
urolithiasis
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Summary:Objectives To review our experience of retroperitoneoscopic ureterolithotomy (RPUL) and to compare the results with those from open surgery. Patients and methods Between March 1994 and mid‐December 2000, 55 patients with large (mean 2.1 cm) upper and mid‐ureteric calculi, and with normal renal values, underwent RPUL. In 22 patients, earlier attempts with extracorporeal shock wave lithotripsy and ureteroscopy had failed. These patients were compared with 26 (mean stone size 2.4 cm) who underwent open ureterolithotomy during the same period. The two groups had similar distributions for age, sex, stone size and stone location; most stones were calcium‐based. Results The mean operative duration and blood loss for RPUL and open surgery were 108.8 and 98.8 min, and 58.5 and 50.5 mL, respectively (not significant). The mean analgesic (pethidine) requirement and hospital stay for RPUL and open surgery were 41.1 and 96.9 mg, and 3.3 and 4.8 days, respectively (P 
ISSN:1464-4096
1464-410X
DOI:10.1046/j.1464-4096.2001.00150.x