Silva-Gutiérrez A, Osorio-Campos J, Arcos-Marcín M, Martínez-Méndez ME

Language: Spanish
References: 12
Page: 329-333
PDF size: 239.78 Kb.

ABSTRACT

Objective: To carry out an analysis of laparoscopic procedures performed in urinary lithiasis treatment.
Materials and methods: Lithiasis cases managed by laparoscopy from July 2006 to September 2007 were reviewed. The variables analyzed were: Size and location of the stone, sex, age, history of previous abdominal or retroperitoneal surgery, surgical approach, time in surgery and complications.
Results: A total of 18 (10 right and 8 left) procedures for upper urinary tract lithiasis were carried out on 12 women and 6 men with a mean age of 32 years. Seven patients had undergone previous abdominal surgery. Twelve surgeries were performed with a transperitoneal approach and 6 with lumboscopy. Three stones were complete coral-form stones, 4 were partial coral-form, 6 were pyelic, 3 were from the superior ureter and 2 were from the middle ureter. Mean time in surgery was 150 minutes. The complications that presented were: 1 case of de-insertion of the ureteropelvic junction, 1 case of retropelvic vessel bleeding and 1 case of gonadal vein injury and colon serous laceration and 1 case of colon puncture with the Veress needle. All complications were favorably resolved.
Conclusions: Laparoscopic procedures are an excellent option available to the urologist for treating upper urinary tract lithiasis.

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