Camacho-Castro AJ, Martínez Á, Fernández-Noyola G, Ahumada-Tamayo S, García-Salcido F, Muñoz-Ibarra E, Osornio-Sánchez V, Mayorga-Gómez E, Garza-Sainz G, Santana-Ríos ZA, Pérez-Becerra R, Fulda-Graue S, Urdiales-Ortiz A, Martínez-Arroyo C, Cantellano-Orozco M, Morales-Montor JG, Pacheco-Gahbler C

Language: Spanish
References: 14
Page: 13-16
PDF size: 911.94 Kb.

ABSTRACT

Introduction: Laparoscopic pyeloureteral lithiasis management is among the established options after management failure with minimally invasive options. The purpose of this study was to describe results obtained through laparoscopic management of pyeloureteral lithiasis.
Material and methods: A retrospective study was carried out on patients that underwent laparoscopic pyeloureteral lithiasis management within the time frame of January 1, 2010 to August 30, 2011 at the Urology Department of the Hospital General “Dr. Manuel Gea González”.
Results: A total of one hundred and fifty-four patients with lithiasis were included in the study. Of that total, one hundred and fourteen patients (74.02%) presented with stones in the renal pelvis and ureter and twenty-four patients (21.05%) were managed through laparoscopy. Twelve of those patients were men and twelve were women. Mean age was forty-four years, mean procedure duration was two hours and forty-five minutes, and mean blood loss was 177.5 mL. Four procedures (16.66%) were converted to open surgery and only one patient (4.16%) presented with complications (wall hematoma). There was complete lithiasis resolution in twenty patients (83.33%).
Laparoscopy provided good lithiasis resolution results and a low percentage of complications.
Conclusions: Laparoscopic management of pyeloureteral stones is a viable option for institutions that do not have the resources for other types of minimally invasive procedures.

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