The role of laparoscopy in the treatment of renal and ureteral calculi

被引:76
作者
Micali, S [1 ]
Moore, RG [1 ]
Averch, TD [1 ]
Adams, JB [1 ]
Kavoussi, LR [1 ]
机构
[1] MED COLL GEORGIA,DEPT UROL,AUGUSTA,GA 30912
关键词
laparoscopy; kidney calculi; ureteral calculi; urinary calculi;
D O I
10.1016/S0022-5347(01)65173-5
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Purpose: We assessed the efficacy of laparoscopy in the treatment of renal and ureteral stones. Materials and Methods: Laparoscopic stone extraction was attempted in 11 men and 6 women 22 to 75 years old, including 6 with ureteral and 11 with renal calculi. Of the renal stones 9 were associated with a concomitant pathological condition requiring surgery. Four patients had multiple stones (2 to 93) and stone size ranged from 2 to 60 mm. (mean 15.6). Results: Stones from 15 of 17 patients were removed successfully via laparoscopic techniques. Operative time ranged from 2.33 to 6.35 hours (mean 4.9). Prolonged operating times were associated with ancillary or failed procedures. Blood loss ranged from 20 to 350 mi. (mean 132.9), narcotic requirement from 0 to 100 mg. morphine (mean 26) and hospital stay from 1 to 15 days (mean 4.5). The 3 postoperative complications included prolonged ileus (2) and a retroperitoneal urinoma requiring secondary drainage (1). Conclusions: Laparoscopic stone removal is safe and feasible. Indications for this approach include urinary stones associated with an anatomical abnormality requiring urinary tract reconstruction and calculi for which other minimally invasive therapies failed.
引用
收藏
页码:463 / 466
页数:4
相关论文
共 21 条
[1]   SPECIAL CONSIDERATIONS IN THE TECHNIQUE OF LAPAROSCOPIC URETEROLITHOTOMY [J].
BELLMAN, GC ;
SMITH, AD .
JOURNAL OF UROLOGY, 1994, 151 (01) :146-149
[2]   Laparoscopic pyeloplasty [J].
Chen, RN ;
Moore, RG ;
Kavoussi, LR .
JOURNAL OF ENDOUROLOGY, 1996, 10 (02) :159-161
[3]   LAPAROSCOPIC NEPHRECTOMY - REVIEW OF THE INITIAL 10 CASES [J].
CLAYMAN, RV ;
KAVOUSSI, LR ;
SOPER, NJ ;
ALBALA, DM ;
FIGENSHAU, RS ;
CHANDHOKE, PS .
JOURNAL OF ENDOUROLOGY, 1992, 6 (02) :127-132
[4]  
CLAYMAN RV, 1991, J UROLOGY, V146, P27
[5]   LAPAROSCOPIC LASER URETEROLITHOTOMY [J].
FAHLENKAMP, D ;
SCHONBERGER, B ;
LIEBETRUTH, L ;
LINDEKE, A ;
LOENING, SA .
JOURNAL OF UROLOGY, 1994, 152 (05) :1549-1551
[6]   RETROPERITONEAL LAPAROSCOPIC URETEROLITHOTOMY FOR MULTIPLE UPPER MID URETERAL CALCULI [J].
GAUR, DD ;
AGARWAL, DK ;
PUROHIT, KC ;
DARSHANE, AS ;
SHAH, BC .
JOURNAL OF UROLOGY, 1994, 151 (04) :1001-1002
[7]   RETROPERITONEAL LAPAROSCOPIC PYELOLITHOTOMY [J].
GAUR, DD ;
AGARWAL, DK ;
PUROHIT, KC ;
DARSHANE, AS .
JOURNAL OF UROLOGY, 1994, 151 (04) :927-929
[8]  
GAUR DD, 1993, WORLD J UROL, V11, P175
[9]   LAPAROSCOPIC URETEROLITHOTOMY - THE RESULTS OF AN INITIAL SERIES, AND AN EVALUATION OF ITS ROLE IN THE MANAGEMENT OF URETERAL CALCULI [J].
HAREWOOD, LM ;
WEBB, DR ;
POPE, AJ .
BRITISH JOURNAL OF UROLOGY, 1994, 74 (02) :170-176
[10]  
JENTSCHEK G, 1994, J ENDOUROL, V8, P883