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. 2009 Jan;25(1):140-2.
doi: 10.4103/0970-1591.45556.

Laparoscopic ureterolithotomy for lower ureteric stones: Steps to make it a simple procedure

Anil Mandhani  1 , Rakesh Kapoor
Affiliations

Laparoscopic ureterolithotomy for lower ureteric stones: Steps to make it a simple procedure

Anil Mandhani et al. Indian J Urol. 2009 Jan.

Abstract

Despite advances in endoscopy and availability of holmium lithotripsy there are ureteric stones, which primarily need to be treated with laparoscopic ureterolithotomy. Literature is replete with the stone retrieval in upper ureteric stone but there are a very few reports on stones removal from ureter below the lower sacroiliac joint. Putting a double J stent before starting the procedure does not give any extra advantage; rather it takes away significant operating room time. This point of technique describes port placement strategy, proximal ureteral occlusion; stone localization, ureterotomy, stone retrieval and laparoscopic stenting are the important steps where one would like to be careful enough to complete the procedure successfully.

Keywords: Laparoscopy; lower ureteric stone; ureterolithotomy.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Port placement strategy based on the surface marking of the stone
Figure 2
Figure 2
A 3 cm stone in the lower ureter
Figure 3
Figure 3
Important surgical steps e.g., A proximal control of the ureter, B and C ureteral pinching and D bagging the stone
Figure 4
Figure 4
Various steps for laparoscopic stenting
See this image and copyright information in PMC

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