RETROPERITONEAL VS TRANSPERITONEAL LAPAROSCOPIC URETEROLITHOTOMY
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Abstract
Objective: To compare retroperitoneal versus transperitoneal laparoscopic ureterolithotomy in effectivity, pain scale and early complications. Material & methods: In this prospective comparison study from January 2013 to June 2014, 32 patients with proximal and mid ureteral stones underwent retroperitoneal laparoscopic ureterolithotomy or transperitoneal laparoscopic ureterolithotomy. The randomization occured on consecutive sampling on a 1 : 1 basis. Group 1 and 2 consisted of patients who underwent retroperitoneal laparoscopic ureterolithotomy and transperitoneal laparoscopic ureterolithotomy, respectively. Demographic and clinical variable, operative time, length of stay, ureteral suturing, pain scale according to visual analog scale (VAS) and early complications data were collected and analyzed. Statistical analysis was performed with SPSS® version 17.0 using student T-test and Mann-Whitney U tests with p value < 0.05 considered statistically significant. Results:VAS on day 1 between the 2 groups was statistically significant, and was higher in group 2 (p < 0.05). According to the Clavien-Dindo classification of surgical complication all the patients were in grade 1 classification. The differences in operative time, length of stay, ureteral suturing, visual pain analog score on day 3, and early complications between the 2 groups were not statistically significant.Conclusion: Transperitoneal laparoscopic ureterolithotomy is significantly associated with pain than retroperitoneal laparoscopic ureterolithotomy in first day after surgery. Successful stone removal remains the same in both groups.
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Retroperitoneal laparoscopic ureterolithotomy, transperitoneal laparoscopic ureterolithotomy, pain scale, early complications
Wolf JS Jr. Treatment selection and outcomes: ureteral calculi. Urol Clin North Am. 2007; 34: 421.
Singh V, Sinha RJ, Gupta DK, Kumar M, Akhtar A. Transperitoneal vs Retroperitoneal Laparoscopic Ureterolithotomy: A Prospective Randomized Comparison Study. J Urol. 2013; 189: 940-5.
Yadav R, Kumar R, Hemal AK. Laparoscopy in the management of stone disease of urinary tract. J Minim Access Surg. 2005; 1(4): 173-80.
Basavaraj D, Dangle P, Browning AJ, Biyani CS. Laparoscopic ureterolithotomy: a simple device to retrieve stones. JSLS. 2007; 11(3): 381-2.
Kongchareonsombat W, Atichoksakun S, Kitvikai K, Patcharatrakul S, Chaimuengraj S. Extraperitoneal versus transperitoneal approach of laparoscopic ureterolithotomy in selected patients. J Med Assoc Thai. 2010; 93(7): 794-8.
Turk C, Knoll T, Petrik A, Sarica K, Straub M, Seitz C. Guidelines on Urolithiasis. European Association of Urology. 2011; 5: 14.
Raboy A, Ferzli GS, Ioffreda R, Albert PS. Laparoscopic ureterolithotomy. Urology. 1992; 39(3): 223-5.
Simforoosh N, Basiri A, Danesh A, Ziaee SAM, Sharifiaghdas F, Tabibi A, et al. Laparoscopic Management of ureteral calculi: A report of 123 cases. Urolgy Journal. 2007; 4(3): 138-41.
Joshi R. Experience sharing of retroperitoneal laparoscopic ureterolithotomy from a teaching hospital. J Nepal Health Res Counc. 2013; 11(25): 279-82.
Keeley FX, Gialas I, Pillai M, Chrisofos M, Tolley DA. Laparoscopic ureterolithotomy: the Edinburgh experience. BJU Int. 1999; 84:765-9.
Hemal AK, Goel A, Goel R. Minimally invasive retroperitoneoscopic ureterolithotomy. J Urol. 2003; 169: 480-2.
Cellona MC. Transperitoneal laparoscopic ureterolithotomy versus retroperitoneoscopic ureterolithotomy. Wld J Laparosco Surg. 2009; 2(3): 47-51.
Nualyong C, Taweemonkongsap T. Laparoscopic ureterolithotomy for upper ureteric calculi. J Med Assoc Thai. 1999; 82(10): 1028-33.
Hammady A, Gamal WM, Zaki M, Hussein M, Abuzeid A. Evaluation of ureteral stent placement after retroperitoneal laparoscopic ureterolithotomy for upper ureteral stone: randomized controlled study. J Endourol. 2011; 25(5): 825-30.
Demirci D, Gulmez I, Ekmekcioglu O, Karacagil M. Retroperitoneoscopic ureterolithotomy for the treatment of ureteral calculi. Urol Int. 2004; 73: 234-7.
Kijvikai K, Patcharatrakul S. Laparoscopic ureterolithotomy: its role and some controversial technical considerations. Int J Urol. 2006; 13: 206.
Lee WC, Hsieh HH. Retroperitoneoscopic ureterolithotomy for impacted ureteral stones. Chang Gung Med J. 2000; 23(1): 28-32.