Journal of AdvancedMedical and Dental Sciences Research

Background: Laparoscopic ureterolithotomy has emerged as a safe treatment for large ureter calculus. We present a study to evaluate the success and complications of laparoscopic ureterolithomy at our centre. Methods: Thirteen cases of impacted calculus in the ureter, underwent laparoscopic transperitoneal ureterolithotomy over a period of two years. The primary outcome measures assessed were the operating time, blood loss, post operative pain, analgesia requirement, drain removal and the discharge days. Results: The mean (range) operating time and blood loss was 149.62 minutes (110-210) and 39.62 mL (15-80). The ureterotomy was closed with intracorporeal suturing after placing DJ stent in all the cases. The drain was removed in a mean 3.62 days (2-7). The patients were discharged in a mean time of 5.85 days ( 3-13). The complications seen were, prolonged urinary leakage in two cases, severe urinary tract infection in one case. There has been no evidence of ureteral stricture on follow up. Conclusion: Laparoscopic transperitoneal ureterolithotomy is a safe and effective option for impacted calculus ureter. Although there is a long learning curve, but once the surgeon is acquainted to the technique, the result improves. Key Words: Laparoscopic, transperitoneal ureterolithotomy, impacted calculus.